多导睡眠监测在诊断阻塞性睡眠呼吸暂停综合征中的应用价值  

Application value of polysomnography in the diagnosis of obstructive sleep apnea syndrome

作　　者：林冬梅[1] 杨隆[1] 陶治平[1] 高得强 孙旭[1] LIN Dong-mei;YANG Long;TAO Zhi-ping;GAO De-qiang;SUN Xu(Psychological Sleep Adjustment Center,Jilin Neuropsychiatric Hospital,Siping,136000,China)

机构地区：[1]吉林省神经精神病医院心理睡眠调适中心,吉林四平136000

出　　处：《中国当代医药》2020年第5期40-42,共3页China Modern Medicine

摘　　要：目的探讨分析多导睡眠监测在诊断阻塞性睡眠呼吸暂停综合征(OSAS)中的应用价值。方法选取2016年12月~2018年12月我院收治确诊的61例OSAS患者作为研究对象,对所有患者均采用多导睡眠监测和便携式睡眠监测进行诊断,记录比较不同监测方法检查的患者平均血氧饱和度、夜间最低血氧饱和度、氧减指数等指标,并统计两种睡眠监测方法诊断OSAS的检出率和病情严重程度。结果多导睡眠监测法监测患者的平均血氧饱和度、夜间最低血氧饱和度、氧减指数均低于便携式睡眠监测法,差异有统计学意义(P<0.05)。多导睡眠监测法诊断OSAS患者的总检出率为100.00%,高于便携式睡眠监测法诊断的总检出率(80.33%),差异有统计学意义(P<0.05)。其中多导睡眠监测法对中度和轻度OSAS患者的检出率均为100.00%,高于便携式睡眠监测法的72.73%、77.78%,差异有统计学意义(P<0.05)。结论OSAS患者采用多导睡眠监测,能良好地监测患者的各项指标,提高OSAS的检出率,是一种科学有效的诊断方法。Objective To investigate and evaluate the application value of polysomnography in the diagnosis of obstructive sleep apnea syndrome(OSAS).Methods From December 2016 to December 2018,61 patients with OSAS diagnosed in our hospital were selected as the subjects.All patients were diagnosed by polysomnography and portable sleep monitor.The average blood oxygen saturation,minimum nocturnal oxygen saturation and oxygen reduction index of the patients examined by different monitoring methods were recorded and compared.The detection rate and severity of OSAS diagnosed by two sleep monitoring methods were counted.Results The mean blood oxygen saturation,the lowest blood oxygen saturation and oxygen desaturation inder at night were all lower than those of the portable sleep monitoring method,there were significant differences between the two groups(P<0.05).The overall detection rate of polysomnography in patients with OSAS was 100.00%,which was higher than that in portable sleep monitoring of 80.33%,there was significant difference between the two groups(P<0.05).The detection rate of polysomnography in patients with moderate and mild OSAS both were 100.00%,which were higher than the 72.73%and 77.78%of the portable sleep monitoring,and there were significant differences between the two groups(P<0.05).Conclusion Polysomnography can well monitor the indexes of patients with OSAS and improve the detection rate of OSAS.It is a scientific and effective diagnostic method.

关 键 词：多导睡眠监测 阻塞性睡眠呼吸暂停综合征 诊断 应用价值 

分 类 号：R714.253[医药卫生—妇产科学]