世界睡眠医学杂志
世界睡眠醫學雜誌
세계수면의학잡지
2014年
5期
287-289
,共3页
晋发%蔡伟%杨健%张秀伟
晉髮%蔡偉%楊健%張秀偉
진발%채위%양건%장수위
便携式睡眠监测仪%多导睡眠监测仪%睡眠呼吸暂停低通气综合征
便攜式睡眠鑑測儀%多導睡眠鑑測儀%睡眠呼吸暫停低通氣綜閤徵
편휴식수면감측의%다도수면감측의%수면호흡잠정저통기종합정
Portable sleep monitor%Polysomnography%Obstructive sleep apnea syndrome
目的:探讨便携式睡眠监测仪在诊断阻塞性睡眠呼吸暂停低通气综合征(OSAHS)中的作用。方法采用泰科 Sandman 多导睡眠仪(PSG)和瑞思迈 Aplink 便携式睡眠监测仪,对108例怀疑患有 OSAHS 的对象采用两种方法进行监测,比较两种诊断方法各指标的差异,以及便携式睡眠监测仪的敏感性、特异性。结果两种方法低通气指数、平均血氧饱和度、最低血氧饱和度、低于90%血氧饱和度时间比较,差异均无统计学意义(P >0.05)。与 PSG 比较,便携式睡眠监测仪的敏感性为96.8%,特异性为86.7%;对病情分度判断符合率分别为轻度73.3%、中度90.9%、重度100%。结论便携式睡眠监测仪对诊断 OSAHS 有高敏感性、特异性,可用于临床常规诊断。
目的:探討便攜式睡眠鑑測儀在診斷阻塞性睡眠呼吸暫停低通氣綜閤徵(OSAHS)中的作用。方法採用泰科 Sandman 多導睡眠儀(PSG)和瑞思邁 Aplink 便攜式睡眠鑑測儀,對108例懷疑患有 OSAHS 的對象採用兩種方法進行鑑測,比較兩種診斷方法各指標的差異,以及便攜式睡眠鑑測儀的敏感性、特異性。結果兩種方法低通氣指數、平均血氧飽和度、最低血氧飽和度、低于90%血氧飽和度時間比較,差異均無統計學意義(P >0.05)。與 PSG 比較,便攜式睡眠鑑測儀的敏感性為96.8%,特異性為86.7%;對病情分度判斷符閤率分彆為輕度73.3%、中度90.9%、重度100%。結論便攜式睡眠鑑測儀對診斷 OSAHS 有高敏感性、特異性,可用于臨床常規診斷。
목적:탐토편휴식수면감측의재진단조새성수면호흡잠정저통기종합정(OSAHS)중적작용。방법채용태과 Sandman 다도수면의(PSG)화서사매 Aplink 편휴식수면감측의,대108례부의환유 OSAHS 적대상채용량충방법진행감측,비교량충진단방법각지표적차이,이급편휴식수면감측의적민감성、특이성。결과량충방법저통기지수、평균혈양포화도、최저혈양포화도、저우90%혈양포화도시간비교,차이균무통계학의의(P >0.05)。여 PSG 비교,편휴식수면감측의적민감성위96.8%,특이성위86.7%;대병정분도판단부합솔분별위경도73.3%、중도90.9%、중도100%。결론편휴식수면감측의대진단 OSAHS 유고민감성、특이성,가용우림상상규진단。
Objective To investigate the portable sleep monitor in the diagnosis of obstructive sleep apnea hypopnea syndrome (OSAHS),provides an easier,more accurate and lower cost diagnostic method for clinical.Methods 108 patients with suspected OSAHS were monitoted with Tyco Sandman polysomnography (PSG)and Resmed Aplink portable sleep moni-tor,compare the difference of each parameter provided by the two diagnostic methods as well as to evaluate the sensitivity and specificity of portable sleep monitor.Results There was no significant difference in Apnea hypopnea index(AHI),the mean Sa02,the minimal Sa02,and percentage of time spent at Sa02 below 90% (SIT 90%)between the two diagnostic methods(P >0.05).Sensitivity and specificity of the portable sleep monitor were 96.8% and 86.7% respectively in detecting OSAHS.The cor-response of the specificity of two method was 73.3%(mild OSAHS),90.9% (moderate OSAHS)and 100.0% (severe OSAHS) respectively according to the degree of OSAHS.Conclusion The portable sleep monitor is highly sensible and more exact espe-cially for the diagnosis of OSAHS,and therefore suitable for routing clinical diagnosis.