测鼾贴在睡眠呼吸紊乱性疾病中的应用

Evaluation of Sleepstrip in screening for sleep disorder breathing

对30例需要进行睡眠监测的患者，同时采用多导睡眠监测仪（polysomnography，PSG）和测鼾贴进行监测，并将测鼾贴对睡眠呼吸紊乱（sleep disorder breathing，SDB）评判的结果与PSG监测结果进行对照分析。测鼾贴显示为“0”相当于呼吸暂停低通气指数（AHI）〈15次／h，“1”相当于AHI15～24次／h，“2”相当于AHI25～40次／h，“3”相当于AHI〉40次／h，“E”为测试过程出现错误。测鼾贴结果为“0”的9例，PSG测得其AH10．2～11．1次／h；显示“1”的3例，AHI4．5—17．6次／h；显示“2”的4例，AHI14．1～31．3次／h；显示“3”的14例，AHI30．3～117．4次／h。测鼾贴结果与PSG不符的6例，测鼾贴分级和AHI的Spearman相关系数为0．916。如以AHI15次／h为分界点，测鼾贴的敏感性为100％，特异性为75％。说明测鼾贴是一种对睡眠呼吸紊乱筛查准确率较高且简便的检测手段。

Thirty outpatients were monitored by polysomnography （PSG） and Sleepstrip at same time. Evaluation of Sleepstrip on sleep disorder breathing （SDB） was performed with results of PSG as the ＂gold standard＂. Among 30 patients, 25 were male, 5 female with an average age of 41. The average body mass index was 27± 5. Sleep time was （492 ±68） rain, sleep latent period （ 25 ± 30） rain ; sleep efficiency （90 ± 10）% , the lowest SaO2 （76±12）%. All Sleepstrip proceeded successfully. Six cases monitored by Sleepstrip were different from that monitored by PSG. Spearman eorreJation between Sleepstrip grading and AHI value was 0. 916. Sensitivity and specificity of Sleepstrip were 100% and 75% when AHI 15 was taken as the cut-off value. Sleepstrip is a convenient and comparatively accurate device in screening for SDB.