發(fā)布時(shí)間：2018-03-15 04:07

  本文選題：睡眠呼吸暫停低通氣綜合征　切入點(diǎn)：阻塞性　出處：《臨床耳鼻咽喉頭頸外科雜志》2014年21期 　論文類型：期刊論文

【摘要】：目的:評(píng)估修改后Berlin量表診斷中國成年人OSAHS的準(zhǔn)確性。方法:根據(jù)亞太地區(qū)肥胖定義,將原Berlin量表的BMI切點(diǎn)值調(diào)整至25.0。以244例接受PSG的患者作研究對(duì)象,將其填寫的原Berlin量表結(jié)果和修改后Berlin量表結(jié)果分別與PSG結(jié)果相比較,評(píng)價(jià)修改后Berlin量表診斷中國成年人OSAHS的準(zhǔn)確性。結(jié)果:以AHI≥5為OSAHS的診斷切點(diǎn)值。男性受試者中,原Berlin量表診斷OSAHS的敏感度和特異度分別為74.03%和65.71%,診斷一致性百分率為72.49%,Kappa系數(shù)為0.304(P0.01);修改后Berlin量表對(duì)男性受試者的診斷敏感度和特異度分別為92.21%和48.57%,診斷一致性百分率為84.13%,Kappa系數(shù)為0.437(P0.01)。女性受試者中原Berlin量表診斷OSAHS的敏感度和特異度分別為50.00%和61.90%,診斷一致性百分率為54.55%,Kappa系數(shù)為0.110(P0.01);修改后Berlin量表對(duì)女性受試者的診斷敏感度和特異度分別為76.47%和47.62%,診斷一致性百分率為65.45%,Kappa系數(shù)為0.248(P0.01)。結(jié)論:在男性人群中,修改后Berlin量表較原量表在診斷OSAHS方面具有更好的診斷一致性;在女性人群中,盡管修改后Berlin量表較原量表在診斷一致性上有所提高但仍不理想,尚需進(jìn)一步探索適合我國女性人群的OSAHS篩查工具。
[Abstract]:Objective: to evaluate the accuracy of the modified Berlin scale in the diagnosis of OSAHS in Chinese adults. Methods: according to the definition of obesity in Asia Pacific region, the BMI cut point of the original Berlin scale was adjusted to 25.0. The results of the original Berlin scale and the modified Berlin scale were compared with the PSG results, respectively, and the accuracy of the modified Berlin scale in the diagnosis of OSAHS in Chinese adults was evaluated. Results: AHI 鈮，

本文編號(hào)：1614335