中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2010年
8期
660-663
,共4页
钟建文%刘大波%黄振云%谭宗瑜%邵剑波%仇书要%俞洁
鐘建文%劉大波%黃振雲%譚宗瑜%邵劍波%仇書要%俞潔
종건문%류대파%황진운%담종유%소검파%구서요%유길
脉搏%多道睡眠描记术%睡眠呼吸暂停综合征%儿童
脈搏%多道睡眠描記術%睡眠呼吸暫停綜閤徵%兒童
맥박%다도수면묘기술%수면호흡잠정종합정%인동
Pulse%Polysomnography%Sleep apnea syndromes%Child
目的 探讨脉搏传导时间(pulse transit time,PTT)技术对儿童睡眠呼吸障碍疾病(sleep disordered breathing,SDB)的诊断价值.方法 通过对随机抽取的48例2～13岁因睡眠打鼾临床初步诊断为SDB患儿进行PTT和多道睡眠图(PSG)同步监测,由不同的技师和医生对两种方法的数据进行分析.结果 PSG与PTT监测得到的呼吸暂停低通气指数(AHI)、阻塞性呼吸暂停指数(OAI)、最低血氧饱和度(LSaO2)和微觉醒指数中位数[25分位数;75分位数]分别为:4.9[1.3;10.1]次/h和4.6[1.5;11.8]次/h,1.2[0.7;4.9]次/h和1.3[0.6;5.0]次/h,0.93[0.85;0.95]和0.93[0.84;0.95],14.5[12.6;16.4]次/h和26.0[17.4;30.6]次/h,AHI、OAI和LSaO2差异均无统计学意义(P值均＞0.05),而微觉醒指数则PTT检出率高于PSG(Z=-5.19,P＜0.01).两种设备对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的诊断以及病情程度的判断差异均无统计学意义(P值均＞0.05),而PTT可在不符合OSAHS诊断的患儿中识别出上气道阻力综合征.结论 PTT操作简单,可获得SDB疾病的诊断参数,临床上可用于儿童SDB疾病的诊断和分度.PTT可获得呼吸努力相关性微觉醒参数,对诊断上气道阻力综合征有意义.
目的 探討脈搏傳導時間(pulse transit time,PTT)技術對兒童睡眠呼吸障礙疾病(sleep disordered breathing,SDB)的診斷價值.方法 通過對隨機抽取的48例2～13歲因睡眠打鼾臨床初步診斷為SDB患兒進行PTT和多道睡眠圖(PSG)同步鑑測,由不同的技師和醫生對兩種方法的數據進行分析.結果 PSG與PTT鑑測得到的呼吸暫停低通氣指數(AHI)、阻塞性呼吸暫停指數(OAI)、最低血氧飽和度(LSaO2)和微覺醒指數中位數[25分位數;75分位數]分彆為:4.9[1.3;10.1]次/h和4.6[1.5;11.8]次/h,1.2[0.7;4.9]次/h和1.3[0.6;5.0]次/h,0.93[0.85;0.95]和0.93[0.84;0.95],14.5[12.6;16.4]次/h和26.0[17.4;30.6]次/h,AHI、OAI和LSaO2差異均無統計學意義(P值均＞0.05),而微覺醒指數則PTT檢齣率高于PSG(Z=-5.19,P＜0.01).兩種設備對阻塞性睡眠呼吸暫停低通氣綜閤徵(OSAHS)的診斷以及病情程度的判斷差異均無統計學意義(P值均＞0.05),而PTT可在不符閤OSAHS診斷的患兒中識彆齣上氣道阻力綜閤徵.結論 PTT操作簡單,可穫得SDB疾病的診斷參數,臨床上可用于兒童SDB疾病的診斷和分度.PTT可穫得呼吸努力相關性微覺醒參數,對診斷上氣道阻力綜閤徵有意義.
목적 탐토맥박전도시간(pulse transit time,PTT)기술대인동수면호흡장애질병(sleep disordered breathing,SDB)적진단개치.방법 통과대수궤추취적48례2～13세인수면타한림상초보진단위SDB환인진행PTT화다도수면도(PSG)동보감측,유불동적기사화의생대량충방법적수거진행분석.결과 PSG여PTT감측득도적호흡잠정저통기지수(AHI)、조새성호흡잠정지수(OAI)、최저혈양포화도(LSaO2)화미각성지수중위수[25분위수;75분위수]분별위:4.9[1.3;10.1]차/h화4.6[1.5;11.8]차/h,1.2[0.7;4.9]차/h화1.3[0.6;5.0]차/h,0.93[0.85;0.95]화0.93[0.84;0.95],14.5[12.6;16.4]차/h화26.0[17.4;30.6]차/h,AHI、OAI화LSaO2차이균무통계학의의(P치균＞0.05),이미각성지수칙PTT검출솔고우PSG(Z=-5.19,P＜0.01).량충설비대조새성수면호흡잠정저통기종합정(OSAHS)적진단이급병정정도적판단차이균무통계학의의(P치균＞0.05),이PTT가재불부합OSAHS진단적환인중식별출상기도조력종합정.결론 PTT조작간단,가획득SDB질병적진단삼수,림상상가용우인동SDB질병적진단화분도.PTT가획득호흡노력상관성미각성삼수,대진단상기도조력종합정유의의.
Objective To explore the diagnostic value of pulse transit time(PTT) in children with sleep disordered breathing(SDB).Methods Forty eight randomly selected snorers(2-13 years)with SDB were examined by PSG and PTT in the same time. Data obtained were analyzed by different technicians respectively. Statistics and analysis of the data were performed. Results Apnea hypopnea index (AHI),obstructive apnea index(OAI), the lowest oxygen and micro-arousal index were obtained by PSG and PTT.The results was described as M [25 percentile; 75 percentile]:4.9[1.3; 10.1], 4.6 [1.5; 11.8]; 1.2[0.7;4.9], 1.3[0.6;5.0]; 0.93[0.85;0.95], 0.93[0.84;0.95]; 14.5[12.6;16.4], 26.0[17.4;30.6]. The difference of AHI, OAI, and the lowest oxygen were not significant (P＞0.05), while the PTT arousal index detection rate was higher than PSG(Z=-5.19, P＜0.01). There was no significant difference in the diagnosis of obstructive sleep apnea-hypopnea syndrome (OSAHS) and determination of degree of patient's condition (P＞0.05). PTT could identify upper airway resistance syndrome in children without OASHS. Conclusions Both methods can be used to diagnose SDB. However, PTT is easy to useand suitable for the diagnosis of SDB in children, especially for UARS.
