血氧监测手环对于阻塞性睡眠呼吸暂停低通气综合征的初筛临床价值分析

Analysis of the clinical value of blood oxygen monitoring bracelet for OSAHS

目的探讨血氧监测手环对于阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的初筛临床价值。方法选取我院120例OSAHS患者,根据呼吸暂停低通气指数(AHI)将其分为轻、中、重度组,比较3组患者在持续气道正压同期治疗前后的夜间脉搏升高指数(NPEI)、平均心率,并计算其敏感性以及特异性,绘制受试者工作特征曲线。结果 3组治疗后NPEI均低于治疗前(P<0.05)。Spearman相关分析显示平均心率、心率标准差、NPEI与AHI间均有明显相关性(P<0.05)。结论血氧监测手环应用于OSAHS初筛具有较高的临床价值。

Objective To analyze the clinical screening value of blood oxygen monitoring bracelet for obstructive sleep apnea syndrome （OSAHS）. Methods One hundred and twenty patients with OSAHS were divided into light, mild and severe groups accord- ing to apnea hypopnea index （AHI）. The nocturnal pulse elevation index （NPEI） and average heart rate were compared among the 3 groups before and after continuous airway positive pressure. Meanwhile, the ROC curve was used to analyze its sensitivity and specifici- ty. Results The NPEI was lower in the 3 groups after treatment compared to before treatment （ P 〈 0. 05）. Spearman correlation analy- sis showed that the average heart rate, heart rate standard deviation, NPEI and AHI were significantly correlated （P 〈 0. 05 ）. Conclusion The blood oxygen-monitoring bracelet for OSAHS screening has a highly clinical value.