Epworth嗜睡量表和颈围对阻塞性睡眠呼吸暂停低通气综合征患者病情评估的意义

目的评价Epworth嗜睡量表（epworthsleepinessscale，ESS）和颈围对评估阻塞性睡眠呼吸暂停综合征（OSAHS）患者病情的意义。方法经多导睡眠监测仪（polysomnography，PSG）确诊的OSAHS患者96例，单纯鼾症30例，所有对象均进行ESS评分和颈围测量，并比较两组患者ESS评分、颈围和睡眠呼吸暂停低通气指数（AHI）、夜间最低血氧饱和度（LSaO，）的关系。结果ESS评分、颈围在鼾症组、OSAHS组差异有统计学意义（P〈0．05），且ESS评分、颈围与AHI呈正相关，而与LSa02呈负相关。结论ESS评分、颈围与OSAHS患者的病情严重程度相关，可用于基层医院及在人群疾病普查时对可疑OSAHS患者进行初筛诊断。

Objective To understand the significance of Epworth sleepiness scale （ ESS ） and neck circumference on evaluating severity of obstructive sleep apnea hypopnea syndrome （ OSAHS ） . Methods 96 patients were diagnosed with OSAHS by polysomnography （ PSG ） , other 30 patients were diagnosed with simple snoring. All subjects received ESS test and neck circumference measurement. Then we evaluated the relationship between ESS score, neck circumference and apnea hyponea index （ AHI ） , nocturnal lowest oxygen saturation （ LSaO2 ） , compared these data between OSAHS group and simple snoring group. Result There were significant differences between simple snoring group and OSAHS for ESS score and neck circumference respectively （ P〈0.05 ） . ESS score and neck circumference showed positive correlation to AHI （ P〈0.01 ） and negative correlation to nocturnal LSaO2 （P〈0.01） . Conclusion ESS score and neck circumference are related with the severity of OSAHS, and can be used in the prescreening of OSAHS during general investigation of disease in basic unit hospitals.