国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2013年
11期
839-843
,共5页
张兴林%陈宝元%王彦%郭美南%周宁%王杰%张焕%李范
張興林%陳寶元%王彥%郭美南%週寧%王傑%張煥%李範
장흥림%진보원%왕언%곽미남%주저%왕걸%장환%리범
阻塞性睡眠呼吸暂停睡眠调查表%筛查%多导睡眠仪监测%睡眠评分量表
阻塞性睡眠呼吸暫停睡眠調查錶%篩查%多導睡眠儀鑑測%睡眠評分量錶
조새성수면호흡잠정수면조사표%사사%다도수면의감측%수면평분량표
Obstructive sleep apnea syndrome questionnaire%Screening%Polysemnography%Sleep Rating scale
目的 评价阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的流行病学调查表筛查价值.方法 疑似OSAHS的987例患者为研究对象,按照中华医学会呼吸病学分会睡眠学组睡眠呼吸暂停低通气综合征流行病学调查表进行问卷并行多导睡眠监测.将此问卷表进行量化评分,用克隆巴赫信度系数(α系数)进行信度计算,将各相关因素做方差分析及x2检验,筛选出有统计学意义的因素最后做Logistic回归分析.以鼾声中度以上的打鼾及体质量指数≥25 kg/m2为高危,反之为低危,进行敏感性,特异性,假阳性,假阴性,阳性似然比,阴性似然比,阳性预测值等.结果 疑似OSAHS患者987例,其中男800例(81.05％),女187例(18.95％),年龄18～80岁,平均(47±12)岁,平均体质量指数(29±5) kg/m2.＞60岁者156例(15.81％),≤60岁者831例(84.19％).克隆巴赫信度系数(Cronbach'salpha)是0.803,假阳性者20,假阴性者142,真阳性者742,真阴性者83,问卷的敏感性是83.94％,特异性是80.58％,假阳性率19.42％,假阴性率16.06％,阳性似然比4.32,阴性似然比0.20,阳性预测值0.97,阴性预测值0.37,正确率83.59％.结论 该睡眠调查表对OSAHS筛查具有一定意义,可用于临床OSAHS的初筛,尤其适合在社区和基层医院中推广使用.
目的 評價阻塞性睡眠呼吸暫停低通氣綜閤徵(OSAHS)的流行病學調查錶篩查價值.方法 疑似OSAHS的987例患者為研究對象,按照中華醫學會呼吸病學分會睡眠學組睡眠呼吸暫停低通氣綜閤徵流行病學調查錶進行問捲併行多導睡眠鑑測.將此問捲錶進行量化評分,用剋隆巴赫信度繫數(α繫數)進行信度計算,將各相關因素做方差分析及x2檢驗,篩選齣有統計學意義的因素最後做Logistic迴歸分析.以鼾聲中度以上的打鼾及體質量指數≥25 kg/m2為高危,反之為低危,進行敏感性,特異性,假暘性,假陰性,暘性似然比,陰性似然比,暘性預測值等.結果 疑似OSAHS患者987例,其中男800例(81.05％),女187例(18.95％),年齡18～80歲,平均(47±12)歲,平均體質量指數(29±5) kg/m2.＞60歲者156例(15.81％),≤60歲者831例(84.19％).剋隆巴赫信度繫數(Cronbach'salpha)是0.803,假暘性者20,假陰性者142,真暘性者742,真陰性者83,問捲的敏感性是83.94％,特異性是80.58％,假暘性率19.42％,假陰性率16.06％,暘性似然比4.32,陰性似然比0.20,暘性預測值0.97,陰性預測值0.37,正確率83.59％.結論 該睡眠調查錶對OSAHS篩查具有一定意義,可用于臨床OSAHS的初篩,尤其適閤在社區和基層醫院中推廣使用.
목적 평개조새성수면호흡잠정저통기종합정(OSAHS)적류행병학조사표사사개치.방법 의사OSAHS적987례환자위연구대상,안조중화의학회호흡병학분회수면학조수면호흡잠정저통기종합정류행병학조사표진행문권병행다도수면감측.장차문권표진행양화평분,용극륭파혁신도계수(α계수)진행신도계산,장각상관인소주방차분석급x2검험,사선출유통계학의의적인소최후주Logistic회귀분석.이한성중도이상적타한급체질량지수≥25 kg/m2위고위,반지위저위,진행민감성,특이성,가양성,가음성,양성사연비,음성사연비,양성예측치등.결과 의사OSAHS환자987례,기중남800례(81.05％),녀187례(18.95％),년령18～80세,평균(47±12)세,평균체질량지수(29±5) kg/m2.＞60세자156례(15.81％),≤60세자831례(84.19％).극륭파혁신도계수(Cronbach'salpha)시0.803,가양성자20,가음성자142,진양성자742,진음성자83,문권적민감성시83.94％,특이성시80.58％,가양성솔19.42％,가음성솔16.06％,양성사연비4.32,음성사연비0.20,양성예측치0.97,음성예측치0.37,정학솔83.59％.결론 해수면조사표대OSAHS사사구유일정의의,가용우림상OSAHS적초사,우기괄합재사구화기층의원중추엄사용.
Objective To investigate the value of the questionnaire of obstructive sleep apnea hypopnea syndrome (OSAHS) in screening OSAHS.Methods A total of 987 cases with suspected OSAHS were referred to our sleep laboratory.According to the questionnaire of OSAHS which has been formulated by the chinese medical association breathing branch committee sleep.The questionnaire and the polysomnography monitoring were analyzed.The questionnaire score was quantitative.The Cronbach's α for reliability,anova and chisquare test for relative factors analyzation were applyed.Screen statistical significance for logistic regression analysis.The patients were divided into high risk and low risk.As high risk,moderate or above snoring and BMI≥25 kg/m2 have to satisfy,and vice versa.Results The sensitivity and specificity of the OSAHS in predicting OSAHS were 83.94％ and 80.58％ Cronbach's alpha was 0.803.Conclusions The OSAHS has some value in screening suspected patients with OSAHS and could be used as a primary diagnostic method in primary-care hospitals.
