床垫式睡眠监测系统在自动压力滴定中的初步观察

Initial observation of micro-movement sensitive mattress sleep monitoring system in auto-pressure titration

目的探讨微动敏感床垫式睡眠监测系统(MSMSMS)在监测阻塞性睡眠呼吸障碍患者(OSAHS)自动压力滴定中的应用价值。方法用MSMSMS对71例OSAHS患者自动压力滴定中同步睡眠监测,并与治疗前进行比较,将监测结果与呼吸机自动压力滴定结果比较分析。结果①59例(83.1%)完成整夜自动压力滴定,滴定夜较滴定前呼吸暂停低通气指数(AHI)降低幅度平均(88.1±6.6)%,血氧饱和度明显改善,MSMSMS监测AHI结果数值大于呼吸机,差异有统计学意义(P<0.001);②12例(16.9%)监测期间中止滴定。结论 MSMSMS简便、无干扰,可作为OSAHS患者自动压力滴定中同步监测的方法,保证睡眠安全,结合呼吸机滴定结果,更好地评估初步疗效及依从性以指导治疗。

Objective To explore the clinical value of the micro-movement sensitive mattress sleep monitoring system （MSMSMS）in auto-pressure titration for patients with obstructive sleep apnea-hypopnea syndrome （OSAHS）. Methods 71 OSAHS patients treated by respirator with auto-pressure titration were simultaneously monitored by MSMSMS and the results were compared with that of pre-therapy, as well as the automatic pressure titration results between MSMSMS and respirator. Results 59 patients （83.1%） completed the whole night pressure titration while 12 patients （16.9%） didn’t. Compared with the pre-therapy data, MSMSMS showed that the sleep apnea-hypopnea index（AHI） of the 59 patients was reduced 88.1%±6.6% on average at titration night and the blood oxygen saturation was also significantly improved. The titration results showed that AHI monitored by MSMSMS was greater than that by the respirator（P〈0.001）. Conclusion MSMSMS shows many advantages, such as convenience and no interference. As a simultaneous monitoring method, MSMSMS could be adopted to ensure the quality of sleep of OSAHS patients during the auto-pressure titration. With the titration results from respirator, it could be better to evaluate the initial treatment effect and compliance of patients with OSAHS and guide the treatment.