基于非接触式振动体征监测设备探测中重度阻塞性睡眠呼吸暂停的研究
A study based on a contact-free vibratory sign monitor for the detection of moderate to severe obstructive sleep apnea
韩腾 1项泊云 1刘泽龙 1毛路思 1刘欣 1郭芯蕊 1李一鸣 1张晓雷1
作者信息
- 1. 中日友好医院呼吸中心 呼吸与危重症医学科 国家呼吸医学中心 中国医学科学院呼吸病学研究院 国家呼吸疾病临床医学研究中心,北京 1000291
- 折叠
摘要
目的 评价一种置于床垫下的非接触式振动体征监测设备在成人阻塞性睡眠呼吸暂停患者中的应用价值.方法 回顾性分析2020年10月至2021年4月因睡眠打鼾就诊于中日友好医院睡眠呼吸专病门诊的90例成人患者资料,在进行多导睡眠监测(PSG)的同时使用非接触式振动体征监测设备进行监测,利用Spearman相关系数及Bland-Altman 法评估非接触式振动体征监测设备生成的呼吸事件指数(REI)与PSG生成的呼吸暂停低通气指数(AHI)之间的一致性,非接触式振动体征监测设备诊断OSA的灵敏度和特异度,利用受试者工作特征(ROC)曲线评价非接触式振动体征监测设备用于成人阻塞性睡眠呼吸暂停的诊断效率.结果 非接触式睡眠监测设备所获得的总呼吸事件及总睡眠时间具有较高的准确率,与PSG设备所获得的相应数据比较差异无统计学意义;REI与PSG-AHI比较具有较高的相关性和一致性,相关系数r=0.83,P＜0.01,平均差异为-4.34(95％CI-38.42～29.74)次/h;以非接触式睡眠监测设备REI≥22.7次/h作为诊断中重度OSA的诊断界值,其灵敏度及特异度分别为90.2％及79.3％.结论 该非接触式睡眠监测设备所得REI与PSG-AHI 一致性较好,可用于中重度OSA患者的筛查.
Abstract
Objective To assess the application value of a contact-free vibratory sign monitor placed under the mattress to detect obstructive sleep apnea syndrome in adults.Methods The clinical data of ninety patients with snoring who visited Sleep Center of China-Japan Friendship Hospital between October 2020 and April 2021 were analyzed,and they were monitored by polysomnography(PSG)and contact-free vibratory sign monitor.Spearman correlation coefficient and Bland-Altman method were used to evaluate the consistency between the respiratory event index(REI)generated by the contact-free vibratory sign monitor and the apnea-hypopnea index(AHI)generated by PSG.The sensitivity and specificity of the contact-free vibratory sign monitor in the diagnosis of OSA were evaluated,and the receiver operating characteristic(ROC)curve was used to evaluate the diagnostic efficiency of the contact-free vibratory sign monitor for OSA in adults.Results The total respiratory events and total sleep time obtained by contact-free vibratory sign monitor had a high accuracy,and there is no statistically significant difference compared to the corresponding data obtained by PSG devices;REI has a high correlation and consistency with PSG-AHI,with a correlation coefficient of r=0.83,P＜0.01,and an average difference of-4.34(95％CI-38.42-29.74)times/h;The sensitivity and specificity of contact-free vibratory sign monitor REI ≥ 22.7 times/h as the diagnostic threshold for moderate to severe OSA were 90.2％and 79.3％,respectively.Conclusion The REI obtained by this contact-free vibratory sign monitor is consistent with PSG-AHI and can be used for screening patients with moderate to severe OSA.
关键词
阻塞性睡眠呼吸暂停/多导睡眠监测/非接触式睡眠监测Key words
obstructive sleep apnea/polysomnography/contact-free sleep monitoring引用本文复制引用
基金项目
中央高校基本科研业务费专项资金项目(3332021087)
出版年
2024
国家科技期刊平台
NSTL
万方数据