中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
27期
7-9
,共3页
睡眠呼吸暂停,阻塞性%多道睡眠描记术%Epworth睡眠评价量表
睡眠呼吸暫停,阻塞性%多道睡眠描記術%Epworth睡眠評價量錶
수면호흡잠정,조새성%다도수면묘기술%Epworth수면평개량표
Sleep apnea,obstructive%Polysomnography%Epworth sleepiness scale
目的 探讨Epworth睡眠评价量表(ESS)联合便携式睡眠监测仪(PM)对阻塞型睡眠呼吸暂停低通气综合征(OSAHS)的诊断意义.方法 对156例打鼾患者先行ESS评分,然后行PM检查,监测呼吸暂停低通气指数(AHI)、氧减指数(ODI)、最低血氧饱和度(LSpO2)、平均血氧饱和度(MSpO2).结果 156例患者经PM检查诊断为OSAHS共124例,其中轻度42例、中度47例、重度35例；单纯鼾症32例.单纯鼾症和不同程度OSAHS患者ESS评分、AHI、ODI、LSpO2、MSpO2比较差异有统计学意义[单纯鼾症:(5.8±2.9)分、(3.2±1.3)次/h、(3.3±2.6)次、0.911±0.121、0.973±0.132;轻度OSAHS:(9.7±3.5)分、(12.8±23.3)次/h、(14.2±5.7)次、0.875±0.083、0.902±0.095:中度OSAHS:(12.9±4.8)分、(27.6±4.5)次/h、(25.6±6.1)次、0.816±0.069、0.851±0.071;重度OSAHS:(16.1 ±5.2)分、(43.6±7.6)次/h、(38.6±7.8)次、0.701±0.061、0.795±0.063](P＜ 0.05)；随着OSAHS严重程度增加,ESS评分、AHI、ODI逐渐增加,LSpO2、MSpO2逐渐下降,差异有统计学意义(P＜0.05).ESS评分与AHI和ODI呈正相关(r=0.42、0.51,P＜0.05),与LSpO2和MSpO2呈负相关(r=-3.70、-4.50,P＜0.05).结论 ESS评分与PM监测指标有很好的相关性,可以用ESS联合PM对OSAHS进行初步诊断,尤其是在基层医院.
目的 探討Epworth睡眠評價量錶(ESS)聯閤便攜式睡眠鑑測儀(PM)對阻塞型睡眠呼吸暫停低通氣綜閤徵(OSAHS)的診斷意義.方法 對156例打鼾患者先行ESS評分,然後行PM檢查,鑑測呼吸暫停低通氣指數(AHI)、氧減指數(ODI)、最低血氧飽和度(LSpO2)、平均血氧飽和度(MSpO2).結果 156例患者經PM檢查診斷為OSAHS共124例,其中輕度42例、中度47例、重度35例；單純鼾癥32例.單純鼾癥和不同程度OSAHS患者ESS評分、AHI、ODI、LSpO2、MSpO2比較差異有統計學意義[單純鼾癥:(5.8±2.9)分、(3.2±1.3)次/h、(3.3±2.6)次、0.911±0.121、0.973±0.132;輕度OSAHS:(9.7±3.5)分、(12.8±23.3)次/h、(14.2±5.7)次、0.875±0.083、0.902±0.095:中度OSAHS:(12.9±4.8)分、(27.6±4.5)次/h、(25.6±6.1)次、0.816±0.069、0.851±0.071;重度OSAHS:(16.1 ±5.2)分、(43.6±7.6)次/h、(38.6±7.8)次、0.701±0.061、0.795±0.063](P＜ 0.05)；隨著OSAHS嚴重程度增加,ESS評分、AHI、ODI逐漸增加,LSpO2、MSpO2逐漸下降,差異有統計學意義(P＜0.05).ESS評分與AHI和ODI呈正相關(r=0.42、0.51,P＜0.05),與LSpO2和MSpO2呈負相關(r=-3.70、-4.50,P＜0.05).結論 ESS評分與PM鑑測指標有很好的相關性,可以用ESS聯閤PM對OSAHS進行初步診斷,尤其是在基層醫院.
목적 탐토Epworth수면평개량표(ESS)연합편휴식수면감측의(PM)대조새형수면호흡잠정저통기종합정(OSAHS)적진단의의.방법 대156례타한환자선행ESS평분,연후행PM검사,감측호흡잠정저통기지수(AHI)、양감지수(ODI)、최저혈양포화도(LSpO2)、평균혈양포화도(MSpO2).결과 156례환자경PM검사진단위OSAHS공124례,기중경도42례、중도47례、중도35례；단순한증32례.단순한증화불동정도OSAHS환자ESS평분、AHI、ODI、LSpO2、MSpO2비교차이유통계학의의[단순한증:(5.8±2.9)분、(3.2±1.3)차/h、(3.3±2.6)차、0.911±0.121、0.973±0.132;경도OSAHS:(9.7±3.5)분、(12.8±23.3)차/h、(14.2±5.7)차、0.875±0.083、0.902±0.095:중도OSAHS:(12.9±4.8)분、(27.6±4.5)차/h、(25.6±6.1)차、0.816±0.069、0.851±0.071;중도OSAHS:(16.1 ±5.2)분、(43.6±7.6)차/h、(38.6±7.8)차、0.701±0.061、0.795±0.063](P＜ 0.05)；수착OSAHS엄중정도증가,ESS평분、AHI、ODI축점증가,LSpO2、MSpO2축점하강,차이유통계학의의(P＜0.05).ESS평분여AHI화ODI정정상관(r=0.42、0.51,P＜0.05),여LSpO2화MSpO2정부상관(r=-3.70、-4.50,P＜0.05).결론 ESS평분여PM감측지표유흔호적상관성,가이용ESS연합PM대OSAHS진행초보진단,우기시재기층의원.
Objective To evaluate the diagnostic value of Epworth sleepiness scale(ESS) combined with portable sleep monitor (PM) in patients with obstructive sleep apnea syndrome (OSAHS).Methods The questionnaire of ESS was used to evaluate 156 patients with snoring,and then line PM check,monitoring apnea hypoventilation index (AHI),oxygen reduction index (ODI),the lowest oxygen saturation (LSpO2),average blood oxygen saturation (MSpO2).Results One hundred and twenty-four patients were diagnosed to be OSAHS and 32 patients be simple snore by PM in 156 patients.A total of 124 cases,including mild 42 cases,moderate 47 cases,severe 35 cases.There were significant difference in ESS score,AHI,ODI,LSpO2 and MSpO2 between OSAHS in various degrees and patients with simple snore [simple snore:(5.8 ± 2.9) scores,(3.2 ± 1.3) times/h,(3.3 ± 2.6) times,0.911 ± 0.121,0.973 ± 0.132;mild OSAHS:(9.7 ± 3.5) scores,(12.8 ± 23.3) times/h,(14.2 ± 5.7) times,0.875 ± 0.083,0.902 ± 0.095 ; moderate OSAHS:(12.9 ±4.8) scores,(27.6 ± 4.5) times/h,(25.6 ± 6.1) times,0.816 ± 0.069,0.851 ± 0.071 ;severe:(16.1 ± 5.2)scores,(43.6 ± 7.6) times/h,(38.6 ± 7.8) times,0.701 ± 0.061,0.795 ± 0.063] (P ＜ 0.05).With the severity of OSAHS increased,ESS score,AHI,ODI increased gradually,LSpO2,MSpO2 gradually declined,there were statistically significant differences (P ＜ 0.05).ESS score was positively correlated with AHI and ODI (r =0.42,0.51,P ＜ 0.05),and negatively correlated with LSpO2 and MSpO2 (r =-3.70,-4.50,P ＜ 0.05).Conclusions There is a good relativity between ESS score and the monitoring index of PM.Combination of ESS with PM could be used as a primary diagnostic method in patients with OSAHS,especially in primary-care hospitals.
