北京市医院睡眠监测报告现状分析

Analysis of the PSG Reports from 10 Beijing Hospitals

目的通过对北京市医院睡眠监测报告(报告)结构和内容的分析,了解目前报告现状和存在问题,为今后制定规范的报告形式提供客观依据。方法对北京市10家医院190份报告内容分三部分进行信息资料汇总统计。第一部分,依据睡眠疾病常用诊断指标将报告内容分为十大类共60项细目,每项细目正确填写者得1分,缺项不得分。第二部分,将报告按照编制形式划分为3组:设备软件编制的报告、睡眠监测技师编制的报告、前二者组合的报告。第三部分,按文字处理方法分为3类:中文报告、英文报告和中英文混合报告。对第一部分得分的百分比,运用分层聚类分析方法对各家报告进行分组,对分组后的数据再进行比较,找出差异和问题;对第二和第三部分数据进行统计描述。结果聚类分析将医院分为3组,第1组有4家医院,第2组有5家医院,第3组只有1家医院。10家医院报告中的个人信息项有1家医院得分的百分比为45.7%,其余均>85.7%。睡眠结构、呼吸事件、低氧事件得分的百分比分别为33.3%～100.0%、46.1%～100.0%和66.7%～100.0%。体位记录、体动记录、心电事件、趋势图得分为0的医院编号分别为6、9、4、2。监测总结得分的百分比有2家医院>90.0%。10家报告编制形式均以设备软件提供的报告为主,只有1家医院对睡眠监测中的重要数据有总结性描述。10家报告文字的书写以中文形式占20.0%,英文形式占40.0%,中英文混编形式占40.0%。结论 10家医院睡眠监测报告内容框架齐全,细目叙述质量参差不齐,规范睡眠监测报告是亟待解决的问题,可根据睡眠疾病诊断标准制定规范统一的报告模板。

Objective To develop a standard report template by studying the PSG reports from the hospitals in Beijing and analyzing the problems embedded in the reports. Methods 190 PSG reports from 10 hospitals were divided into three groups to make the information data analysis.The first group fell into 10 categories,including 60 items according to the diagnose criteria on sleep disorders.If the item was filled in correctly 1 point would be recorded,otherwise the 0 point would be recorded.The second group fell into 3 parts according to the generated patterns：the patterns generated by the PSG equipment suppliers,the patterns generated by the technician and the patterns combined by both above.The third group was divided into 3 kinds according to different languages：Chinese,English and the mixture of both.In the first group,according to the percentage of the scores gained each hospital report was reclassified into different groups by Hierarchical cluster analysis in order to dig out the problems in the PSG reports by comparing with each other.In the second and third groups,the descriptive statistical analysis was made for the data above. Results The data which were collected from 10 hospitals were split into 3 groups by Hierarchical cluster analysis：one group included 4 hospitals,one group included 5 hospitals and one group included 1 hospital.In the 10 hospital reports,only one hospital got the percentage of 45.7% in the item of personal information and the percentages of other hospitals were all above 85.7%.In Sleep structure,breathing events and low oxygen events,the score percentages were 33.3% ~ 100.0%,46.1% ~ 100.0% and 66.7% ~ 100.0% respectively.In body position,body movement,ECG and tendency chart,the serial numbers of the hospital with the percentage of 0 were 6、9、4、2 respectively.And the percentages of two hospitals in monitoring summary were great than 90.0%.It was the common issue about the incompleteness of the summary part in PSG reports and only the PSG reports from 2 hospitals gave the detail summary relatively.The generated PSG patterns of the 10 hospitals were all provided by the PSG equipment suppliers and only one report gave the detailed summary discription on important data.The word processing pattern was 20% in Chinese,40% in English and 40% in both. Conclusion From the analysis of the PSG reports from 10 hospitals in Beijing,the basic frameworks were complete,but the discripitons in each detail item were on various levels.The PSG report template should be formulated according to diagnosis criteria on the sleep disorders and it was an eager issue to be solved to establish the standard PSG report template.