阻塞性睡眠呼吸暂停低通气综合征临床相关因素与多导睡眠监测的比较分析
Comparison between clinical correlation factors and polysomnogram in obstructive sleep apnea-hypopnea syndrome
马黎军 1宿长军1
作者信息
- 1. 第四军医大学唐都医院神经内科,陕西,西安,710038
- 折叠
摘要
目的:通过对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者进行临床相关因素与多导睡眠监测结果的比较分析,为临床诊断和分析提供更多的参考依据.方法:对665例疑有OSAHS的门诊和住院患者的临床相关因素、Epworth嗜睡量表评分及多导睡眠监测结果进行回顾性分析,按睡眠呼吸暂停低通气指数(AHI)和夜间血氧饱和度(SaO2)分为对照、轻度、中度、重度,比较各组间的临床特征.结果:经PSG检测11.73%的结果正常,26.02%为轻度OSAHS,18.04%为中度OSAHS,44.21%为重度OSAHS,临床症状仅失眠、白天过度嗜睡(EDS)在OSAHS程度评估上有统计学意义(P<0.05),其他相关因素如EP评分、体质量指数(BMI)等在OSAHS程度分级评估上有统计学意义(P<0.05).结论:对OSAHS患者单纯靠临床症状不能有效判断该病的严重程度,需要综合EP嗜睡评分、体质量指数及颈围等相关因素考虑,从而全面地对OS-AHS患者的病情发展程度做出较好的评测.
Abstract
AIM: To provide more evidence for clinical diagnosis of obstructive sleep apnea-hypopnea syndrome ( OSAHS) by comparing clinical correlation factors and polysomnogram ( FSG) results. METHODS: Totally 665 patients of suspected OSAHS were analyzed in a retrospective study. Clinical correlation factors,Epworth Scale and all-night 8-hour polysomnography ( PSG) reco rding were compared. RESULTS;Patients were divided into 3 groups according to polysomnogram results,wherein 11.73% were normal,26. 02% had mild OSAHS,18. 04% had moderate OSAHS and 44. 21% had severe OSAHS. For the evaluation of OSAHS degree,significant difference was found only in two clinical symptoms;insomnia and excessive daytime sleepiness (EDS)(P<0.05). For the ranking of OSAHS,significant difference was observed in Epworth sleeping scale and body mass index (BMI). CONCLUSION: Good overall evaluation of OSAHS requires combination of clinical symptoms and correlation factors,such as Epworth sleeping scale,BMI and neck collar in OSAHS patients.
关键词
睡眠呼吸暂停综合征/多道睡眠描记术/临床相关因素Key words
sleep apnea syndromes/polysomnography/clinical correlative factor引用本文复制引用
出版年
2009
NETL
NSTL
维普
万方数据