Epworth嗜睡量表和微觉醒指数在单纯鼾症患者病情评估的价值

doi:10.6040/j.issn.1673-3770.0.2016.466

山东大学耳鼻喉眼学报 ›› 2017, Vol. 31 ›› Issue (1): 38-40.doi: 10.6040/j.issn.1673-3770.0.2016.466

Epworth嗜睡量表和微觉醒指数在单纯鼾症患者病情评估的价值

陈曦,章榕,王洪洪,李进让,孙建军

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:2016-11-08 出版日期:2017-02-16 发布日期:2017-02-16

The significance of Epworth sleepiness scale and micro-arousal index in simple snoring.

Center of Diagnosis and Treatment for Sleep-Disordered Breathing &Otorhinolaryngology Head and Neck Surgery of PLA, Navy General Hospital, Beijing 100048, China

Received:2016-11-08 Online:2017-02-16 Published:2017-02-16

摘要/Abstract

摘要： 目的探讨Epworth嗜睡量表(ESS)和微觉醒指数在单纯鼾症患者病情评估的价值。方法经多导睡眠监测(PSG)确诊的358例单纯鼾症患者,按嗜睡程度分为3组,即嗜睡轻度组(ESS≤12)、中度组(13≤ESS≤17)、重度组(18≤ESS),分别对各组间微觉醒指数(MAI)、睡眠呼吸暂停低通气指数(AHI)、呼吸暂停指数(AI)、低通气指数(HI)、最低血氧饱和度(LSaO₂)、体质量指数(BMI)进行比较。ESS与MAI进行相关性分析。结果轻度嗜睡组286例,中度嗜睡组43例,重度嗜睡组29例,3组间AHI、AI、HI、LSaO₂、BMI差异无统计学意义(P>0.05),轻度组与重度组、中度组与重度组间微觉醒指数差异有统计学意义(U=-8.030, -5.604, P<0.05),轻度组与中度组微觉醒指数差异无统计学意义(U=-1.623, P>0.05),ESS与MAI呈正相关(r=0.331, P<0.05)。结论 Epworth嗜睡量表和微觉醒指数对单纯鼾症患者病情评估有重要价值。

关键词: Epworth嗜睡量表, 微觉醒指数, 单纯鼾症

Abstract: Objective To explore the significance of Epworth sleepiness scale(ESS)and micro-arousal index in simple snoring. Methods Polysomnography(PSG)recordings of 358 adults with simple snoring were divided into 3 groups according to ESS: mild group(n=286, ESS≤12), moderate group(n=43, 13≤ESS≤17)and severe group(n=29, 18≤ESS). The apnea hypopnea index(AHI), apnea index(AI), hypopnea index(HI), the lowest oxygen saturation(LSaO₂), micro-arousal index(MAI), and body mass index(BMI)were compared. Results The differences in AHI, AI, HI, LSaO₂ and BMI were not significant among the 3 groups(P>0.05). Significant differences were observed in MAI between mild and severe groups, moderate and severe groups(U=-8.030, -5.604, P<0.05, respectively). ESS was significantly correlated to MAI(r=0.331, P<0.05). Conclusion MAI and ESS are important to evaluate the severity of simple snoring.

Key words: Epworth sleepiness scale, Snoring, Micro-arousal index

中图分类号:

R766.7

陈曦,章榕,王洪洪,李进让,孙建军. Epworth嗜睡量表和微觉醒指数在单纯鼾症患者病情评估的价值[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 38-40.

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Epworth嗜睡量表和微觉醒指数在单纯鼾症患者病情评估的价值

The significance of Epworth sleepiness scale and micro-arousal index in simple snoring.

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