Lin Zhonghui, Han Demin, Lin Yuhua, Wang Jun, Chen Xuejun
Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Beijing Tongren Hospital, Capital University of Medical Sciences, Beijing 100730, China.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2002 Aug;37(4):283-6.
(1) To analyze upper airway resistance syndrome (UARS) patients' polysomnographic characteristics, to lower the misdianosis of UARS. (2) To improve the understanding of UARS.
(1) Select 12 UARS patients diagnosed by PSG and continuous esophageal pressure measurement, the sleep structure, arousal index, apnea hyponea index (AHI) were analyzed, the body mass index (BMI), epworth sleepiness scale (ESS) were calculated. (2) Select 16 simple snoring cases as the control group, obstructive sleep apnea syndrome (OSAS) and UARS were ruled out by PSG and continuous esophageal pressure measurement for this group of cases. (3) Compare the 2 groups' first night PSG indexes (4) Compare the 2 nights PSG indexes of the UARS group, to see the continuous esophageal pressure measurement effects on their sleep.
(1) There are no statistical difference of the 2 group's BMI and AHI. (2) Compared with the control group, UARS patients got higher arousal index and ESS score, more sleep stage 1 and stage 2, less sleep stage 3 and stage 4. (3) The 2 nights PSG indexes of UARS patients are not statistically different.
(1) Compared with simple snoring cases, the UARS patients have some special characteristics, i.e., higher arousal index, less deep sleep, and higher ESS score, combined with the clinical manifestations, it is possible to screen UARS patients. (2) No evident effects of continuous esophageal pressure measurement on UARS patients sleep.
(1)分析上气道阻力综合征(UARS)患者的多导睡眠图特征,以降低UARS的误诊率。(2)提高对UARS的认识。
(1)选取12例经多导睡眠图(PSG)及连续食管压力测定确诊的UARS患者,分析其睡眠结构、觉醒指数、呼吸暂停低通气指数(AHI),计算体重指数(BMI)、爱泼沃斯思睡量表(ESS)。(2)选取16例单纯打鼾病例作为对照组,通过PSG及连续食管压力测定排除该组病例中的阻塞性睡眠呼吸暂停综合征(OSAS)和UARS。(3)比较两组患者第一晚的PSG指标。(4)比较UARS组两晚的PSG指标,观察连续食管压力测定对其睡眠的影响。
(1)两组患者的BMI和AHI无统计学差异。(2)与对照组相比,UARS患者的觉醒指数和ESS评分更高,睡眠1期和2期更多,睡眠3期和4期更少。(3)UARS患者两晚的PSG指标无统计学差异。
(1)与单纯打鼾病例相比,UARS患者具有一些特殊特征,即觉醒指数更高、深睡眠更少、ESS评分更高,结合临床表现,有可能筛查出UARS患者。(2)连续食管压力测定对UARS患者的睡眠无明显影响。