微动敏感床垫式睡眠监测系统和多道睡眠监测同步检查的比较  

Comparison of synchronous monitoring with mattress sleep monitoring system and polysomnography

作　　者：孟丽丽[1,2,3] 易红良[1,2,3] 

机构地区：[1]上海交通大学附属第六人民医院 [2]上海市第六人民医院耳鼻咽喉头颈外科 [3]上海交通大学耳鼻咽喉科研究所,上海200233

出　　处：《中国耳鼻咽喉头颈外科》2011年第8期399-402,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的评价微动敏感床垫式睡眠监测系统(micro-movement sensitive mattress sleep monitoring system,MSMSMS)对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的诊断价值。方法用MSMSMS和多道睡眠监测(PSG)随机对50例打鼾患者行整夜同步监测,比较两种方法诊断OSAHS的一致性。以PSG为"金标准",MSMSMS诊断OSAHS的灵敏度及特异度,并对测得的呼吸事件及睡眠结构进行比较。结果 PSG诊断为OSAHS的患者,MSMSMS均诊断为OSAHS。MSMSMS诊断OSAHS的敏感度为100%,特异度为66.7%。PSG和MSMSMS同步测定的呼吸暂停低通气指数(AHI)、最低动脉血氧饱和度(lowest SaO2,LSaO2)、平均动脉氧饱和度(mean SaO2,MSaO2)和快眼动期(rapid eye movement,REM)睡眠时间百分比差异无统计学意义(P>0.05);呼吸暂停指数(apnea index,AI)、阻塞性呼吸暂停指数(obstructive apnea index,OAI)、低通气指数(hypopnea index,HI)、浅睡期占总睡眠时间百分比和深睡期占总睡眠时间百分比差异有统计学意义(P<0.05)。两种方法测定的呼吸暂停低通气指数、LSaO2和MSaO2高度相关(AHI:r=0.958,P=0.000;LSaO2:r=0.937,P=0.000;MSaO2:r=0.810,P=0.000)。结论 MSMSMS能可靠的诊断OSAHS,需进一步完善呼吸事件分型和睡眠分期判定。OBJECTIVE To evaluate the clinical value of micromovement sensitive mattress sleep monitoring system（MSMSMS） in the diagnosis of obstructive sleep apnea hypopnea syndrome（OSAHS）.METHODS Fifty cases with snoring were randomly monitoring with MSMSMS and polysomnography（PSG）synchronously for whole night.The consistency of the two methods in diagnosing OSAHS was compared.Using PSG results as the golden standard,the sensitivity and specificity of MSMSMS in diagnosing OSAHS were analyzed.The results of the respiratory and oxygen saturation decreasing events,sleep stages were compared.RESULTS All patients diagnosed as OSAHS by PSG were diagnosed as OSAHS by MSMSMS as well.The sensitivity and specificity of MSMSMS in diagnosing OSAHS were 100% and 66.7% respectively.There was no statistical difference in apnea hypopnea index（AHI）,lowest oxygen saturation（LSaO2）,average SaO2 and rapid eye movement（REM）stage（%） between PSG and MSMSMS results（P0.05）.There was statistical difference in apnea index（AI）,obstructive apnea index（OAI）,hypopnea index（HI）,shallow sleep stage（%）and deep sleep stage（%）between PSG and MSMSMS results（P0.05）.AHI,LSaO2 and average SaO2 in MSMSMS were good correlated with that in PSG（AHI： r=0.958,P=0.000;LSaO2： r=0.937,P=0.000;MSaO2： r=0.810,P=0.000）.CONCLUSION MSMSMS is a reliable diagnostic equipment for OSAHS,and further effort should be made to gain more accurate event type and sleep stage.

关 键 词：睡眠呼吸暂停 阻塞性 多道睡眠描记术 微动敏感床垫式睡眠监测系统 

分 类 号：R766[医药卫生—耳鼻咽喉科]