青年OSAHS患者认知功能与言语识别能力研究

发布时间：2018-05-09 01:21

  本文选题：阻塞性睡眠呼吸暂停低通气综合征 + 语句　； 参考：《听力学及言语疾病杂志》2017年01期

【摘要】：目的探讨OSAHS患者认知功能和言语识别能力的关系。方法选择青年男性OSAHS患者60例,年龄18~40岁,根据临床诊断标准及多导睡眠图(polysomnogram,PSG)结果将患者按照呼吸暂停低通气指数(AHI)及低氧血症程度分为:轻度组19例,中度组20例,重度组21例;对照组为正常青年男性(年龄18~40岁)25例。对各组首先进行蒙特利尔认知评估量表(Montreal cognitive assessment,MoCA)测试,然后应用普通话言语测听材料(MSTMs)中的15张句表(每表50个关键词)进行言语识别测试。结果 1对照组和轻、中、重度OSAHS患者组MoCA得分总分分别为:28.52±1.16、27.32±1.16、25.85±1.23、24.52±1.69分,四组之间两两比较差异均有统计学意义(P0.01)。2刺激声强度为22、24、26dB SPL时,重度OSAHS患者的言语识别率(%)分别为:35.4±22.6、56.3±23.9、75.2±16.5,较轻度组(38.4±23.5、58.3±25.5、79.2±18.5)、中度组(38.8±21.6、58.7±22.7、78.5±16.7)、对照组(39.4±23.5、60.3±24.3、80.2±16.4)均降低(P均0.05)。3各组50%识别率所需的给声强度分别为:轻度组3.66±0.50dB SPL、中度组3.72±0.55dB SPL、重度组4.15±0.80dB SPL、对照组3.62±0.41dB SPL,重度组与其余三组比较差异有统计学意义(P0.01)。结论 OSAHS患者随着缺氧和病情程度加重,言语识别能力呈下降趋势,这可能是认知评估量表得分降低的重要相关因素。
[Abstract]:Objective to investigate the relationship between cognitive function and speech recognition in patients with OSAHS. Methods 60 young male patients with OSAHS, aged 1840 years, were divided into mild group (19 cases) and moderate group (20 cases) according to apnea hypopnea index (AHIH) and degree of hypoxemia according to the clinical diagnostic criteria and polysomnogrammetry (PSG) results. There were 21 cases in severe group and 25 cases in normal young male (18 ~ 40 years old). First, the Montreal cognitive assessment test was performed in each group, and then 15 sentence tables (50 keywords per table) were used in the speech audiometry of Putonghua. Results 1 the total score of MoCA in the control group and the mild, moderate and severe OSAHS group was 28. 52 卤1. 1610. 32 卤1. 1625. 85 卤1. 23 and 24. 52 卤1. 69, respectively. The difference between the four groups was statistically significant when the stimulation intensity of P0. 01.2 was 22 ~ 24 ~ 26dB SPL. 閲嶅害OSAHS鎮ｈ，

本文编号：1863945