Ozcan Kürşat Murat, Ozdaş Talih, Ozdoğan Fatih, Ozcan Ibrahim, Selçuk Ayşe Adin, Ensari Serdar, Dere Hüseyin
Department of Otolaryngology, Ankara Numune Training and Research Hospital, Ankara, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2012 Jul-Aug;22(4):195-9. doi: 10.5606/kbbihtisas.2012.038.
This study aims to investigate the consistency of Epworth sleepiness scale (ESS) results and polysomnography (PSG) findings in the patients with sleep-disordered breathing (SDB).
A total of 109 patients (68 males, 41 females; mean age 48.6 years; range 20 to 77 years) who were admitted with the complaints of apnea, witnessed apnea and daytime sleepiness were included. The correlation among age, body mass index (BMI), and ESS and PSG findings were assessed.
There was a positive and statistically significant correlation between the age and apnea-hypopnea index (AHI) (p<0.01). We observed that AHI figures increased with increasing age. There was also a positive and statistically significant correlation between the BMI and AHI (p<0.05). We found that AHI increased in parallel with BMI increase. There was, no statistically significant correlation among the AHI results based on the ESS assessment, the percentage of sleep under 90% of saturation, and the Arousal index (AI).
The responses to the questions in the ESS may vary from individual to individual, depending on the socio-cultural and economic status. We believe, therefore, that a new Turkey-based questionnaire considering the lifestyle of our population would offer more useful information about sleep disordered breathing.
本研究旨在调查睡眠呼吸障碍（SDB）患者的爱泼沃斯思睡量表（ESS）结果与多导睡眠图（PSG）检查结果的一致性。
纳入109例因呼吸暂停、目击性呼吸暂停及日间嗜睡主诉入院的患者（男性68例，女性41例；平均年龄48.6岁；范围20至77岁）。评估年龄、体重指数（BMI）与ESS及PSG检查结果之间的相关性。
年龄与呼吸暂停低通气指数（AHI）之间存在正相关且具有统计学意义（p<0.01）。我们观察到AHI数值随年龄增长而增加。BMI与AHI之间也存在正相关且具有统计学意义（p<0.05）。我们发现AHI随BMI增加而平行升高。基于ESS评估的AHI结果、血氧饱和度低于90%时的睡眠时间百分比及觉醒指数（AI）之间无统计学意义的相关性。
ESS中问题的回答可能因个体的社会文化和经济状况而异。因此，我们认为一份基于土耳其人群生活方式的新问卷将为睡眠呼吸障碍提供更有用的信息。
