便携式睡眠监测仪与多导睡眠监测仪同步监测相关指标分析

傅则名; 苏凯; 赵胤; 文连姬

doi:10.13201/j.issn.1001-1781.2017.16.013

便携式睡眠监测仪与多导睡眠监测仪同步监测相关指标分析

- 吉林大学第二医院耳鼻咽喉科(长春, 130041)

详细信息

通讯作者: 文连姬,E-mail:wlj_3859@163.com

中图分类号: R563.8

收稿日期: 2016-12-18

Analysis of related factors between portable monitoring and polysomnography

- Department of Otorhinolaryngology, the Second Hospital of Jilin University, Changchun, 130041, China

More Information

Corresponding author: WEN Lianji, E-mail: wlj_3859@163.com

Received Date: 18 December 2016

摘要

摘要: 目的：分析便携式睡眠监测仪与多导睡眠监测仪同步监测疑似OSAHS患者的相关指标，评估便携式睡眠监测仪在诊断OSAHS中的价值。方法：应用便携式睡眠监测仪与多导睡眠监测仪对39例疑似OSAHS患者进行整夜同步睡眠呼吸监测，比较分析两种仪器在呼吸暂停低通气指数（AHI）、平均动脉血氧饱和度（MSaO₂）、最低动脉血氧饱和度（LSaO₂）、血氧饱和度小于90%的累积时间占总监测时间的百分比（CT90%）、氧减指数（ODI）、呼吸暂停次数（A）、低通气次数（H）等指标的相关性。结果：根据AHI大小将39例疑似OSAHS患者按病情分度，经多导睡眠监测仪诊断重度26例，中度8例，轻度5例；经便携式睡眠监测仪诊断重度30例，中度5例，轻度4例。便携式睡眠监测仪与多导睡眠仪各指标比较，AHI差异有统计学意义，LSaO₂、MSaO₂、ODI、CT90%、A、H等参数差异无统计学意义。结论：与多导睡眠监测仪相比，便携式睡眠监测仪各项指标相关性良好，具有较高的临床诊断价值。但对于病情严重程度的诊断仍待提高。
- 睡眠呼吸暂停低通气综合征,阻塞性 /
- 便携式睡眠监测仪 /
- 多导睡眠监测仪
Abstract: Objective: To analyze the related factors of portable monitoring and polysomnography in simultaneous monitoring of suspected OSAHS cases. To evaluate the application of portable monitoring in the diagnosis of OSAHS.Method: All patients underwent a simultaneous monitoring of both portable monitoring and polysomnography. Both the parameters of apnea hypopnea index(AHI), lowest oxygen saturation(LSaO₂),mean oxygen saturation(MSaO₂), percentage of time with an oxygen saturation below 90%(CT90%),oxygen desaturation index(ODI),the number of apnea and hypopnea were collected and analyzed.Result: Both the portable monitoring and polysomnography showed 39 cases met the diagnostic criteria for OSAHS. Polysomnography showed 26 severe cases, 8 moderate cases and 5 mild case. Portable monitoring showed 30 severe cases, 5 moderate cases and 4 mild cases. Comparing portable monitoring with polysomnography, the parameter of AHI had a significant difference. MSaO₂, LSaO₂, CT90%,ODI,the number of apnea and hypopnea had no significant difference.Conclusion: Compared portable monitoring's indicators with polysomnography's indicators, both correlated well. Portable monitoring has a high diagnostic value. But the diagnostic accuracy in the severity of the disease should be improved.
- sleep apnea hypopnea syndrome, obstructive /
- portable monitoring /
- polysomnography

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参考文献(7)

[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]	COLLOP N A, ANDERSON W M, BOEHLECKE B, et al.Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients[J].J Clin Sleep Med, 2007, 3:737-747.
[3]	VAN SURELL C, LEMAIGRE D, LEROY M, et al.Evaluation of an ambulatory device, CID 102, in the diagnosis of obstructive sleep apnoea syndrome[J].Eur Respir J, 1995, 8:795-800.
[4]	欧阳顺林, 郑佩霞, 褚玉敏, 等.便携式多导睡眠呼吸监测在成人阻塞性睡眠呼吸暂停低通气综合征诊断中的应用[J].中国耳鼻咽喉颅底外科杂志, 2012, 18(2):111-113.
[5]	熊园平, 易红良, 孟丽丽, 等.便携式睡眠监测与多道睡眠监测相关性初步研究[J].中国耳鼻咽喉头颈外科, 2011, 18(8):395-398.
[6]	王宁宇, 张娟.便携式睡眠监测仪发展现状[J].中国医学文摘耳鼻咽喉科学, 2010, 25(6):302-304.
[7]	YIN M, MIYAZAKI S, ISHIKAWA K.Evaluation of type 3portable monitoring in unattended home setting for suspected sleep apnea:factors that may affect its accuracy[J].Otolaryngol Head Neck Surg, 2006, 134:204-209.