Watch PAT 200便携式睡眠呼吸监测仪对阻塞性睡眠呼吸暂停低通气综合征监测价值研究

李为民; 王荣光; 黄冬雁; 刘小丽; 金伟; 杨仕明

doi:10.13201/j.issn.1001-1781.2013.24.015

Watch PAT 200便携式睡眠呼吸监测仪对阻塞性睡眠呼吸暂停低通气综合征监测价值研究

- 解放军总医院耳鼻咽喉-头颈外科解放军耳鼻咽喉研究所(北京, 100853)

详细信息

通讯作者: 王荣光,E-mail:wangrongguang@yeah.net

中图分类号: R563.8

收稿日期: 2013-05-20

Assessment of a portable monitoring device Watch PAT 200 in the diagnosis of obstructive sleep apnea hypopnea syndrome

- Department of Otolaryngology Head and Neck Surgery, General Hospital of PLA, Beijing, 100853, China

More Information

Corresponding author: WANG Rongguang, E-mail: wangrongguang@yeah.net

Received Date: 20 May 2013

摘要

摘要: 目的:评价腕式睡眠呼吸监测仪(Watch PAT 200)对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的诊断价值。方法:28例怀疑有OSAHS的患者入院行整夜PSG监测和腕式Watch PAT 200监测。PSG监测根据标准规则判断睡眠呼吸事件;Watch PAT 200监测根据计算机自动运算法则进行分析,计算每小时呼吸事件频率,监测外周动脉容积信号变化、氧饱和度及心率变化,根据变化综合得出睡眠呼吸暂停指数(PAT AHI)。结果:平均PSG AHI(23.00±21.55)/h,平均PAT AHI(25.99±19.09)/h,PSG AHI和PAT AHI指数间显著相关(r=0.92,P<0.01),为评估PAT检测的敏感度和特异度,构建ROC曲线,在PSG AHI分别为5、15、30时,PAT监测的敏感度和特异度分别是95.8/100,93.7/91.7,85.7/100。每30 s一屏PSG及PAT对睡眠及觉醒判断的符合率为(89±6)%。结论:腕式睡眠监测仪是一种精确检测OSAHS的装置,监测简便,且能准确判断睡眠及觉醒状态。
- 多导睡眠呼吸监测 /
- 外周动脉容积监测 /
- 睡眠呼吸暂停低通气综合征,阻塞性 /
- 睡眠呼吸暂停及低通气指数 /
- 交感神经系统
Abstract: Objective: To assess the accuracy of a wrist worn Watch PAT 200 in diagnosing obstructive sleep apnea hypopnea syndrome(OSAHS) by comparing with the standard polysomnography(PSG).Method: Twenty-eight adults with suspected OSAHS underwent a standard in-lab PSG while wearing a Watch PAT 200. PSG events were manually scored according to standard criteria(AASM). Watch PAT data were collected including changes of apnea hypopnea, sleep stages, peripheral arterial volume, signal oxygen saturation and heart rate, and then apnea hypopnea index(AHI)was analyzed by an automatic algorithm. Result: For PSG, the mean score of AHI was(23.00±21.55)/h, and for Watch PAT, a mean score of AHI was(25.99±19.09)/h. There is a statistically positive correlation between PSG-AHI and PAT-AHI(r=0.92,P<0.01). The Coincidence rate of the sleep-wake assessment based on 30-second bins between the PSG and Watch PAT 200 was(89±6)%.Conclusion: Watch PAT 200 could detecte OSAHS based on AHI with comparable accuracy with standard PSG.And it would provide a reasonably accurate estimation of sleep and wakefulness stages in patients with OSAHS.
- polysomnography /
- peripheral arterial tonometry /
- sleep apnea hypopnea syndrome,obstructive /
- apnea hypopnea index /
- sympatheyic nervous

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参考文献(12)

[1]	韩德民,叶京英.睡眠呼吸障碍疾病的综合防治[J].中华医学杂志,2005,85(44):3097-3098.
[2]	YAGGI H K,CONCATO J,KERNAN W N,et al.Obstructive sleep apnea as a risk factor for stroke and death[J].N Engl J Med,2005,353:2034-2041.
[3]	AYAS N T,PITTMAN S,MACDONALD M,et al. Assessment of a wrist-worn device in the detection of obstructive sleep apnea[J]. Sleep Medicine,2003,4:435-442.
[4]	JOHNS M W. A new method for measuring daytime sleepiness:the Epworth sleepiness scale[J]. Sleep, 1991,14:540-545.
[5]	SCHNALL R P, SHLITNER A, SHEFFY J, et al. Periodic, profound peripheralvasoconstriction-a new marker of obstructive sleep apnea[J]. Sleep,1999,22:939-946.
[6]	BAR A, PILLAR G, DVIR I, et al. Evaluation of a portable device based on peripheral arterial tone for unattended home sleep studies[J]. Chest, 2003,123:695-703.
[7]	CHOI J H, KIM E J, KIM Y S,et al. Validation study of portable device for the diagnosis of obstructive sleep apnea according to the new AASM scoring criteria:Watch-PAT 100[J]. Acta Otolaryngol,2010,130:838-843.
[8]	HERSCOVICI S,PEER A,PAPYAN S,et al.Detecting REM sleep from the finger:automatic REM sleep algorithm based on peripheral arterial tone (PAT)and actigraphy[J]. Physiol Meas,2006,27:1-12.
[9]	HEDNER J, PILLAR G, PITTMAN S D, et al. A novel adaptive wrist actigraphy algorithm for sleep-wake assessment in sleep apnea patients[J]. Sleep, 2004,27:1560-1566.
[10]	ZOU D, GROTE L, EDER D N, et al. Obstructive apneic events induce alpha-receptor mediated digital vasoconstriction[J]. Sleep, 2004,27:485-489.
[11]	PANG K P, GOURIN C G, TERRIS D J. A comparison of polysomnography and the watchpat in the diagnosis of obstructive sleep apnea[J]. Otolaryngol Head Neck Surg, 2007,137:665-668.
[12]	BAR A, PILLAR G, DVIR I,et al. Evaluation of a portable device based on peripheral arterial tone for unattended home sleep studies[J]. Chest, 2003,123:695-703.