碳酸氢根水平联合STOP-Bang问卷筛查睡眠呼吸障碍疾病的筛查效果  

Combined application of bicarbonate level and STOP-Bang questionnaire in sleep-disordered breathing

作　　者：彭敏 陈日垦 何啟忠 刘旺 刘土轩 王满霞 成俊芬 洪城[2] PENG Min;CHEN Ri-ken;HE Qi-zhong;LIU Wang;LIU Tu-xuan;WANG Man-xia;CHENG Jun-fen;HONG Cheng(Department of Respiration,Second Affiliated Hospital of Guangdong Medical University,Zhanjiang 524000,China;Department of Respiration,First Affiliated Hospital of Guangzhou Medical University,Guangzhou Institute of Respiratory Diseases,Guangzhou 510120,China)

机构地区：[1]广东医科大学附属第二医院呼吸科,广东湛江524000 [2]广州医科大学附属第一医院呼吸科,广州呼吸疾病研究所,广东广州510120

出　　处：《广东医科大学学报》2018年第6期638-641,共4页Journal of Guangdong Medical University

摘　　要：目的探讨碳酸氢根(HCO_3^-)水平联合STOP-Bang问卷在睡眠呼吸障碍疾病(SDB)中应用价值。方法 161例可疑SDB患者进行多导睡眠监测、动脉血气分析及STOP-Bang问卷调查。结果 STOP-Bang问卷评估呼吸暂停低通气指数(AHI)≥5、15、30次/h SDB患者的敏感性分别为75.6%、79.2%、81.3%,特异性分别为45.1%、42.8%、39.7%;而STOP-Bang问卷联合HCO3-≥28 mmol/L预测AHI≥5、15、30次/h SDB患者的敏感性分别为45.6%、46.8%、48.8%,特异性分别为78.2%、76.9%、75.8%。结论 STOP-Bang问卷对SDB筛查有较好的应用价值,而联合碳酸氢根检测可提高其特异性。Objective To evaluate the value of bicarbonate level and STOP-Bang questionnaire for sleep-disordered breathing(SDB).Methods A total of 161 patients with suspected SDB underwent polysomnography,arterial blood gas analysis and STOP-Bang questionnaire.Results For apnea hypopnea index(AHI)≥5,15 and 30/h,the sensitivity of STOPBang questionnaire were 75.6%,79.2%,81.3%,and the specificity were 45.1%,42.8%,39.7%;however,those of≥28 mmol/L HCO3^-and STOP-Bang questionnaire were 45.6%and 78.2%,46.8%and 76.9%,48.8%and 75.8%,respectively.Conclusion STOP-Bang questionnaire is useful for SDB screening,while its combination with bicarbonate level can improve the specificity.

关 键 词：睡眠呼吸障碍 STOP-Bang问卷 碳酸氢根 

分 类 号：R575.5[医药卫生—消化系统]