Epworth嗜睡量表聯(lián)合家庭便攜式睡眠監(jiān)測(cè)對(duì)成人阻塞性睡眠呼吸暫停綜合征的診斷價(jià)值

　　【摘要】 目的 探討Epworth嗜睡量表（ESS）聯(lián)合家庭便攜式睡眠監(jiān)測(cè)（PM）對(duì)成人阻塞性睡眠呼吸暫停綜合征（OSAS）的診斷價(jià)值。方法 124例疑診為OSAS患者， 均接受ESS和PM以預(yù)測(cè)OSAS高風(fēng)險(xiǎn)， 并進(jìn)行整夜多導(dǎo)睡眠監(jiān)測(cè)（PSG）， 根據(jù)PSG檢測(cè)結(jié)果將患者分為單純鼾癥組（58例）和OSAS組（66例）， 分別比較兩組以及不同程度OSAS患者的ESS評(píng)分、體質(zhì)量指數(shù)（BMI）、呼吸紊亂指數(shù)（RDI）、呼吸暫停低通氣指數(shù)（AHI）， 分析ESS評(píng)分、RDI與AHI的相關(guān)性。結(jié)果 單純鼾癥組患者ESS評(píng)分、AHI以及RDI水平明顯低于OSAS組， 差異具有統(tǒng)計(jì)學(xué)意義（t=3.903、14.783、13.789， P<0.05）。兩組患者的BMI水平比較差異無(wú)統(tǒng)計(jì)學(xué)意義（t=0.733， P>0.05）。66例OSAS患者根據(jù)嚴(yán)重程度分為輕度32例、中度19例、重度15例。不同程度OSAS患者的ESS評(píng)分、AHI及RDI水平比較， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。不同程度OSAS患者的BMI水平比較差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）。經(jīng)相關(guān)性分析顯示， ESS評(píng)分、RDI水平與AHI均呈正相關(guān)（r=0.465、0.674， P<0.05）。結(jié)論 Epworth嗜睡量表聯(lián)合家庭便攜式睡眠監(jiān)測(cè)在成人阻塞性睡眠呼吸暫停綜合征中具有較高的診斷價(jià)值， 簡(jiǎn)明易用， 同時(shí)也可作為評(píng)估病情嚴(yán)重程度的重要指標(biāo)， 值得在臨床推廣應(yīng)用。
　　【關(guān)鍵詞】 Epworth嗜睡量表;家庭便攜式睡眠監(jiān)測(cè);阻塞性睡眠呼吸暫停綜合征;成人
　　DOI：10.14163/j.cnki.11-5547/r.2018.12.006
　　【Abstract】 Objective To discuss the diagnostic value of Epworth somnolence scale （ESS） combined with family portable monitoring （PM） for adult obstructive sleep apnea syndrome （OSAS）. Methods A total of 124 suspected OSAS patients underwent ESS and PM to predict high risk of OSAS， and they all received all night polysomnography （PSG）. According to the results of PSG， patients were divided into simple snoring group
　�。�58 cases） and OSAS group （66 cases）. The ESS scores， body mass index （BMI）， respiratory disturbance index （RDI） and apnea hypopnea index （AHI） were compared between the two groups and OSAS patients in different degrees. The correlation between ESS score， RDI and AHI was analyzed. Results Simple snoring group had obviously lower ESS score， AHI and RDI level than OSAS group， and the difference was statistically significant （t=3.903， 14.783， 13.789， P<0.05）. Both groups had no statistically significant difference in BMI level （t=0.733， P>0.05）. 66 OSAS patients were divided by severity into 32 light cases， 19 moderate cases and 15 severe cases. There was statistically significant difference in ESS score， AHI and RDI level in OSAS patients in different degrees （P<0.05）. There was no statistically significant difference in BMI level in patients in different degrees （P>0.05）. According to correlation analysis， ESS score and the level of RDI were positively correlated with AHI （r=0.465， 0.674， P<0.05）. Conclusion Combination of Epworth somnolence scale and family portable monitoring shows high diagnostic value in adult obstructive sleep apnea syndrome. It is simple and easy to use， and it can also be used as an important index to assess the severity of illness. It is worthy of clinical promotion and application.

相關(guān)熱詞搜索：睡眠 嗜睡 綜合征 暫停 監(jiān)測(cè)