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

HTML

PDF (PC)

1725

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
[1] 中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会. 阻塞性睡眠呼吸暂停低通气综合征诊断和外科治疗指南[J].中华耳鼻咽喉头颈外科杂志,2009,44(2):95-96.
[2] 王宁宇,张娟.便携式睡眠监测仪发展现状[J].中国医学文摘耳鼻咽喉科学杂志,2010,25(6):302-304. WANG Ningyu, ZHANG Juan. Development current situation of portable monitoring devices[J]. News Reviews, 2010, 25(6):302-304.
[3] 孙小青,殷敏,程雷.便携式睡眠监测仪在阻塞性睡眠呼吸暂停综合征诊断中的应用[J].中华临床医生杂志(电子版),2011,5(6):1695-1697. SUN Xiaoqing, YIN Min, CHENG Lei. Validation of a portable monitoring devices for diagnosing patients with suspected obstructive sleep apnea-hypopnea syndrome[J]. Chin J Clinicians(Electr Ed), 2011, 5(6):1695-1697.
[4] 蒋丽君,林英忠,刘建红,等.Apnealink睡眠初筛监测仪的临床应用评价[J].中国临床新医学杂志,2013,6(2):102-106. JIANG Lijun, LIN Yingzhong, LIU Jianhong, et al. Validation of a portable sleep monitor(Apnealink)for identifying patients with suspected obstructive sleep apnea-hypopnea syndrome[J]. Chin J New Clin Med, 2013, 6(2):102-106.
[5] 蒲晓雯,梁宗安,雷飞,等.Hypno PTT监测仪对阻塞性睡眠呼吸暂停低通气综合征的诊断价值[J]. 中国呼吸与危重监护杂志,2005,4(3):214-217. PU Xiaowen, LIANG Zongan, LEI Fei, et al. Evaluation of Hypno PTT for diagnosing obstructive sleep apnoea/ hypopnoea syndrome[J]. Chin J Respir Crit Care Med, 2005, 4(3):214-217.
[6] 晋发,蔡伟,杨健,等.便携式睡眠监测仪对OSAHS的诊断价值[J].世界睡眠医学杂志,2014,1(5):287-289. JIN Fa, CAI Wei, YANG Jian, et al. The diagnosis Value of portable sleep monitor in OSAHS[J]. World J Sleep Med, 2014, 1(5):287-289.
[7] 欧阳顺林,郑佩霞,褚玉敏,等.便携式多导睡眠呼吸监测在成人阻塞性睡眠呼吸暂停低通气综合征诊断中的应用[J].中国耳鼻咽喉颅底外科杂志,2012,18(2):111-113. OUYANG Shunlin, ZHENG Peixia, CHU Yumin, et al. Application of portable sleep monitor to the diagnosis of obstructive sleep apnea hypopnea syndrome in adults[J]. Chin J Otorhinolaryngol Skull Base Surg, 2012, 18(2):111-113.
[8] 熊元平,易红良,孟丽丽,等.便携式睡眠监测与多道睡眠监测相关性初步研究[J].中国耳鼻咽喉头颈外科杂志(电子版),2011,18(8):395-398. XIONG Yuanping, YI Hongliang, MENG Lili, et al. A preliminary study of correlation between portable sleep monitoring and laboratory polysomnography[J]. Chin Arch Otolaryngol Head Neck Surg, 2011, 18(8):395-398.
[1] 朱明娟,邢凯,亢泽峰,刘健. 甲状腺相关性眼病的诊断及治疗进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 110-113.
[2] 钟建文,刘大波,罗向前,黄振云,仇书要,程超,杨李强,易新华,曾锦鸿. 可穿戴设备在儿童阻塞性睡眠呼吸暂停诊断中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 30-33.
[3] 王仙,李颖,赵博军. 息肉样脉络膜血管病变诊疗进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 103-106.
[4] 李俏丽,李超,王薇,蔡永聪,孙荣昊,周雨秋,税春燕, 黄璐,涂静. 术后放化疗后复发并侵及侧颅底的原发性腮腺鳞状细胞癌一例[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 87-88.
[5] 陈红,曹慧玲,窦鑫,高下. 右侧鼻腔小细胞神经内分泌癌一例并文献复习[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 89-92.
[6] 敬尚林. 儿童上气道咳嗽综合征临床诊疗现状[J]. 山东大学耳鼻喉眼学报, 2017, 31(6): 87-91.
[7] 潘永杰,孙国臣,臧传善. 喉颗粒细胞瘤四例报告并文献复习[J]. 山东大学耳鼻喉眼学报, 2017, 31(5): 104-106.
[8] 计早,阎艾慧. 鼻窦CT及MRI检查在单侧良性蝶窦病变中的临床应用[J]. 山东大学耳鼻喉眼学报, 2017, 31(3): 75-79.
[9] 接英,卢红双. 变应性结膜炎的诊疗策略[J]. 山东大学耳鼻喉眼学报, 2017, 31(3): 31-36.
[10] 王梦君综述, 李慧,马士崟审校. 鼻腔鼻窦恶性黑色素瘤的临床诊疗进展[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 116-120.
[11] 魏宁,赵雪,刘岩,刘悦,金春顺. 颈部Castleman病两例报告[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 123-126.
[12] 扈启迪,李耀君. 喉结核18例临床分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 85-89.
[13] 李静,殷敏,程雷. 美国睡眠医学学会2016年版成人阻塞性睡眠呼吸暂停诊断指南解读[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 18-20.
[14] 张湘民. 阻塞性睡眠呼吸暂停低通气综合征定位诊断之惑[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 4-7.
[15] 张幼芬,文连姬,于丹,刘岩,金成勋,谭月,韩双. 咽喉部梅毒三例[J]. 山东大学耳鼻喉眼学报, 2016, 30(6): 107-108.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
网站版权所有 © 2018 《山东大学耳鼻喉眼学报》编辑部　
地址：山东省济南市山大南路27号（250100）电话：+86-0531-88366912 E-mail: ebhxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发