Giudici S, Farmer W, Dollinger A, Andrada T, Torrington K, Rajagopal K
Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC, USA.
Ann Otol Rhinol Laryngol. 2000 Jul;109(7):646-9. doi: 10.1177/000348940010900706.
The Epworth Sleepiness Scale (ESS) has been recognized as a valid measure of sleep propensity. Statistically significant correlations between ESS scores, the respiratory disturbance index (RDI), and the lowest arterial oxygen saturation (LSAT) have been described in patients with surgically untreated obstructive sleep apnea (OSA). We investigated whether the same relationships hold true after uvulopalatopharyngoplasty (UPPP). Forty-two adults with documented OSA treated by UPPP were reevaluated with the ESS questionnaire and 8-hour diagnostic nocturnal polysomnography (nPSG). We found no significant correlation between the ESS scores and the RDI or LSAT in patients after UPPP. Because postoperative ESS scores do not correlate with the RDI or LSAT, we conclude that the ESS is not a reliable surrogate for nPSG testing.
Epworth嗜睡量表（ESS）已被公认为是一种有效的睡眠倾向测量方法。在未经手术治疗的阻塞性睡眠呼吸暂停（OSA）患者中，ESS评分、呼吸紊乱指数（RDI）和最低动脉血氧饱和度（LSAT）之间存在统计学上的显著相关性。我们研究了悬雍垂腭咽成形术（UPPP）后这些关系是否依然成立。对42例经UPPP治疗的确诊OSA成年患者，使用ESS问卷和8小时夜间诊断性多导睡眠图（nPSG）进行重新评估。我们发现UPPP术后患者的ESS评分与RDI或LSAT之间无显著相关性。由于术后ESS评分与RDI或LSAT不相关，我们得出结论，ESS并非nPSG检测的可靠替代指标。
