自动持续正压系统对睡眠呼吸障碍的诊治  

Auto CPAP Set system for diagnosis and therapy of sleep breathing disorders

作　　者：黄席珍[1] 肖毅[1] 邹丁[1] 吴全有[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院呼吸科

出　　处：《中华结核和呼吸杂志》1998年第8期468-470,共3页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：目的探索简便、临床易于推广应用的睡眠呼吸障碍疾患的诊治手段。方法对１１例睡眠呼吸障碍患者同步进行经典的多导睡眠图监测和自动持续正压系统监测，将监测结果进行比较；对２３例已确诊的阻塞性睡眠呼吸暂停综合征（ＯＳＡＳ）患者使用自动持续正压系统治疗，并对治疗效果进行评价。各监测指标比较采用ｔ检验。结果（１）自动持续正压系统与多导睡眠图相比较，自动持续正压系统虽无睡眠及心电记录，但可记录鼾声及上气道阻力；最高及最低血氧饱和度、最长呼吸暂停时间、呼吸暂停低通气（ＡＨＩ）指数等监测结果，两者相比，差异无显著性（Ｐ＞０．０５）；自动持续正压系统诊断ＯＳＡＳ的敏感性为７０％，特异性为１００％。（２）ＯＳＡＳ患者使用自动持续正压系统治疗后症状改善；ＡＨＩ显著减低，最低血氧饱和度显著升高（Ｐ＜０．００１）；此外，平均和最高压力与９５％可信压力比较差异有显著性。结论自动持续正压系统使用简便，并减轻了技术员监测时的劳动强度；Objective To compare the Auto CPAP Set system with standard polysomnography (PSG) in diagnosis and therapy of sleep breathing disorders. Method Two studies were completed. The Auto CPAP Set system was compared with a simultaneously obtained PSG in eleven patients with sleep breathing disorders. Twentythree additional patients with obstructive sleep apnea syndrome (OSAS) were treated by Auto CPAP Set. Student′s t test was employed to evaluate statistical significance. Result No differences were found between these two systems in AHI, SaO2 and the longest apnea duration (P>0.05), and the Auto CPAP Set system had a sensitivity of 70% and a specificity 100% for diagnosis of OSAS. AHI decreased and SaO2 increased significantly in OSAS patients after treatment. Conclusion The Auto CPAP Set system provides an accurate and simple method for diagnosis and therapy of sleep breathing disorders, and the time required for analysis of test results was shorter as compared with PSG.

关 键 词：睡眠呼吸障碍 诊断 治疗 持续正压通气 

分 类 号：R563.8[医药卫生—呼吸系统]