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目的探讨Epworth嗜睡量表对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)初筛的意义,为OS-AHS患者寻找一种经济、简便的初筛诊断方法。方法采用Epworth嗜睡量表(ESS)对2010年1月-2011年6月就诊于新疆医科大学第一附属医院的170例疑似OSAHS的患者进行评分,得到嗜睡评分(EP),再与多导睡眠图(PSG)的结果进行比较,比较OSAHS轻、中、重度患者的EP评分,并分析ESS与OSAHS的相关性。结果根据PSG的监测结果,170例患者分为非OSAHS组31例(18.24%)和OSAHS组139例(81.76%)(其中轻度42例,中度34例,重度63例)。非OSAHS组及OSAHS各组的年龄、体质指数(BMI)差异无统计学意义(P>0.05)。非OSAHS组及轻、中、重度OSAHS组呼吸暂停低通气指数(AHI)及EP逐渐升高,组间比较差异有统计学意义(P<0.05),OSAHS各组AHI高于非OSAH组,非OSAHS组及轻、中、重度OSAHS组最低脉搏血氧饱和度(LSpO2)逐渐减低,组间比较差异有统计学意义(P<0.05),EP与PSG监测结果有相关性,EP越高,OSAHS程度越严重。Pearson相关分析发现,ESS评分与OSAHS患者的AHI及LSpO2的相关系数分别为0.640和-0.210(P<0.05)。结论 ESS可以作为评估OSAHS病情严重程度的指标。
Abstract：Objective To study the significance of screening Epworth sleepiness scale of obstructive sleep apnea hypopnea syndrome(OSAHS) the for OSAHS patients,in order to find an economy,simple diagnostic screening method.Methods From January 2010 to June 2011,170 patients suspected of OSAHS were received treatment in The First Affiliated Hospital of Xinjiang Medical University were surveyed with Epworth sleepiness scale(ESS) score for patients to get sleepiness score(EP),then polysomnography(PSG results) were compared using statistical software analysis and comparison of OSAHS group light,moderate and severe in patients with ESS score,and analyzed the relevance of ESS with OSAHS.Results According to the results of PSG monitoring results,the group of 170 patients divided into non-OSAHS group of 31 cases(18.24%) and OSAHS group of 139 cases(81.76%)(42 cases of mild,34 cases of moderate,63 cases of severe).Age,BMI of OSAHS group and non-OSAHS groups of was no significant difference(P>0.05).AHI and EP in non-OSAHS group and the mild,moderate and severe OSAHS group gradually increased between the two groups,the difference was statistically significant(P<0.05),AHI in OSAH groups were higher than non-OSAH group,LSpO2 in non-OSAHS group and light,moderate and severe OSAHS group gradually reduced between the two groups,the difference was statistically significant(P<0.05),EP and PSG monitoring results were relevant.Pearson correlation analysis showed ESS score was related with AHI and LSpO2 in OSAHS,the correlation coefficient were 0.640 and-0.210,respectively.Conclusion ESS can be used as assessment indicators of the severity of OSAHS.
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基本信息:
中图分类号:R766
引用信息:
[1]刘志连,赵丽丽.Epworth嗜睡量表对阻塞性睡眠呼吸暂停低通气综合征初筛的意义[J].新疆医科大学学报,2012,35(10):1408-1411.
2012-10-15
2012-10-15