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
2012年
10期
813-816
,共4页
亢丹%叶京英%郑莉%张俊波%边秋丽
亢丹%葉京英%鄭莉%張俊波%邊鞦麗
항단%협경영%정리%장준파%변추려
睡眠呼吸暂停,阻塞性%多道睡眠描记术%监测,便携式%打鼾
睡眠呼吸暫停,阻塞性%多道睡眠描記術%鑑測,便攜式%打鼾
수면호흡잠정,조새성%다도수면묘기술%감측,편휴식%타한
Sleep apnea,obstructive%Polysomnography%Monitoring,ambulatory%Snoring
目的 检验腕表式睡眠监测仪(watch peripheral arterial tone,Watch PAT)诊断睡眠呼吸暂停低通气综合征(OSAHS)的准确性及其影响因素.方法 35例以睡眠打鼾为主诉的门诊患者同时行Watch PAT监测和多道睡眠监测(PSG).PSG监测的结果由同一位有经验的技师人工分析,Watch PAT的结果则由软件自动分析.结果 35例研究对象PSG的睡眠呼吸暂停低通气指数(AHI)有高于Watch PAT AHI的趋势(P=0.06),但两者之间相关性较好,相关系数(r)可达0.955(P＜0.001).通过Watch PAT的AHI来预测PSG AHI的线性回归得到的结果为AHI (PSG)=0.944+1.030AHI( Watch PAT),P＜0.001.以PSG监测的AHI≥5次/h做为OSAHS的诊断标准,利用ROC曲线考察Watch PAT的诊断效率,所得到的曲线下面积可达0.953(P ＜0.001)；以Watch PAT监测的AHI值8.65次/h作为界值,诊断的敏感性和特异性分别为92.3％和100.0％.以AHI( Watch PAT)和AHI(PSG)差值绝对值作为分组标准,差值≥5次/h患者的体质量指数(BMI)有大于差值＜5次/h患者BMI的趋势(P=0.077).结论 Watch PAT诊断OSAHS有较高的准确性,可以作为诊断OSAHS的一种简单可靠的检测工具,但对于BMI较大的患者其诊断的准确性可能较差.
目的 檢驗腕錶式睡眠鑑測儀(watch peripheral arterial tone,Watch PAT)診斷睡眠呼吸暫停低通氣綜閤徵(OSAHS)的準確性及其影響因素.方法 35例以睡眠打鼾為主訴的門診患者同時行Watch PAT鑑測和多道睡眠鑑測(PSG).PSG鑑測的結果由同一位有經驗的技師人工分析,Watch PAT的結果則由軟件自動分析.結果 35例研究對象PSG的睡眠呼吸暫停低通氣指數(AHI)有高于Watch PAT AHI的趨勢(P=0.06),但兩者之間相關性較好,相關繫數(r)可達0.955(P＜0.001).通過Watch PAT的AHI來預測PSG AHI的線性迴歸得到的結果為AHI (PSG)=0.944+1.030AHI( Watch PAT),P＜0.001.以PSG鑑測的AHI≥5次/h做為OSAHS的診斷標準,利用ROC麯線攷察Watch PAT的診斷效率,所得到的麯線下麵積可達0.953(P ＜0.001)；以Watch PAT鑑測的AHI值8.65次/h作為界值,診斷的敏感性和特異性分彆為92.3％和100.0％.以AHI( Watch PAT)和AHI(PSG)差值絕對值作為分組標準,差值≥5次/h患者的體質量指數(BMI)有大于差值＜5次/h患者BMI的趨勢(P=0.077).結論 Watch PAT診斷OSAHS有較高的準確性,可以作為診斷OSAHS的一種簡單可靠的檢測工具,但對于BMI較大的患者其診斷的準確性可能較差.
목적 검험완표식수면감측의(watch peripheral arterial tone,Watch PAT)진단수면호흡잠정저통기종합정(OSAHS)적준학성급기영향인소.방법 35례이수면타한위주소적문진환자동시행Watch PAT감측화다도수면감측(PSG).PSG감측적결과유동일위유경험적기사인공분석,Watch PAT적결과칙유연건자동분석.결과 35례연구대상PSG적수면호흡잠정저통기지수(AHI)유고우Watch PAT AHI적추세(P=0.06),단량자지간상관성교호,상관계수(r)가체0.955(P＜0.001).통과Watch PAT적AHI래예측PSG AHI적선성회귀득도적결과위AHI (PSG)=0.944+1.030AHI( Watch PAT),P＜0.001.이PSG감측적AHI≥5차/h주위OSAHS적진단표준,이용ROC곡선고찰Watch PAT적진단효솔,소득도적곡선하면적가체0.953(P ＜0.001)；이Watch PAT감측적AHI치8.65차/h작위계치,진단적민감성화특이성분별위92.3％화100.0％.이AHI( Watch PAT)화AHI(PSG)차치절대치작위분조표준,차치≥5차/h환자적체질량지수(BMI)유대우차치＜5차/h환자BMI적추세(P=0.077).결론 Watch PAT진단OSAHS유교고적준학성,가이작위진단OSAHS적일충간단가고적검측공구,단대우BMI교대적환자기진단적준학성가능교차.
Objective This study aimed to test the accuracy of the watch peripheral arterial tone (Watch PAT) in diagnosing the obstructive sleep apnea hypopnea syndrome (OSAHS) and its influencing factors.Methods Thirty five outpatients who had a chief complaining of sleep snoring were recruited to receive Watch PAT test and polysomnography (PSG) simultaneously. The results of PSG were manually analyzed by an experienced technician,while the results of Watch PAT were automatically analyzed by software.Results There was a trend that the apnea hypopnea index (AHI) of PSG was significantly higher than that of Watch PAT (P =0.06 ) in the 35 patients studied,however,these two variables were significantly correlated ( P ＜ 0.001 ),and the correlation coefficient was as high as 0.955. A linear regression analysis which used the AHI of Watch PAT to predict the AHI of PSG also concluded same result and the equation was AHI(PSG) =0.944 + 1.030AHI( Watch PAT),P ＜0.001.The analysis which used ROC curve to test the diagnostic efficiency of Watch PAT concluded that the area under the curve could reach to 0.953 (P ＜0.001 ),and if an AHI (Watch PAT) threshold of ≥8.65 was used as the cut-off point in this study,the sensitivity and specificity could reach to 92.3％ and 100.0％.The absolute values of the differences (AVD) between the AHI of Watch PAT and the AHI of PSG were also calculated as a criterion for grouping the 35 patients studied,then it could be found that there was a trend that the BMI of patients who had an AVD≥5 were higher than that of patients who had an AVD ＜ 5 (P =0.077).Conclusions The Watch PAT is highly sensitive in the diagnosis of OSAHS,it can be used as a simple and reliable method for screening people with suspicious OSAHS. However,the accuracy of diagnosis may be relatively low in patients who have a great BMI.
