文章摘要
卢 聪,吴 昊,苏 尧,刘雯彧,周 珑.孕期运动时间与睡眠障碍的相关性研究[J].,2021,(24):4686-4689
孕期运动时间与睡眠障碍的相关性研究
Exercise in Pregnancy and Sleep Disorders: A Correlational Study
投稿时间:2021-05-23  修订日期:2021-06-18
DOI:10.13241/j.cnki.pmb.2021.24.017
中文关键词: 睡眠质量  睡眠障碍  孕期  运动
英文关键词: Sleep quality  Sleep disorders  Pregnancy  Exercise
基金项目:上海交通大学"交大之星"计划医工交叉研究基金项目(YG2019QNB34)
作者单位E-mail
卢 聪 上海市第一人民医院妇产科 上海 201620 jiegan@sina.com 
吴 昊 上海市第一人民医院妇产科 上海 201620  
苏 尧 上海市第一人民医院妇产科 上海 201620  
刘雯彧 上海市第一人民医院妇产科 上海 201620  
周 珑 上海市第一人民医院妇产科 上海 201620  
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中文摘要:
      摘要 目的:孕期睡眠障碍的发生率较孕前明显升高,可引起妊娠期糖尿病、妊娠期高血脂、产后抑郁等疾病的发生。本研究拟探讨孕期运动对睡眠障碍的影响。方法:选取2021年1月至3月在我院产检建卡的孕妇进行问卷调查,收集孕妇的一般资料、妊娠情况、生活习惯以及运动情况,再根据匹兹堡睡眠质量指数量表(PSQI),对孕妇的睡眠情况进行评分。根据每日运动情况,分为运动时间≤30分钟和>30分钟两组,分析运动时间对睡眠质量的影响。再选取出睡眠障碍(PSQI评分>5分)的孕妇,进行生活方式指导,增加每日运动时间,坚持四周后,再次进行睡眠评分。结果:发放问卷320份,有效问卷293份。其中运动时间≤30分钟的共238人,平均睡眠评分为5.88分,运动时间>30分钟的共55人,平均睡眠评分为4.83分,两组差异具有统计学意义。运动时间≤30分钟的孕妇睡眠障碍的发生率为45.22%,运动时间>30分钟的孕妇,睡眠障碍的发生率为27.28%,两者差异具有统计学意义。对睡眠障碍的孕妇增加运动时间,四周后24%的人改善了睡眠质量。结论:对比运动少的孕妇,每日运动超过30分钟可以带来更好的睡眠质量。对于睡眠障碍的孕妇,增加每日运动量(>30分钟),可以改善睡眠,从而改善围产结局。
英文摘要:
      ABSTRACT Objective: The incidence of sleep disorders during pregnancy increases significantly compare to pre-pregnancy stage. Sleep disorders during pregnancy may lead to gestational diabetes, hyperglycemia, postpartum depression and other disease. This research is to study the effect that exercise during pregnancy can have on sleep disorders. Methods: A questionnaire survey was conducted on pregnant women who were treated in our hospital from January to March 2021. The general information, pregnancy status, living habits and exercise status of the pregnant women were collected. Based on the Pittsburgh Sleep Quality Index (PSQI), we are able to score the sleep quality of this group of pregnant women. After that, the group of women is split into 2 sub groups based on their daily average length of time spending on exercise: one with daily exercise time ≤30 minutes and the another with daily exercise time > 30 minutes; then to analyze the effect of exercise time during pregnancy on sleep quality. Pregnant women with sleep disorders received lifestyle modification instructions to increase the daily exercise time. After four weeks, we calculated the PSQI scores again. Results: Out of 320 questionnaires being distributed, 293 were being retrieved and proved to be valid. Among all of the 293 files, 238 fall into the category of average exercise time ≤30 minutes, and the average score on sleep quality is 5.88; on contrary, the rest 55 fall into the subgroup with exercise time > 30 minutes, whereat the score of sleep quality being 4.83. The difference in between of the two subgroups subject to the score on sleep quality are tested to be statistically significant. After increasing the time of exercise for pregnant women with sleep disorders, 24% of the subjects obtains improvement on their sleep quality. Conclusion: During pregnancy, pregnant women who exercise over 30 minutes on a daily basis are tended to have better sleep quality than those who exercise less than 30 minutes. Therefore, for those who experience sleep disorders during pregnancy, it is recommended for them to obtain more daily exercise (>30 minutes) in order to improve their sleep quality, thereby better off the perinatal outcome.
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