可穿戴设备在儿童阻塞性睡眠呼吸暂停诊断中的应用

doi:10.6040/j.issn.1673-3770.0.2017.535

摘要/Abstract

摘要： 目的探讨和评估可穿戴设备应用于儿童阻塞性睡眠呼吸暂停(OSA)诊断的可行性。方法随机抽查48例患儿,同步进行可穿戴设备和多导睡眠监测(PSG),其中46例数据有效,分析和比较两者得出的有关OSA诊断的数据。结果可穿戴设备与PSG监测结果相比较,两者的氧减指数(ODI)中位数分别为3.55(2.12,10.04)次/h和3.23(1.12,8.89)次/h,平均血氧分别为(95.93±1.67)%、(95.52±1.27)%,最低血氧饱和度分别为(83.80±7.47)% 、(85.63±6.41)%,差异无统计学意义(P>0.05),可穿戴设备诊断OSA的敏感度为88.89%,特异度为60%,准确度为82.61%,KAPPA值为0.49;可穿戴设备操作耗时及费用均少于PSG。结论可穿戴设备能够准确得出血氧饱和度和氧减指数,判断OSA具有较高的准确度,且操作简便,费用较低,可用于OSA的筛查以及手术前后病情变化的评估。

关键词: 睡眠呼吸暂停, 阻塞性, 儿童, 诊断, 可穿戴设备

Abstract: Objective This study aimed to evaluate the feasibility of using wearable devices for the diagnosis of obstructive sleep apnea(OSA)in children. Methods This study included 48 children diagnosed with obstructive sleep apnea; all underwent both, use of wearable devices and full polysomnography(PSG). Data from 46 cases were valid and were analyzed. Results There was no significant difference between wearable devices and PSG in the oxyhemoglobin desaturation index,(median 3.55 ［2.12, 10.04］ vs 3.23 ［1.12, 8.89］, P>0.05), mean oxygen saturation(95.93±1.67 vs 95.52±1.27, P>0.05), or lowest arterial oxygen saturation(83.80±7.47 vs 85.63±6.41, P>0.05). In addition, the sensitivity, specificity, accuracy, and KAPPA of wearable devices for the diagnosis of OSA were 88.89%, 60%, 82.61%, and 0.49, respectively. Wearable devices were associated with less surgical time and lower cost than PSG. Conclusion Wearable equipment are characterized by high accuracy, easy operation, and are cost-effective; furthermore, they can be used for screening and evaluation of OSA pre- and post-operatively.

Key words: Sleep apnea, Obstructive, Diagnosis, Wearable devices, Children

中图分类号:

R766.7

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.

ZHONG Jianwen, LIU Dabo, LUO Xiangqian, HUANG Zhenyun, QIU Shuyao, CHENG Chao, YANG Liqiang, YI Xinhua, ZENG Jinhong. The application of wearable devices in the diagnosis of children obstructive sleep apnea[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 30-33.

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