山东大学耳鼻喉眼学报 ›› 2016, Vol. 30 ›› Issue (5): 61-64.doi: 10.6040/j.issn.1673-3770.0.2016.289

• 睡眠呼吸障碍性疾病 • 上一篇    下一篇

睡眠呼吸初筛仪诊断阻塞性睡眠呼吸暂停低通气综合征的临床应用评价

袁伟,章榕,王洪洪,余蕾蕾,孙建军,李进让,展慕霞   

  1. 海军总医院全军耳鼻咽喉头颈外科中心/睡眠呼吸障碍疾病诊疗中心, 北京 100048
  • 收稿日期:2016-06-24 出版日期:2016-10-20 发布日期:2016-10-20
  • 通讯作者: 孙建军. E-mail:jjsun85@sina.com E-mail:yuanweient@sina.co
  • 作者简介:袁伟. E-mail:yuanweient@sina.co

Application of portable sleep monitor(YH-600B)in diagnosis of obstructive sleep apnea-hypopnea syndrome.

YUAN Wei, ZHANG Rong, WANG Honghong, YU Leilei, SUN Jianjun, LI Jinrang, ZHAN Muxia   

  1. Center of Diagnosis and Treatment for Sleep Disease Breathing(SDB)&Otorhinolaryngology Head and Neck Surgery of PLA, Navy General Hospital, Beijing 100048
  • Received:2016-06-24 Online:2016-10-20 Published:2016-10-20

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摘要： 目的 评价睡眠呼吸初筛仪(YH-600B)对诊断阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床应用价值。 方法 选择打鼾患者156例, 用睡眠呼吸初筛仪进行临床监测,同时同步行整夜多导睡眠监测(PSG),通过对比两种监测方法的呼吸暂停低通气指数(AHI)、最低血氧饱和度(LSaO2)、氧减指数、CT90%等指标,评价睡眠呼吸初筛仪的灵敏性、特异性,以及与多导监测仪(PSG)的一致性。 结果 睡眠呼吸初筛仪与PSG诊断OSAHS的一致性为94.9%,特异性为86.3%,灵敏性为99.0%,Kappa=0.91,高度一致;与PSG诊断OSAHS分度的一致性为89.1%,Kappa=0.82,高度一致。 结论 睡眠呼吸初筛仪(YH-600B)诊断OSAHS具有高敏感性、特异性,与多导睡眠监测仪(PSG)有高度一致性,可用于临床常规诊断。

关键词: 睡眠呼吸暂停,阻塞性, 睡眠呼吸初筛仪, 诊断, 应用评价

Abstract: Objective To validate the portable sleep monitor(YH-600B)in the diagnosis of obstructive sleep apnea hypopnea syndrome( OSAHS)for use as a screening tool. Methods A total of 156 patients with suspected OSAHS were measured with SomteV2 polysomnography(PSG)and YH-600B portable sleep monitor in the meantime. The difference in apnea hypopnea index( AHI),the lowest SaO2(LSaO2), oxygen desaturation index and percentage of time spent at SaO2 below 90%(CT90%)of each parameter provided by the two diagnostic methods were compared, as well as the sensitivity and specificity of portable sleep monitor was evaluated. Results Sensitivity and specificity of YH-600B portable sleep monitor were 99.0% and 86.3% in detecting OSAHS comparing with PSG. The consistency of the two diagnostic methods was 94.9%(Kappa=0.91). The consistency of two methods in assessing the degree of OSAHS was 89.1%(Kappa=0.82). Conclusion The portable sleep monitor(YH-600B)is highly sensible and more exact especially in diagnosis of OSAHS, and therefore is suitable for routing clinical diagnosis.

Key words: Diagnosis, Application evaluation, Sleep apnea hypopnea syndrome, obstructive, Portable sleep monitor

中图分类号: 

  • R766.7
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