CAJ | 학술논문

对30例需要进行睡眠监测的患者,同时采用多导睡眠监测仪(polysomnography,PSG)和测鼾贴进行监测,并将测鼾贴对睡眠呼吸紊乱(sleep disorder breathing,SDB)评判的结果与PSG监测结果进行对照分析.测鼾贴显示为"0"相当于呼吸暂停低通气指数(AHI)<15次/h,"1"相当于AHI 15～24次/h,"2"相当于AHI 25～40次/h,"3"相当于AHI>40次/h,"E"为测试过程出现错误.测鼾贴结果为"0"的9例,PSG测得其AHI 0.2～11.1次/h;显示"1"的3例,AHI 4.5～17.6次/h;显示"2"的4例,AHI 14.1～31.3次/h;显示"3"的14例,AHI 30.3～117.4次/h.测鼾贴结果与PSG不符的6例,测鼾贴分级和AHI的Spearman相关系数为0.916.如以AHI 15次/h为分界点,测鼾贴的敏感性为100%,特异性为75%.说明测鼾贴是一种对睡眠呼吸紊乱筛查准确率较高且简便的检测手段.
대30례수요진행수면감측적환자,동시채용다도수면감측의(polysomnography,PSG)화측한첩진행감측,병장측한첩대수면호흡문란(sleep disorder breathing,SDB)평판적결과여PSG감측결과진행대조분석.측한첩현시위"0"상당우호흡잠정저통기지수(AHI)<15차/h,"1"상당우AHI 15～24차/h,"2"상당우AHI 25～40차/h,"3"상당우AHI>40차/h,"E"위측시과정출현착오.측한첩결과위"0"적9례,PSG측득기AHI 0.2～11.1차/h;현시"1"적3례,AHI 4.5～17.6차/h;현시"2"적4례,AHI 14.1～31.3차/h;현시"3"적14례,AHI 30.3～117.4차/h.측한첩결과여PSG불부적6례,측한첩분급화AHI적Spearman상관계수위0.916.여이AHI 15차/h위분계점,측한첩적민감성위100%,특이성위75%.설명측한첩시일충대수면호흡문란사사준학솔교고차간편적검측수단.
Thirty outpatients were monitored by polysomnography ( PSG) and Sleepstrip at same time. Evaluation of Sleepstrip on sleep disorder breathing (SDB) was performed with results of PSG as the "gold standard". Among 30 patients, 25 were male, 5 female with an average age of 41. The average body mass index was 27 ±5. Sleep time was(492 ±68)min, sleep latent period(25 ±30)min; sleep efficiency (90 ± 10)% , the lowest SaO_2(76 ± 12)%. All Sleepstrip proceeded successfully. Six cases monitored by Sleepstrip were different from that monitored by PSG. Spearman correlation between Sleepstrip grading and AH1 value was 0.916. Sensitivity and specificity of Sleepstrip were 100% and 75% when AHI 15 was taken as the cut-off value. Sleepstrip is a convenient and comparatively accurate device in screening for SDB.