本文選題：阻塞性睡眠呼吸暫停綜合征 + STOP問(wèn)卷　； 參考：《電子科技大學(xué)》2012年碩士論文

【摘要】：本研究的目的在于評(píng)估對(duì)于中國(guó)被試者使用STOP問(wèn)卷篩查阻塞性睡眠呼吸暫停(obstructive sleep apnea,OSA)的準(zhǔn)確性，試圖尋找一種更適合我國(guó)國(guó)情的簡(jiǎn)易篩選OSA的有效方法。 通過(guò)比較華西醫(yī)院睡眠醫(yī)學(xué)中心400例門診病人的STOP問(wèn)卷和PSG檢查結(jié)果，計(jì)算STOP問(wèn)卷的敏感性及特異性，并與Berlin問(wèn)卷的敏感性與特異性進(jìn)行比較，以評(píng)估其使用的準(zhǔn)確性，并嘗試建立STOP問(wèn)卷得分與睡眠呼吸暫停低通氣指數(shù)（apnea-hypopnea index，AHI）的一元線性方程；同時(shí)對(duì)睡眠實(shí)驗(yàn)室的患者一般情況與睡眠呼吸狀況進(jìn)行初步的描述性研究與分析。 以PSG為金標(biāo)準(zhǔn)，計(jì)算STOP問(wèn)卷的敏感性、特異性分別為82.5%、72.4%；通過(guò)STOP問(wèn)卷得分預(yù)測(cè)AHI的一元線性方程為，總體：Y=12.87X+1.64(X為stop得分，y為AHI指數(shù))，男性：Y=11.39X+8.58，女性：Y=10.14X-1.45；四川大學(xué)華西醫(yī)院睡眠醫(yī)學(xué)中心睡眠障礙門診患者中總的OSA患病率為75.5%，男性O(shè)SA患病率為85.8%，女性O(shè)SA患病率為53.5%。OSA患者深睡眠減少，淺睡眠增多。 研究表明，STOP問(wèn)卷對(duì)中國(guó)被試者篩查OSA具有較高的敏感性及適宜的特異性，，可以作為高度懷疑患有OSA的人群進(jìn)行初篩診斷，其敏感性高于臨床常用Berlin問(wèn)卷的敏感性，因其簡(jiǎn)明易用值得推廣。
[Abstract]:The purpose of this study was to evaluate the accuracy of using STOP questionnaire to screen obstructive sleep apnea (OSA) for Chinese subjects, and to find a simple and effective method for screening OSA in China. The sensitivity and specificity of STOP questionnaire were calculated by comparing the results of STOP questionnaire and PSG examination of 400 outpatients in sleep medicine center of West China Hospital. The sensitivity and specificity of STOP questionnaire were compared with that of Berlin questionnaire to evaluate the accuracy of its use. A linear equation between the scores of STOP questionnaire and apnea hypopnea index (AHII) was established, and the general situation and sleep breathing status of patients in sleep laboratory were studied and analyzed. Using PSG as the gold standard, the sensitivity of the STOP questionnaire was calculated, the specificity was 82.5 and 72.4, and the linear equation of predicting AHI by the score of the STOP questionnaire was: The total OSA prevalence rate of male was 75.5, that of male OSA was 85.8, that of female 53.5%.OSA was decreased, that of male was 11.39X 8.58, that of female was 10.14X-1.45.The total OSA prevalence rate was 75.5, the prevalence of male OSA was 85.8, and that of female OSA was lower than that of 53.5%.OSA, and the total OSA prevalence was 75.5in the outpatients of sleep disorder in the sleep medicine center of Huaxi Hospital of Sichuan University, and the prevalence rate of OSA in male was 85.8, and the prevalence of OSA in female was lower than that in 53.5%.OSA. Increased shallow sleep. The results show that stop questionnaire has a high sensitivity and a suitable specificity for screening OSA in Chinese subjects. It can be used as a preliminary screening diagnosis for people with highly suspected OSA, and its sensitivity is higher than that of Berlin questionnaire commonly used in clinical practice. It is worth popularizing for its simplicity and ease of use.
【學(xué)位授予單位】：電子科技大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：B841;R766

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本文編號(hào)：1918516