成人阻塞性睡眠呼吸暂停低通气综合征缺氧程度的评估  

The evaluation of the severity of nocturnal oxygen desaturation of patients with obstructive sleep apnea hypopnea syndrome~

作　　者：周金玲[1] 陈天明[1] 金明[1] 杨锁平[1] 

机构地区：[1]湖北省荆门市第一人民医院,湖北荆门448000

出　　处：《医院与医学》2015年第1期74-76,共3页Hospital and Medicine

摘　　要：目的评估阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者夜间缺氧程度。方法收集在我科诊治的225例OSAHS患者，记录患者呼吸暂停低通气指数（AHI）、呼吸暂停时间（AT）、低通气时间（HT）、呼吸暂停低通气时间指数（AHTI）、氧减指数（0131）、最低血氧饱和度（MiniS02）、平均血氧饱和度、氧饱和度低于90％的时间占监测时间的百分比（TS90％）、Epworth嗜睡评分（ESS），并进行相关分析。结果根据AHI划分OSAHS病情严重程度，以5次／h≤AHI〈15次／h为轻度OSAHS组，15次／h≤AHI〈30次／h为中度OSAHS组，AHI≥30次／h为重度OSAHS组。各组ODI，平均血氧饱和度，MiniS02，Ts90％差异有统计学意义（P〈0．001），ODI，Ts90％，平均血氧饱和度，MiniS02与AHI的相关系数r分别为0．862，0．649，-0．536，-0．649。结论OSAHS患者缺氧严重程度的评估需结合ODI、Ts90％、平均血氧饱和度、MiniSO2综合判断。Objective To evaluate the severity of oxygen desaturation of patient with obstructive sleep apnea hypopnea syn- drome （OSAHS）. Method To record data of 225 patients with OSAHS in First People＇s Hospital of Jingmen, including Apnea-hy- popnea index（AHI）, apnea time（AT）, hypopnea time（HT）, oxygen desaturation index（ODI）, minimum oxygen saturation（MiniSO2）, TS90% and Epworth Sleepiness Scores were analyzed. Result The severity of OSAHS based on AHI was divided into three groups, mild group with 5/h ≤AHI 〈 15/h, moderate group with 15/h≤AHI 〈 30/h, and severe group with AHI ≥30/h. In each group, average oxygen saturation, MiniSO2, ODI and TS90% have statistical significance P〈O.001, and separately with AHI were -0.536, 0.649, 0.862, -0.649. Conclusion The best method of expressing the severity of oxygen desaturation of patients with OS- AHS need the combination of several indices of oxygen desaturation （average oxygen saturation, MiniSO2, ODI, TS90%）.

关 键 词：睡眠呼吸暂停 阻塞性 低氧血症 氧减指数 血氧饱和度 

分 类 号：R766.43[医药卫生—耳鼻咽喉科]