柏林问卷在肺栓塞患者中应用的准确性调查

发布时间：2018-04-17 14:01

本文选题：柏林问卷 + 肺血栓栓塞症　；参考：《首都医科大学学报》2017年06期

【摘要】：目的明确柏林问卷在肺血栓栓塞症(pulmonary embolism,PE)患者中应用的准确性。方法研究回顾同一时期接受睡眠监测的101名PE和66名非PE患者,比较柏林问卷与客观检查的差异,确定问卷诊断阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)的准确性。结果总共74名PE(73.3%)和46名非PE(69.7%)患者被睡眠监测诊断为OSA。在PE患者中,柏林问卷的准确程度相对偏低;灵敏度、特异度、阳性预测值和阴性预测值分别为70.3%、48.1%、78.8%和37.1%。PE患者报告嗜睡的比例显著低于非PE患者[27(36.5%)vs 26(56.5%),P=0.032]。PE患者比非PE患者Epworth评分偏低(8.6 vs 10.3,P=0.023)。结论在PE患者中,柏林问卷诊断OSA的准确性较低,与该类型患者嗜睡发生率较低有关。可疑OSA的PE患者需要接受睡眠监测。
[Abstract]:Objective to evaluate the accuracy of Berlin questionnaire in pulmonary thromboembolism (PE).Methods A total of 101 PE patients and 66 non-PE patients who received sleep monitoring in the same period were reviewed. The differences between Berlin questionnaire and objective examination were compared to determine the accuracy of the questionnaire in the diagnosis of obstructive sleep apnea apnea (OSA).Results A total of 74 patients (73.3%) and 46 patients with non-PEI (69.7%) were diagnosed as OSAs by sleep monitoring.In PE patients, the accuracy of Berlin questionnaire was relatively low, sensitivity, specificity,The positive predictive value and negative predictive value were 78.3% and 78.8%, respectively, and the proportion of 37.1%.PE patients reporting drowsiness was significantly lower than that of non-PE patients [27(36.5%)vs 266.56.5 and P0. 032]. The Epworth score of PE patients was lower than that of non PE patients (P < 0. 6 vs 10. 3% P < 0. 023).Conclusion in PE patients, the accuracy of Berlin questionnaire in diagnosing OSA is lower, which is related to the lower incidence of somnolence in this type of patients.PE patients suspected of OSA are subject to sleep monitoring.
【作者单位】：北京首都国际机场医院耳鼻喉科;首都医科大学附属北京安贞医院呼吸与危重症科;
【分类号】：R563.5;R766

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