中文简明儿童阻塞性睡眠呼吸暂停综合征筛查量表信效度和筛查效能
发布时间:2018-05-30 23:10
本文选题:阻塞性睡眠呼吸暂停综合征 + 筛查 ; 参考:《中国循证儿科杂志》2017年01期
【摘要】:目的评价中文版简明儿童阻塞性睡眠呼吸暂停综合征(OSAS)筛查量表(简称量表)在打鼾儿童中的信效度和筛查OSAS的能力。方法汉化量表,包括问题Q1~Q6。前瞻性收集2015年1月至2015年12月在上海交通大学医学院附属上海儿童医学中心(我院)睡眠门诊和耳鼻咽喉科门诊就诊的、以夜间睡眠打鼾为主诉的、年龄≥3岁的连续病例,在行PSG前由患儿家长回顾孩子近6个月的睡眠情况自行填写量表,以多导睡眠监测(PSG)作为诊断OSAS的金标准(阻塞性呼吸暂停低通气指数(OAHI)每小时≥5次)。考察量表的信度和效度,以OAHI每小时1次、3次和5次界值分组考察量表筛查儿童OSAS的效能。结果符合本文纳入、排除和剔除标准的425例夜间睡眠打鼾儿童进入本文分析,以OAHI≥每小时5次为诊断标准,82例(19%)被诊断为OSAS(OSAS组),余为非OSAS组。两组性别、最低血氧饱和度和阻塞性呼吸暂停低通气指数(AHI)差异有统计学意义。量表筛查OSAS的整体内在信度克朗巴赫α系数0.785。对量表行探索性因子分析,抽样适度度量为0.783,Bartlett's球形检验P0.001,适合进行因子分析,共提取2个因子(对各问题),载荷系数均0.5。以OAHI每小时≥5次、3次和1次作为OSAS组和非OSAS组的分组标准时,最佳临界值分别为2.32、2.32和1.99,敏感度均65%,特异度50%~60%。结论量表具有较好的信度和效度,可以快速有效地用于在夜间打鼾儿童中筛查中重度OSAS。
[Abstract]:Objective to evaluate the reliability and validity of simple Chinese version of OSAS scale for children with obstructive sleep apnea syndrome (OSAS) and its ability to screen for OSAS in snoring children. Methods Chinese scale, including Q1 Q6. From January 2015 to December 2015, consecutive cases of nocturnal sleep snoring, aged more than 3 years, were collected from Shanghai Children's Medical Center, affiliated to Shanghai Children's Medical Center, Shanghai Jiaotong University, from January 2015 to December 2015. Before PSG was performed, the parents of the children reviewed their children's sleep status in the past 6 months and filled out the scale by themselves. The polysomnography (PSG) was taken as the golden standard for the diagnosis of OSAS (obstructive apnea hypopnea index (OPA) 鈮,
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