The clinical significance of synchronous monitoring with Micro-movement sensitive mattress sleep monitoring system and Apnea Graph
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摘要: 目的:研究便携式睡眠监测阻塞定位仪(AG)与微动敏感床垫睡眠监测系统(MSMSMS)同步监测在阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者术前评估中的价值。方法:对115例经PSG确诊为OSAHS拟行外科手术患者进行术前评估,应用AG行整夜的睡眠监测和上气道压力测定,同步使用MSMSMS进行整夜的睡眠监测。对两种方法获得睡眠呼吸指标进行统计分析。结果:AG与MSMSMS两种方法判断轻、中、重度OSAHS患者分别为6、16、93例和8、26、81例,两组差异无统计学意义;判断睡眠中轻、中、重度低氧血症患者分别为14、70、27例和6、72、37例,两组差异无统计学意义。AG与MSMSMS两种方法监测数据的相关性研究发现,AHI平均为(51.5±21.2)、(48.1±24.2)次/h,r=0.947;LSaO2分别为(0.736±0.110)、(0.710±0.108),r=0.935;AHI与阻塞性两者相关系数分别为0.856和0.841,两种方法监测数据均呈正相关(P<0.01)。结论:AG与MSMSMS两种方法在判断OSAHS病情严重程度无明显差异,两者在呼吸紊乱指标及血氧下降指数等方面有较好相关性,在OSAHS术前评估中有良好的应用前景。
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关键词:
- 睡眠呼吸暂停低通气综合征,阻塞性 /
- 睡眠监测阻塞定位仪 /
- 微动敏感床垫式睡眠监测系统
Abstract: Objective: To investigate the relevance and clinical value of synchronous monitoring with Apnea Graph (AG) and micro movement sensitive mattress sleep monitoring system(MSMSMS) for the patient with obstructive sleep apnea-hypopnea syndrome before surgery.Method: One hundred and fifteen patients diagnosed as OSAHS by PSG were synchronous examined by two methods: MSMSMS and AG with continuous upper airway pressure recording at night in Peking Union Medical College Hospital. The apnoeic and oxygen desaturation events during sleep determined by the two methods were compared. The correlation between MSMSMS and AG were analyzed.Result: According to the OSAHS severity grading: the mild, moderate and severe were 6、16、93 for AG and 8、26、81 for MSMSMS respectively, and the hypoxemia severity grading:the mild, moderate, severe were 14、70、27 for AG and 6、72、37 for MSMSMS respectively. There were no statistically difference in the severity grading of OSAHS and hypoxemia during sleep determined by AG and MSMSMS. According to the parameters of the two methods, the AHI are(51.5±21.2)times/h([AKx-]±s, similarly hereinafter) and (48.1±24.2)times/h, r=0.947; the LSaO2 are 0.736±0.110 and 0.710±0.108,r=0.935;the correlation coefficient(r)of apnea index and obstructive apnea and hypopnea index were 0.856 and 0.841, P<0.01 respectively, the data monitored by the two methods is positively correlated.Conclusion: There is no significant difference in determining the severity of OSAHS between the AG and MSMSMS. The two methods had good correlation in respiratory disturbance index and oxygen decline index, and revealed well-prospects of preoperative assessment in patients with OSAHS. -
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