探讨便携式多导睡眠呼吸监测在成年人阻塞性睡眠呼吸暂停低通气综合征诊断中的应用  被引量:7

To Investigate the Application of Portable Polysomnography in Diagnosis of Obstructive Sleep Apnea Hypopnea Syndrome in Adults

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作  者:郑彩凤[1] ZHENG Caifeng(The First Hospital of Fangshan District,Beijing 102400,China)

机构地区:[1]北京市房山区第一医院,北京102400

出  处:《世界睡眠医学杂志》2022年第1期164-166,共3页World Journal of Sleep Medicine

摘  要:目的:探讨便携式多导睡眠呼吸监测在成年人阻塞性睡眠呼吸暂停低通气综合征(Obstructive Sleep Apnea Hypopnea Syndrome,OSAHS)诊断中的应用。方法:选取2019年8月至2020年12月北京市房山区第一医院呼吸内科收治的成年人阻塞性睡眠呼吸暂停低通气综合征患者78例作为研究对象,分别给予整夜多导睡眠监测(Polysomnography,PSG)和便携式多导睡眠呼吸监测,将PSG诊断结果视为金标准,比较分析2种监测方式下的诊断敏感性、特异性以及准确度;将相关指标[血氧饱和度(SpO_(2))、时间紊乱指数、SpO_(2)<90%时长]进行比较,继而分析2种方式的应用效果和优势。结果:结果发现PSG监测阴性4例,占比(5.12%),阳性74例,占比(94.87%);便携式多导睡眠呼吸监测仪准确监测77例,其中阴性2例,占比(2.59%),阳性75例,占比(97.40%);其中诊断准确度98.71%,特异性、敏感度分别为50.00%和98.66%。便携式多导睡眠呼吸监测方式下,患者紊乱指数较低,SpO_(2)检测值为(94.00±4.55),SpO_(2)<90%时长为(46.52±13.41);PSG监测记录时间为(423.56±25.14),2种检测方式比较,差异有统计学意义(P<0.05)。结论:对成年人阻塞性睡眠呼吸暂停低通气综合征患者中实施便携式多导睡眠呼吸监测效果较为显著,在不影响诊断敏感性、特异性的同时可大幅提升诊断准确度。Objective:To investigate the application of portable polysomnography in the diagnosis of adult Obstructive Sleep Apnea Hypopnea Syndrome(OSAHS).Methods:A total of 78 adults with obstructive sleep apnea hypopnea syndrome who were admitted to the Department of Respiratory Medicine of Fangshan First Hospital from August 2019 to December 2020 were selected as the research objtces.They were given overnight Polysomnography(PSG)and portable Polysomnography(PSG).PSG diagnostic results were regarded as the gold standard,and the diagnostic sensitivity,specificity and accuracy of the two monitoring methods were compared and analyzed.[Related indicators(SpO_(2)),time disturbance index,SpO_(2)<90%duration]were compared,and then the application effects and advantages of the two methods were analyzed.Results:There were 4 PSG negative cases(5.12%)and 74 PSG positive cases(94.87%).Portable polysomnography respiratory monitor accurately detected 77 cases,which 2 cases were negative(2.59%)and 75 cases were positive(97.40%).The diagnostic accuracy,specificity and sensitivity were 98.71%,50.00%and 98.66%,respectively.In the portable polysomnosis respiratory monitoring mode,the disorder index of patients was low,SpO_(2) detection value was(94.00±4.55),SpO_(2)<90%duration was(46.52±13.41);PSG monitoring and recording time was(423.56±25.14),and the difference between the two detection methods was statistically significant(P<0.05).Conclusion:Portable polysomnography monitoring has a significant effect on adult patients with obstructive sleep apnea hypopnea syndrome,and can greatly improve the diagnostic accuracy without affecting the sensitivity and specificity of the diagnosis.

关 键 词:阻塞性睡眠呼吸暂停低通气综合征 便携式多导睡眠呼吸监测系统 诊断敏感性 紊乱指数 诊断价值 

分 类 号:R364.4[医药卫生—病理学] R338.63[医药卫生—基础医学]

 

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