上气道阻力综合征患者多导睡眠图特点分析  

Polygraphic characteristics of upper airway resistance syndrome

作　　者：林忠辉[1] 韩德民[1] 林宇华[1] 王军[1] 陈学军[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉-头颈外科北京市耳鼻咽喉研究所,北京100730

出　　处：《中华耳鼻咽喉科杂志》2002年第4期283-286,T004,共5页Chinese Journal of Otorhinolaryngology

摘　　要：目的　分析上气道阻力综合征 (upperairwayresistancesyndrome ,UARS)患者多导睡眠图特点 ,增强对UARS的认识 ,降低其误诊率。方法　①选择 12例经多导睡眠监测 (polysomnography,PSG)和食管压力测定确诊的UARS患者 ,分析其睡眠结构、呼吸暂停低通气指数 (apneahyponeaindex,AHI)、微觉醒指数等指标 ;同时记录其嗜睡评分 (epworthsleepinessscale)、体块指数 (bodymassindex,BMI)及主要临床症状 ;②选择 16例单纯打鼾 ,经PSG和食管测压证实为非UARS患者做对照组 ;③比较两组人员第一夜进行PSG检查的各项指标 ;④比较 12例UARS患者 2夜PSG各项指标的变化 ,分析食管测压对UARS患者睡眠的影响。结果　两组人员BMI、AHI差异无显著性 ;与对照组相比UARS患者微觉醒指数增高 ,深睡眠期减少 ,浅睡眠期增多 ,嗜睡评分增高 ;UARS患者 2夜PSG各项指标差异无显著性。结论　①UARS是睡眠呼吸疾病中一种相对独立的综合征 ;Objective (1) To analyze upper airway resistance syndrome (UARS) patients′ polysomnographic characteristics,to lower the misdianosis of UARS (2) To improve the understanding of UARS Methods (1) Select 12 UARS patients diagnosed by PSG and continuous esophageal pressure measurement,the sleep structure,arousal index,apnea hyponea index (AHI) were analyzed,the body mass index (BMI ),epworth sleepiness scale (ESS) were calculated (2) Select 16 simple snoring cases as the control group,obstructive sleep apnea syndrome (OSAS) and UARS were ruled out by PSG and continuous esophageal pressure measurement for this group of cases (3) Compare the 2 groups′ first night PSG indexes (4) Compare the 2 nights PSG indexes of the UARS group,to see the continuous esophageal pressure measurement effects on their sleep Results (1) There are no statistical difference of the 2 group′s BMI and AHI (2) Compared with the control group, UARS patients got higher arousal index and ESS score,more sleep stage 1 and stage 2,less sleep stage 3 and stage 4 (3) The 2 nights PSG indexes of UARS patients are not statistically different Conclusions (1) Compared with simple snoring cases,the UARS patients have some special characteristics,i e ,higher arousal index,less deep sleep,and higher ESS score,combined with the clinical manifestations, it is possible to screen UARS patients (2) No evident effects of continuous esophageal pressure measurement on UARS patients sleep

关 键 词：上气道阻力综合征 多导睡眠图 多道睡眠描记术 食管 压力 睡眠呼吸暂停综合征 UARS 

分 类 号：R76[医药卫生—耳鼻咽喉科]