本文選題：睡眠呼吸暫停低通氣綜合征 + 血氧測定法　； 參考：《中國呼吸與危重監(jiān)護雜志》2017年03期

【摘要】：目的探討夜間動態(tài)血氧飽和度監(jiān)測結(jié)合臨床評分(CS)對阻塞性睡眠呼吸暫停低通氣綜合征(OSAHS)患者的篩查價值。方法納入106例主訴為打鼾的患者,分別收集一般資料、病史,行整夜多導(dǎo)睡眠圖(PSG)監(jiān)測,同時佩戴舒氣通血氧儀進行夜間動態(tài)血氧飽和度監(jiān)測。根據(jù)睡眠呼吸暫停低通氣指數(shù)(AHI)將患者分為非OSAHS和OSAHS組。對兩組間PSG-AHI和血氧儀-氧減指數(shù)(ODI)進行相關(guān)分析,了解不同ODI值結(jié)合CS評分對OSAHS診斷的敏感性和特異性。結(jié)果非OSAHS組的AHI、ODI、CS值分別為(1.8±1.4)次/h、(2.6±3.5)次/h、(1.0±0.8)分,OSAHS組的AHI、ODI、CS值為(37.3±23.9)次/h、(31.0±24.1)次/h、(2.6±1.1)分,兩組間比較,差異有統(tǒng)計學(xué)意義(P0.01)。ODI與AHI存在良好相關(guān)性(r=0.943,P0.01)。以O(shè)DI≥5次/h結(jié)合CS≥2分診斷OSAHS的敏感性為91.7%,特異性為94.1%,有初篩價值。以O(shè)DI≥10次/h結(jié)合CS≥2分作為標準時,診斷敏感性為77.8%,特異性為100.0%,不會誤診AHI30次/h的重度患者,可作為初篩重度OSAHS的指標。結(jié)論對打鼾患者進行夜間動態(tài)血氧飽和度監(jiān)測,同時結(jié)合CS評分,對OSAHS的臨床篩查有重要價值。
[Abstract]:Objective to investigate the value of nocturnal dynamic oxygen saturation monitoring combined with clinical score (CSS) in the screening of patients with obstructive sleep apnea hypopnea syndrome (OSAHS). Methods 106 patients who complained of snoring were collected general data and medical history. PSG monitoring was performed overnight and dynamic oxygen saturation was monitored at night with Shuqi Tongxuoxiao instrument. Patients were divided into non-OSAHS and OSAHS groups according to sleep apnea hypopnea index (AHI). The sensitivity and specificity of different ODI values combined with CS score in the diagnosis of OSAHS were analyzed by correlation analysis between the two groups. Results the CS of AHI ODI in the non-OSAS group was 1.8 鹵1.4) times (2.6 鹵3.5) times (P < 0.01 鹵0.8), respectively. The CS value of the OSAHS group was 37.3 鹵23.9times, 31.0 鹵24.1rh2.6 鹵1.1). The difference between the two groups was statistically significant (P < 0.01). There was a good correlation between the two groups. The sensitivity and specificity of ODI 鈮，

本文編號：1806546