便携式睡眠监测在儿童OSAHS临床诊断中的应用初探  

Preliminary study on the application of portable sleep monitor in the diagnosis of OSAHS in children

作　　者：滕以书[1] 冼志雄[1] 韩赛红[1] 段鸿芳 陈国威[1] 李兰[1] TENG Yi-shu;XIAN Zhi-xiong;HAN Sai-hong;DUAN Hong-fang;CHEN Guo-wei;LI Lan(Department of Otolaryngology,Shenzhen Children＇s Hospital,Shenzhen 518026,China)

机构地区：[1]深圳市儿童医院耳鼻咽喉科,广东深圳518026

出　　处：《中国耳鼻咽喉颅底外科杂志》2018年第5期409-412,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：深圳市科技计划项目(JCYJ20170303155115313)

摘　　要：目的探讨便携式睡眠监测仪(PM)在儿童阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)中的诊断价值。方法随机选择门诊收治的58例以睡眠打鼾为主诉的儿童患者58例,3～5岁组28例,6～14岁组30例。同时进行PM和多导睡眠监测仪(PSG)监测,比较分析两种睡眠监测方法临床各参数的相关性。结果 3～5岁组PSG监测有15例患儿诊断为单纯性鼾症,其中1例被PM诊断为OSAHS。1例重度OSAHS被PM诊断为中度OSAHS; 6～14岁组PM监测15例患儿诊断为单纯性鼾症,与PSG监测诊断结果一致。1例中度OSAHS患儿被PM诊断为轻度OSAHS,余患儿两种监测方式诊断结果一致。以PSG监测结果为标准,3～5岁组OSAHS儿童监测诊断中,PM的灵敏度为100%,特异度为93. 75%,准确度96. 55%; 6～14岁组中PM和PSG监测数据一致。结论 PM与PSG各项指标相关性良好,且操作简便,在儿童OSAHS中有较高的临床诊断价值,值得临床推广应用。Objective To assess the value of portable sleep monitor in the diagnosis of obstructive sleep apnea syndrome（ OSAHS） in children. Methods 58 children with snoring as chief complaint were included in our study. They were divided into group of 3-5 years old（ n = 28） and that of 6-14 years old（ n = 30）. All children underwent sleep monitoring with both portable sleep monitor and polysomnography（ PSG）. The results obtained by both methods were compared and their correlations were analyzed. Results In the group of 3-5 years old,primary snoring was diagnosed in15 children by PSG,one of them was diagnosed as OASHS by PM. Also in this group,one with severe OSAHS diagnosed by PSG was diagnosed as moderate OASHS by PM. In the group of 6-14 years old,15 children were diagnosed with primary snoring,which was accordance with PSG. One with moderate OSAHS by PSG was diagnosed as mild by PM.Taking PSG results as standard,the sensitivity,specificity,and accuracy of PM for the diagnosis of OASHS in the group of3-5 years old were 100%,93. 75%,and 96. 55% respectively. The data obtained by PM were accordance with those by PSG in the group of 6-14 years old. Conclusion With good parameter correlations with PSG and convenience for operation,PM has high clinical diagnostic value for OSAHS in children,and is therefore worth of popularizing.

关 键 词：睡眠呼吸暂停 阻塞性 儿童 便携式睡眠设备 

分 类 号：R766.4[医药卫生—耳鼻咽喉科]