Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (6): 101-105.doi: 10.6040/j.issn.1673-3770.0.2023.173

• Clinical Study • Previous Articles     Next Articles

Clinical characteristics of patients with positional obstructive sleep apnea and their correlations with low arousal threshold

WANG Yuyu, ZHU Mei   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Published:2023-12-15

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Abstract: Objective To evaluate the clinical features and arousal threshold of patients with positional and non-positional obstructive sleep apnea. Methods All patients who underwent polysomnography(PSG)were enrolled, their demographic and polysomnographic data were collected, and arousal thresholds were calculated. These data were compared between the positional obstructive sleep apnea(POSA)and non-positional obstructive sleep apnea(NPOSA)groups. Results Among all the 322 patients with OSA, the prevalence of POSA was 48.8%. Patients with POSA had lower BMI, AHI and CT90(26.3 vs. 27.2, P=0.02; 23.2 vs. 56.2, P<0.001; 1.8 vs. 4.9, P=0.044), as well as higher lowest and average oxygen saturation(82.0 vs. 79.0, P=0.038; 95.0 vs. 94.1, P=0.019)compared to patients with NPOSA. Furthermore, a higher percentage of patients with POSA had a low arousal threshold compared to patients with NPOSA(29.3% vs. 8.5%, P<0.001). Conclusion POSA was associated with lower BMI and AHI. Low arousal threshold may play a role in the development of positional OSA.

Key words: Obstructive sleep apnea, Positional OSA, Clinical features, Arousal, Affect factor

CLC Number: 

  • R766
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