Comparison between clinical correlation factors and polysomnogram in obstructive sleep apnea-hypopnea syndrome
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.