单纯鼾症和阻塞性睡眠呼吸暂停低通气综合征患者声压级参数的影响因素研究

The influence factors of sound pressure level parameters in patients with simple snoring and obstructive sleep apnea hypopnea syndrom

目的:探讨影响单纯鼾症(SS)和阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者声压级参数大小的主要因素。方法:对84例鼾症患者进行多导睡眠监测和同步鼾声声压级记录。分析AHI、年龄、BMI、腹围、颈围、LSaO2和总呼吸暂停时间与声级计参数等效连续A声级(LAeq)和最大声压级(L10)相关性。结果:LAeq与AHI(P=0.000)和BMI(P=0.007)相关,OR值分别为5.74和2.09,而与年龄、腹围、颈围、LSaO2和总呼吸暂停时间无关;L10与AHI(P=0.000)和BMI(P=0.032)相关,OR值分别为4.11和2.33,与年龄、腹围、颈围、LSaO2和总呼吸暂停时间无关。结论:影响鼾声声级计参数LAeq和L10的最主要的因素是AHI和BMI。

Objective：To discuss the main influence factors of sound pressure level parameters in patients with simple snoring （SS） and obstructive sleep apnea hypopnea syndrom （OSAHS）. Method： Eighty-four cases with snoring disease underwent polysomnography and simultaneously snoring sound pressure level recording. The cor- relations between AHI, age, BMI, abdomen circumference, neck circumference, the lowest oxygen saturation , total apnea time and sound pressure level parameters：equivalent continuous sound level（LAeq）and maximum sound pressure level（L10 ） were analyzed. Result： LAeq was significantly correlated to AHI （P=0. 000） and BMI （P=0. 007）, and the odd ratios of AHI and BMI were 5.74,2.09 respectively, but it was unrelated to age, abdomen circumference, neck circumference, the lowest oxygen saturation and total apnea time. A significantly association also existed between L10 and AHI（P=0. 000）, BMI（P=0. 032）, and the odd ratios were 4.11 and 2.33 respectively. Other factors had nothing to do with L10. Conclusion：The main factors which affect the snoring sound pressure level parameters LAeq and L10 are AHI and BMI.