四量表评分在糖尿病患者中筛查阻塞性睡眠呼吸暂停的效果观察

Screening of obstructive sleep apnea hypopnea syndrome in diabetic patients using 4-variable score

目的了解四变量评分在糖尿病患者中筛查阻塞性睡眠呼吸暂停(OSAHS)患者的效果。方法回顾性分析490例糖尿病可疑OSAHS患者多导睡眠图(PSG)、Berlin问卷、STOP-Bang问卷(SBQ)、Epworth嗜睡量表(ESS)评分、四量表评分资料,按呼吸暂停低通气指数分为正常组(118例)及轻度(111例)、中度(99例)、重度(162例)OSAS组。根据试验结果获取工作特征(ROC)曲线,比较4个问卷对OSAS筛查价值。结果对于中重度OSAS,四量表评分的ROC曲线下面积、敏感性均优于Berlin问卷、SBQ、ESS。结论四量表评分可高效、便捷筛查糖尿病患者中OSAS。

Objective To evaluate the screening of obstructive sleep apnea syndrome(OSAS)in diabetic patients using 4-variable score.Methods The data of polysomnography,Berlin questionnaire,STOP-Bang questionnaire(SBQ),Epworth Sleepiness Scale(ESS),and 4-variable score in 490 diabetic patients with suspected OSAHS were retrospectively analyzed.These subjects were divided into normal(n=118)and mild(n=111),moderate(n=99),and severe(n=162)OSAS groups according to apnea-hypopnea index.The receiver operator characteristic(ROC)curve was calculated based on experimental results,and screening value of OSAS was compared among 4 questionnaires.Results The area under ROC curve and sensitivity of 4-variable score were superior to those of Berlin questionnaire,SBQ and ESS for moderate and severe OSAS.Conclusion The 4-variable score could be effective and convenient for screening of OSAS in diabetic patients.