AG200 and polysomnography in patients with obstructive sleep apnea-hypopnea syndrome
-
摘要: 目的:研究PSG及气道阻塞定位仪(AG200)评估OSAHS的临床应用价值。方法:67例经PSG确诊为OSAHS的患者,应用AG200进行整夜监测。对AHI、呼吸暂停指数(AI)、低通气指数(HI)、最低血氧饱和度(LSaO2)等参数进行比较。结果:PSG和AG200所测得的AI、AHI、LSaO2比较均差异有统计学意义(均P<0. 01),HI差异无统计学意义(P>0. 05) 。PSG和AG200所测得的AHI、AI、HI、LSaO2均有较高相关性(r=0.870、0.743、0.374、0.716,均P<0.01)。结论:AG200对OSAHS患者可做出初步诊断,对判断OSAHS患者上气道阻塞部位有较好的参考价值。
-
关键词:
- 睡眠呼吸暂停低通气综合征 /
- 阻塞性 /
- 多导睡眠监测
Abstract: Objective:To study the clinical value of polysomnography(PSG) and ApneaGraph (AG200) in the diagnosis evaluation of obstructive sleep apnea hypopnea syndrome(OSAHS). Method:From January to December in 2012, 67 OSAHS patients diagnosed by PSG were examined by AG200. The apnea hypopnea index (AHI), hypopnea index (HI), apnea index (AI), the lowest oxygen saturation (LSaO2) was were detected and the results were analyzed statistically. Result:Significant differences were observed in AI, AHI, LSaO2 between AG200 and PSG(P<0.05, respectively). No statistically significant difference was found in HI. The differences in HI between AG200 and PSG were not significant (P>0. 05). AHI, HI and LSaO2 was were significantly correlated between AG200 and PSG (r=0.870,0.743,0.374,0.716,P<0.01). Conclusion:AG200 could not replace PSG but could identify the level of upper airway obstruction.-
Key words:
- sleep apnea-hypopnea syndromes /
- obstructive /
- polysomnography
-
-
[1] 中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会咽喉学组.阻塞性睡眠呼吸暂停低通气综合征诊断和外科治疗指南[J].中华耳鼻咽喉头颈外科杂志, 2009, 44 (2):95-96.
[2] MCNICHOLAS W T, BONSIGOE M R.Sleep apnoea as an independent risk factor for cardiovascular disease:current evidence, basic mechanisms and research priorities[J].Eur Respir J, 2007, 29:156-178.
[3] 杨大海, 李五一, 神平, 等.上气道压力测定在阻塞性睡眠呼吸暂停低通气综合征诊治中的应用[J].临床耳鼻咽喉头颈外科杂志, 2008, 22 (4):156-159.
[4] TVINNEREIM M, MITIC S, HANSEN R K.Plasma radiofrequency preceded by pressure recording enhances success for treating sleep-related breathing discords[J].Laryngoscope, 2007, 117:731-736.
[5] 神平, 李五一, 霍红, 等.便携睡眠监测阻塞定位仪与多道睡眠仪及纤维喉镜检查的比较[J].中华耳鼻咽喉头颈外科杂志, 2007, 42 (8):612-618.
[6] MORALES DIVO C, SELIVANOVA O, MEWES T, et al.Polysomnography and ApneaGraph in patients with sleep-related breathing disorders[J].ORL J Otorhinolaryngol Relat Spec, 2009, 71:27-31.
[7] SINGH A, AL-REEFY H, HEWITT R, et al.Evaluation of ApneaGraph in the diagnosis of sleep-related breathing disorders[J].Eur Arch Otorhinolaryngol, 2008, 265:1489-1494.
[8] 黄晶晶, 虞晓洁, 肖宽林, 等.睡眠监测及阻塞定位系统在睡眠相关呼吸紊乱疾病诊断中的应用[J].中国眼耳鼻喉科杂志, 2010, 10 (2):79-81.
[9] 李五一.OSAHS阻塞定位:上气道测压技术与形态学检查[J].中国医学文摘耳鼻咽喉科学, 2010, 25 (6):307-308.
-
计量
- 文章访问数: 152
- PDF下载数: 84
- 施引文献: 0