睡眠呼吸暂停低通气综合征42例漏诊分析  

Missed Diagnosis of Sleep Apnea Hypopnea Syndrome:Analysis of 42 Cases and Literature Review

作　　者：马小花[1] 欧阳松云[1] 孙培宗[1] 陈瑞英[1] 

机构地区：[1]郑州大学第一附属医院呼吸及睡眠科,河南郑州450052

出　　处：《中国呼吸与危重监护杂志》2012年第1期65-68,共4页Chinese Journal of Respiratory and Critical Care Medicine

摘　　要：目的探讨睡眠呼吸暂停低通气综合征(SAHS)的漏诊原因。方法结合文献对郑州大学第一附属医院2009年5月至2011年5月漏诊的42例SAHS患者进行回顾性分析。结果SAHS常因高血压、糖尿病、代谢综合征等并发症而就诊,临床漏诊率高。常见的漏诊原因是SAHS白天症状缺乏特异性,并发症多且复杂,需要多学科协作诊治等。而人们却对SAHS认识不足,导致漏诊率高,患者治疗效果差。结论加强SAHS的宣传教育,详细采集病史,尽早行多导睡眠图(PSG)监测,从而正确诊断SAHS,减少漏诊。Objective To analyze the causes of missed diagnosis of sleep apnea hypopnea syndrome（SAHS）.Methods 42 missed diagnosed cases with SAHS from May 2009 to May 2011 were retrospectively analyzed and related literatures were reviewed.Results The SAHS patients often visited the doctors for complications of SAHS such as hypertension,diabetes mellitus,metabolic syndrome,etc.Clinical misdiagnosis rate was very high.Lack of specific symptoms during the day,complicated morbidities,and insufficient knowledge of SAHS led to the high misdiagnosis rate and the poor treatment effect of patients with SAHS.Conclusion Strengthening the educational propaganda of SAHS,detail medical history collection,and polysomnography monitoring（PSG） as early as possible can help diagnose SAHS more accurately and reduce missed diagnosis.

关 键 词：睡眠呼吸暂停低通气综合征 漏诊 高血压 糖尿病 代谢综合征 

分 类 号：R766[医药卫生—耳鼻咽喉科]