中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2011年
4期
22-24
,共3页
睡眠呼吸暂停,阻塞性%多道睡眠描记术%数据说明,统计
睡眠呼吸暫停,阻塞性%多道睡眠描記術%數據說明,統計
수면호흡잠정,조새성%다도수면묘기술%수거설명,통계
Sleep apnea,obstructive%Polysomnography%Data interpretation,statistical
目的 探索一种判断阻塞性睡眠呼吸暂停综合征(OSAHS)病情的临床评分法.方法 对158例OSAHS患者的习惯性打鼾、睡眠时憋气、白天嗜睡、肥胖、高血压5项临床表现进行评分,探讨用临床评分法判断OSAHS病情的价值.结果 两位医师的总评分结果分别为(7.94±3.22)、(7.62±3.08)分,两者呈高度正相关(r=0.97,P=0.00);轻度、中度和重度OSAHS患者分别为43、47、68例,评分结果分别为(5.53±2.25)、(7.66±2.05)、(9.29±2.27)分,彼此之间差异均有统计学意义(P=0.00),总评分结果为(7.78±2.68)分,与呼吸暂停低通气指数(37.15±19.53)也呈显著正相关(r=0.70,P=0.00);ROC分析表明以临床评分最优截断点7分为界,区分轻度与中重度OSAHS的敏感度为83.5%,特异度为74.4%,准确度为80.4%.结论 临床评分法判断OSAHS患者病情具有较好的可靠性、有效性和较高的准确性.
目的 探索一種判斷阻塞性睡眠呼吸暫停綜閤徵(OSAHS)病情的臨床評分法.方法 對158例OSAHS患者的習慣性打鼾、睡眠時憋氣、白天嗜睡、肥胖、高血壓5項臨床錶現進行評分,探討用臨床評分法判斷OSAHS病情的價值.結果 兩位醫師的總評分結果分彆為(7.94±3.22)、(7.62±3.08)分,兩者呈高度正相關(r=0.97,P=0.00);輕度、中度和重度OSAHS患者分彆為43、47、68例,評分結果分彆為(5.53±2.25)、(7.66±2.05)、(9.29±2.27)分,彼此之間差異均有統計學意義(P=0.00),總評分結果為(7.78±2.68)分,與呼吸暫停低通氣指數(37.15±19.53)也呈顯著正相關(r=0.70,P=0.00);ROC分析錶明以臨床評分最優截斷點7分為界,區分輕度與中重度OSAHS的敏感度為83.5%,特異度為74.4%,準確度為80.4%.結論 臨床評分法判斷OSAHS患者病情具有較好的可靠性、有效性和較高的準確性.
목적 탐색일충판단조새성수면호흡잠정종합정(OSAHS)병정적림상평분법.방법 대158례OSAHS환자적습관성타한、수면시별기、백천기수、비반、고혈압5항림상표현진행평분,탐토용림상평분법판단OSAHS병정적개치.결과 량위의사적총평분결과분별위(7.94±3.22)、(7.62±3.08)분,량자정고도정상관(r=0.97,P=0.00);경도、중도화중도OSAHS환자분별위43、47、68례,평분결과분별위(5.53±2.25)、(7.66±2.05)、(9.29±2.27)분,피차지간차이균유통계학의의(P=0.00),총평분결과위(7.78±2.68)분,여호흡잠정저통기지수(37.15±19.53)야정현저정상관(r=0.70,P=0.00);ROC분석표명이림상평분최우절단점7분위계,구분경도여중중도OSAHS적민감도위83.5%,특이도위74.4%,준학도위80.4%.결론 림상평분법판단OSAHS환자병정구유교호적가고성、유효성화교고적준학성.
Objective To develop a score based on clinical symptoms and signs for evaluating the severity of obstructive sleep apnea syndrome (OSAHS). Methods A total of 158 OSAHS patients were enrolled. Five clinical features,including habitual snore,sleep apnea,daytime sleepiness,obesity and hypertension were used to arrive at a clinical score and its value to evaluate severity of OSAHS was determined. Results The clinical score of the two assessors was (7.94 ± 3.22) and (7.62 ± 3.08) scores respectively and a highly significant positive correlation was obtained (r = 0.97,P= 0.00). The clinical score of mild (43 cases ), moderate(47 cases ) and severe OSAHS ( 68 cases ) was ( 5.53 ± 2.25 ), ( 7.66 ± 2.05 ) and (9.29 ± 2.27) scores respectively,and there was significant difference among three groups (P = 0.00). The general clinical score of the two assessors was (7.78 ± 2.68) scores,the apnea-hypopnea index was 37.15 ±19.53,and there was a significant positive correlation between them (r = 0.70,P= 0.00). By analysis of ROC curves, the cut-off values of clinical score for differentiating moderate-severe OSAHS from mild OSAHS was 7 scores, and the sensitivity, specificity and accuracy was 83.5%, 74.4% and 80.4% respectively. Conclusion Clinical score,with good reliability,validity and high sccuracy,is a simple method to evaluate severity of OSAHS.
