夜间动态血氧饱和度监测结合临床评分对阻塞性睡眠呼吸暂停低通气综合征患者的初筛价值

发布时间：2018-04-26 15:11

  本文选题：睡眠呼吸暂停低通气综合征 + 血氧测定法　； 参考：《中国呼吸与危重监护杂志》2017年03期

【摘要】：目的探讨夜间动态血氧饱和度监测结合临床评分(CS)对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的筛查价值。方法纳入106例主诉为打鼾的患者,分别收集一般资料、病史,行整夜多导睡眠图(PSG)监测,同时佩戴舒气通血氧仪进行夜间动态血氧饱和度监测。根据睡眠呼吸暂停低通气指数(AHI)将患者分为非OSAHS和OSAHS组。对两组间PSG-AHI和血氧仪-氧减指数(ODI)进行相关分析,了解不同ODI值结合CS评分对OSAHS诊断的敏感性和特异性。结果非OSAHS组的AHI、ODI、CS值分别为(1.8±1.4)次/h、(2.6±3.5)次/h、(1.0±0.8)分,OSAHS组的AHI、ODI、CS值为(37.3±23.9)次/h、(31.0±24.1)次/h、(2.6±1.1)分,两组间比较,差异有统计学意义(P0.01)。ODI与AHI存在良好相关性(r=0.943,P0.01)。以ODI≥5次/h结合CS≥2分诊断OSAHS的敏感性为91.7%,特异性为94.1%,有初筛价值。以ODI≥10次/h结合CS≥2分作为标准时,诊断敏感性为77.8%,特异性为100.0%,不会误诊AHI30次/h的重度患者,可作为初筛重度OSAHS的指标。结论对打鼾患者进行夜间动态血氧饱和度监测,同时结合CS评分,对OSAHS的临床筛查有重要价值。
[Abstract]:Objective to investigate the value of nocturnal dynamic oxygen saturation monitoring combined with clinical score (CSS) in the screening of patients with obstructive sleep apnea hypopnea syndrome (OSAHS). Methods 106 patients who complained of snoring were collected general data and medical history. PSG monitoring was performed overnight and dynamic oxygen saturation was monitored at night with Shuqi Tongxuoxiao instrument. Patients were divided into non-OSAHS and OSAHS groups according to sleep apnea hypopnea index (AHI). The sensitivity and specificity of different ODI values combined with CS score in the diagnosis of OSAHS were analyzed by correlation analysis between the two groups. Results the CS of AHI ODI in the non-OSAS group was 1.8 卤1.4) times (2.6 卤3.5) times (P < 0.01 卤0.8), respectively. The CS value of the OSAHS group was 37.3 卤23.9times, 31.0 卤24.1rh2.6 卤1.1). The difference between the two groups was statistically significant (P < 0.01). There was a good correlation between the two groups. The sensitivity and specificity of ODI 鈮，

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