Epworth嗜睡量表和微觉醒指数在重度OSAHS患者病情评估中的价值  

The assessed value of Epworth sleep scale and arousal index in severe OSAHS patients

作　　者：陈曦[1] 章榕[1] 王洪洪[1] 李进让[1] 孙建军[1] 

机构地区：[1]海军总医院耳鼻咽喉头颈外科,北京100048

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第3期167-169,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨Epworth嗜睡量表(ESS)和微觉醒指数在重度OSAHS患者病情评估中的价值。方法:经PSG确诊的1193例重度OSAHS患者,按嗜睡程度分为3组,即轻度嗜睡组(ESS≤12),中度嗜睡组(13≤ESS≤17),重度嗜睡组(ESS≥18)。分别比较各组年龄、微觉醒指数(ArI)、AHI、AI、低通气指数(HI)、LSaO_2、BMI进行比较。对ESS、ArI与其他睡眠参数进行相关性分析。结果:3组ArI、AHI、AI、HI、LSaO_2差异均有统计学意义。ESS和ArI与AHI、AI呈弱正相关性(r=0.187~0.399,P<0.05),ESS和ArI与HI、LSaO_2呈弱负相关性(r=-0.14^-0.448,P<0.05)。结论:Epworth嗜睡量表和ArI在重度OSAHS患者病情评估中有重要价值。Objective：The aim of this study was to study the assessed value of Epworth sleep scale（ESS）and arousal index in severe obstructive sleep apnea hypopnea syndrome（OSAHS）patients.Method：The 1193 severe OSAHS adults diagnosised by polysomnography recordings were divided into 3 groups according to ESS：the mild group（ESS≤12）,the moderate group（13≤ESS≤17）and the severe group（ESS≥18）.The apnea hypopnea index（AHI）,apnea index（AI）,hypopnea index（HI）,the lowest oxygen saturation（LSaO2）,arousal index（ArI）,and body mass index（BMI）were compared between each groups.Result：Significant differences were observed in ArI,AHI,AI,HI,LSaO2 between each groups（P〈0.05）.ESS and ArI were positively correlated with AHI and AI（r=0.187-0.399,P〈0.05）.ESS and ArI showed a weak negative correlation with LSaO2 and HI（r=-0.14--0.448,P〈0.05）.Conclusion：ArI and ESS are important indexes to evaluate the severity of severe OSAHS patients.

关 键 词：EPWORTH嗜睡量表 微觉醒指数 睡眠呼吸暂停低通气综合征 阻塞性 

分 类 号：R563.8[医药卫生—呼吸系统]