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脉氧仪诊断睡眠呼吸暂停低通气综合征

发布时间:2018-09-11 11:28
【摘要】:目的探讨脉氧仪在睡眠呼吸暂停低通气综合征(SAHS)诊断中的作用。方法纳入符合入选标准的疑似SAHS患者,进行多导睡眠监测仪(PSG)和脉氧仪检测,研究睡眠呼吸暂停低通气指数(AHI)与氧减饱和指数(ODI4)的相关性,分析ODI4作为筛选标准的最佳值。结果共纳入628例研究对象。ODI4与AHI呈线性相关,回归系数接近1;ODI4≥10次/h与≥20次/h为标准筛查SAHS患者与中重度患者具有很高的特异性(99.9%与99.3%),受试者工作特征曲线下面积分别为0.931与0.934;女性、轻体重及病情较轻者易被漏诊。结论 ODI4的变化可反映AHI的动态变化,脉氧仪筛选SAHS患者不易误诊,可作为SAHS病情变化的随访指标。
[Abstract]:Objective to investigate the role of pulse oxygenator in the diagnosis of sleep apnea hypopnea syndrome (SAHS). Methods the polysomnography (PSG) and pulse oxygen meter (MPO) were performed in suspected SAHS patients who met the inclusion criteria. The correlation between (AHI) and ODI4 was studied, and the optimum value of ODI4 as screening criteria was analyzed. Results there was a linear correlation between ODI4 and AHI in 628 subjects. The regression coefficient was close to 1g ODI4 鈮,

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