Epworth嗜睡量表和微觉醒指数在单纯鼾症患者病情评估的价值

The significance of Epworth sleepiness scale and micro-arousal index in simple snoring

目的探讨Epworth嗜睡量表(ESS)和微觉醒指数在单纯鼾症患者病情评估的价值。方法经多导睡眠监测(PSG)确诊的358例单纯鼾症患者,按嗜睡程度分为3组,即嗜睡轻度组(ESS≤12)、中度组(13≤ESS≤17)、重度组(18≤ESS),分别对各组间微觉醒指数(MAI)、睡眠呼吸暂停低通气指数(AHI)、呼吸暂停指数(AI)、低通气指数(HI)、最低血氧饱和度(LSaO_2)、体质量指数(BMI)进行比较。ESS与MAI进行相关性分析。结果轻度嗜睡组286例,中度嗜睡组43例,重度嗜睡组29例,3组间AHI、AI、HI、LSaO_2、BMI差异无统计学意义(P>0.05),轻度组与重度组、中度组与重度组间微觉醒指数差异有统计学意义(U=-8.030,-5.604,P<0.05),轻度组与中度组微觉醒指数差异无统计学意义(U=-1.623,P>0.05),ESS与MAI呈正相关(r=0.331,P<0.05)。结论 Epworth嗜睡量表和微觉醒指数对单纯鼾症患者病情评估有重要价值。

Objective To explore the significance of Epworth sleepiness scale（ ESS） and micro-arousal index in simple snoring. Methods Polysomnography（ PSG） recordings of 358 adults with simple snoring were divided into 3 groups according to ESS： mild group（ n = 286,ESS≤12）,moderate group（ n = 43,13≤ESS≤17） and severe group（ n =29,18≤ESS）. The apnea hypopnea index（ AHI）,apnea index（ AI）,hypopnea index（ HI）,the lowest oxygen saturation（ LSaO2）,micro-arousal index（ MAI）,and body mass index（ BMI） were compared. Results The differences in AHI,AI,HI,LSaO2 and BMI were not significant among the 3 groups（ P〈0. 05）. Significant differences were observed in MAI between mild and severe groups,moderate and severe groups（ U =-8. 030,-5. 604,P〈0. 05,respectively）. ESS was significantly correlated to MAI（ r = 0. 331,P〈0. 05）. Conclusion MAI and ESS are important to evaluate the severity of simple snoring.