便携式睡眠呼吸监测对OSAHS的诊断价值

Diagnostic value of portable sleep monitor in patients with obstructive sleep apnea syndrome

目的探讨便携式睡眠呼吸监测(PM)对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的诊断价值。方法对156例临床打鼾的患者首先行PM检查,经PM诊断为OSAHS患者,进一步行多导睡眠监测(PSG),比较两者监测参数的差异。结果 156例患者经PM诊断为OSAHS共有124例,单纯鼾症32例。两种检查方法在呼吸暂停低通气指数(AHI)、氧减指数(ODI)、最低血氧饱和度(LSpO2)、平均血氧饱和度(MSpO2)等参数之间的差异无统计学意义(P>0.05)。结论 PM是一种简单、方便、灵敏的检测方法,对OSAHS具有临床诊断价值,适合基层医院推广应用。

Objective To evaluate the diagnostic value of portable sleep monitor （ PM） in the diagnosis of patients with obstructive sleep apnea syndrome （OSAHS）. Methods PM system was applied to 156 patients with snoring. If the patient was diagnosed as OSAHS by PM, further examination was performed by polysomnography （ PSG） . The results were analyzed to compare the difference of each parameter between the PM and PSG in the fol-low-up. Results 124 patients were diagnosed to be OSAHS and 32 patients be simple snore by PM in 156 patients. There was no significant difference in apnea hypopnea index （ AHI） , oxygen desaturation index （ ODI） , the lowest SpO2 （ LSpO2 ） and the mean SpO2 （ MSpO2 ） between the two kinds of monitoring systems （ P〉0. 05 ） . Conclusion As a simple, convenient and sensitive detection method with high diagnostic value for OSAHS, PM is worthy of widely clinical application in primary-care hospital.