CAJ | 학술논문

目的比较便携式睡眠监测(PM)与多导睡眠监测(PSG)两种方法在临床上诊断阻塞性睡眠呼吸暂停综合征(OSAS)的差异性,为PM在临床中的应用提供参考.方法对84例疑似OSAS并已行PSG的入选者行PM,将两组监测结果进行统计分析,比较其各主要参数的差异性,并分析PM的准确度.结果两种监测方法在呼吸紊乱指数、氧减指数、夜间最低血氧饱和度、平均血氧饱和度等参数上差异无统计学意义(P＞0.05),PM的灵敏度为0.983 1%,特异度为0.8%,阳性似然比为4.915 5,阴性似然比为0.013 52,阳性预测价值为0.142 9,阴性预测价值为0.999 3.结论基于PM与PSG两种监测方法的各参数的差异无统计学意义,PM灵敏度较高但特异度稍低的特点,建议只将其作为诊断OSAS的辅助选择,可针对一些有明显OSAS症状的疑似患者进行筛查或用于随访评估治疗效果,不建议用于患有其他睡眠疾病的患者.
목적 비교편휴식수면감측(PM)여다도수면감측(PSG)량충방법재림상상진단조새성수면호흡잠정종합정(OSAS)적차이성,위PM재림상중적응용제공삼고.방법 대84례의사OSAS병이행PSG적입선자행PM,장량조감측결과진행통계분석,비교기각주요삼수적차이성,병분석PM적준학도.결과 량충감측방법재호흡문란지수、양감지수、야간최저혈양포화도、평균혈양포화도등삼수상차이무통계학의의(P＞0.05),PM적령민도위0.983 1%,특이도위0.8%,양성사연비위4.915 5,음성사연비위0.013 52,양성예측개치위0.142 9,음성예측개치위0.999 3.결론 기우PM여PSG량충감측방법적각삼수적차이무통계학의의,PM령민도교고단특이도초저적특점,건의지장기작위진단OSAS적보조선택,가침대일사유명현OSAS증상적의사환자진행사사혹용우수방평고치료효과,불건의용우환유기타수면질병적환자.
Objective To offer recommendations of the clinical application of portable monitors (PM) by comparison between the PM and polysomnography (PSG) in diagnosis of the obstructive sleep apnea syndrome (OSAS). Methods 84 candidates who already underwent PSG were monitored by PM to compare the difference of each parameters between the two methods as well as the accuracy of PM was evaluated. Results There was no significant difference in apnea hypopnea index (AHI) ,saturation impair time index (SIT) ,the minimal SaO2 ,and the mean SaO2 between the two diagnostic methods ( P ＞0.05).Sensitivity and specificity of the PM were 98.31 % and 80 %, LR+ = 4.915 5, LR_ = 0. 0135 2, PV+ =0. 142 9,PV_ = 0. 999 3. Conclusions PM may be utilized as an alternative diagnostic test for OSAS based in part on the premise that it is highly sensible and more exact especially for moderate and severe OSAS or as a test evaluated the treatment of OSAS by taking a follow-up visit on patients. PM is not appropriate for the diagnostic evaluation of OSAS in patients suspected of having other sleep disorders.