阻塞性睡眠呼吸暫停低通氣綜合征嗜睡評(píng)價(jià)新方法研究—慢眼動(dòng)分析
發(fā)布時(shí)間:2018-11-09 15:26
【摘要】:[目的]探索慢眼動(dòng)潛伏期對(duì)OSAHS患者嗜睡評(píng)估的價(jià)值。[方法]連續(xù)入選2011年9月至2011年11月在北京協(xié)和醫(yī)院睡眠呼吸疾患診療中心進(jìn)行整晚多導(dǎo)睡眠監(jiān)測(cè),并確診為重度OSAHS的患者20例。每位患者分別進(jìn)行MSLT和MWT,經(jīng)人工睡眠分期及慢眼動(dòng)分析后,計(jì)算出慢眼動(dòng)潛伏期及睡眠潛伏期并求出各自平均值,應(yīng)用統(tǒng)計(jì)學(xué)方法進(jìn)行一致性及相關(guān)性分析。同時(shí)每位患者還應(yīng)用Epworth嗜睡量表進(jìn)行主觀嗜睡評(píng)估。[結(jié)果]不論MSLT還是MWT檢查,SEM潛伏期均短于SL。MSLT平均SEM潛伏期與平均睡眠潛伏期相比(4.17±1.94min versus5.34±1.97min,p0.001),MWT平均SEM潛伏期與平均睡眠潛伏期相比(12.03±9.67minversus12.99±9.76min,p0.001)。MSLT及MWT的平均SEM潛伏期與平均睡眠潛伏期正相關(guān),分別為(r=0.958,p0.001)和(r=0.997,p0.001);20名入組患者中18名患者Epworth嗜睡量表評(píng)分≥11分。MSLT中95%入組患者平均SEM潛伏時(shí)間≤8min;MWT中45%入組患者平均SEM潛伏時(shí)間≤8min。ESS評(píng)分與MSLT平均SEM潛伏期負(fù)相關(guān),而在MWT中,兩者未發(fā)現(xiàn)相關(guān)性。[結(jié)論]SEM潛伏期短于SL,兩者正相關(guān),通過(guò)SEM監(jiān)測(cè)可以預(yù)測(cè)SL,從而進(jìn)行嗜睡評(píng)價(jià)。
[Abstract]:[objective] to explore the value of slow eye movement latency in the evaluation of somnolence in patients with OSAHS. [methods] Twenty patients with severe OSAHS were selected from September 2011 to November 2011 to monitor polysomnography throughout the night at the diagnosis and treatment center of sleep respiratory diseases in Peking Union Hospital. After MSLT and MWT, were analyzed by artificial sleep stage and slow eye movement, the latent period of slow eye movement and sleep latency were calculated and their mean values were calculated. The consistency and correlation were analyzed by statistical method. At the same time, each patient was evaluated with Epworth somnolence scale. [results] in both MSLT and MWT, the latency of SEM was shorter than that of the average SEM latency of SL.MSLT and the average sleep latency (4.17 鹵1.94min versus5.34 鹵1.97 min / p 0.001). Compared with the average sleep latency, the average SEM latency of MWT was (12.03 鹵9.67minversus12.99 鹵9.76 min) and the average SEM latency of MWT was positively correlated with the mean sleep latency (r = 0.958) and (r = 0.997), respectively. (p0.001); The scores of Epworth sleepiness scale were 鈮,
本文編號(hào):2320806
[Abstract]:[objective] to explore the value of slow eye movement latency in the evaluation of somnolence in patients with OSAHS. [methods] Twenty patients with severe OSAHS were selected from September 2011 to November 2011 to monitor polysomnography throughout the night at the diagnosis and treatment center of sleep respiratory diseases in Peking Union Hospital. After MSLT and MWT, were analyzed by artificial sleep stage and slow eye movement, the latent period of slow eye movement and sleep latency were calculated and their mean values were calculated. The consistency and correlation were analyzed by statistical method. At the same time, each patient was evaluated with Epworth somnolence scale. [results] in both MSLT and MWT, the latency of SEM was shorter than that of the average SEM latency of SL.MSLT and the average sleep latency (4.17 鹵1.94min versus5.34 鹵1.97 min / p 0.001). Compared with the average sleep latency, the average SEM latency of MWT was (12.03 鹵9.67minversus12.99 鹵9.76 min) and the average SEM latency of MWT was positively correlated with the mean sleep latency (r = 0.958) and (r = 0.997), respectively. (p0.001); The scores of Epworth sleepiness scale were 鈮,
本文編號(hào):2320806
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