山东大学耳鼻喉眼学报

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阻塞性睡眠呼吸暂停低通气综合征患者生存质量的相关因素分析

吴继勇,徐恒光   

  1. 徐州医学院附属连云港市第一人民医院耳鼻喉科, 江苏 连云港 222000
  • 收稿日期:2005-09-30 修回日期:1900-01-01 出版日期:2006-12-24 发布日期:2006-12-24
  • 通讯作者: 吴继勇

Influencing factors on the health related quality of life of patientwith obstructive sleep apnea hypopnea syndrome

WU Ji-yong, XU Heng-guang   

  1. Department of Otolaryngology,Lianyungang First People's Hospital, Xuzhou Medical College,Lianyungang 222000, Jiangsu, China
  • Received:2005-09-30 Revised:1900-01-01 Online:2006-12-24 Published:2006-12-24
  • Contact: WU Ji-yong

摘要: 目的: 探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者健康生活质量(HRQoL)与多导睡眠检测参数、白天过度嗜睡之间的关系。 方法:对确诊的96例OSAHS患者采用中文版SF36评估HRQoL、Epworth嗜睡量表(ESS)评价EDS,用简单直线相关方法分析SF36评分、ESS评分和PSG参数等之间的关系。结果:ESS评分和AHI、觉醒指数呈正相关,与最低血氧呈负相关;与AHI有显著相关的是躯体功能和一般健康状况;只有躯体疼痛与最低血氧饱和度呈显著相关。在SF36量表中与觉醒指数有显著相关的是躯体功能和躯体角色。结论:患者的主观评价和SF36量表中各维度、觉醒反应的频繁次数显著相关;是躯体健康问题降低了患者的生活质量,而不是情绪问题。

关键词: 睡眠呼吸暂停低通气综合征, 阻塞性, 生活质量, SF36

Abstract: To assess the association of healthrelated quality of life(HRQoL) with the polysommographic parameters and the excessive daytime sleepiness(EDS). Methods: Ninetysix patients with OSAHS were assessed the HRQoL by using the SF36 and the EDS by using the Epworth sleepiness scale(ESS). The association between each domain on SF36, the polysommographic parameters and ESS score were examined by Person linear correlation. Results: ESS scores positively correlated with the arousal index and AHI and negatively with the lowest arterial oxygen.The factors significantly correlated with AHI were the physical functioning and the general health subscales of the SF36. Only the body pain significantly correlated with the mean lowest SaO2. Among the SF36 subscales, the physical functioning and the role of physical subscale correlated with the arousal index. Conclusions: Several subjective complaints and subscales of the SF36 correlate significantly with a frequency of SDBrelated arousal. Patients perceive that their quality of life has been impaired more by an organic health problem than by an emotional problem.

Key words: obstructive, Sleep apnea hypopnea syndromes, Healthrelated quality of life, SF36

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