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基于Epworth嗜睡量表和STOP-BANG问卷对轻至中度阻塞性睡眠呼吸暂停患者脱饱和障碍及日间嗜睡预测因素的比较

Comparison of Predictor of Desaturation Disorders and Daytime Sleepiness Based On Epworth Sleepiness Scale and STOP-BANG Questionnaires in Mild to Moderate Obstructive Sleep Apnea Patients.

作者信息

Kahramfar Zohreh, Rahimi Besharat

机构信息

Department of Pulmonary and Critical Care Medicine, Advanced Thoracic Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Open Access Maced J Med Sci. 2018 Aug 18;6(9):1617-1621. doi: 10.3889/oamjms.2018.258. eCollection 2018 Sep 25.

Abstract

BACKGROUND

Obstructive sleep apnea (OSA) is characterised by recurrence in upper airway obstruction during sleep.

AIM

This study aimed to compare the predictive values of the Epworth Sleepiness Scale (ESS) and STOP-BANG in the desaturation of patients with mild to moderate obstructive apnea based on the apnea-hypopnea index (AHI) scale.

METHODS

A group of 79 patients (43 male and 36 female) were selected. The suspected patients were introduced to the sleep clinic, and the ESS and STOP-BANG questionnaires were filled up, then subjected to polysomnography test, and the scores of the disease were also determined based on an apnoea-hypopnoea index (AHI). Finally, the desaturation rate (SO < 3% based on the baseline) and desaturation index were determined in patients. Consequently, the finding was compared with the results of the questionnaires.

RESULTS

Patients with STOP-BANG score above 3 had significantly higher weight, oxygen desaturation index (ODI) index and average desatu, while peripheral capillary oxygen saturation (SpO) base and average SpO were lower than those with scores below 3 (P < 0.05). However, there was no significant difference between the patients with the ESS questionnaire score above 10 and below 10 (P > 0.05).

CONCLUSION

The results of these two questionnaires reflect the unsaturated oxygen index in the blood, and can be considered for the evaluation of the severity of the disease.

摘要

背景

阻塞性睡眠呼吸暂停(OSA)的特征是睡眠期间上呼吸道反复阻塞。

目的

本研究旨在比较基于呼吸暂停低通气指数(AHI)量表的Epworth嗜睡量表(ESS)和STOP-BANG在轻度至中度阻塞性呼吸暂停患者去饱和方面的预测价值。

方法

选取79例患者(43例男性和36例女性)。将疑似患者转诊至睡眠诊所,填写ESS和STOP-BANG问卷,然后进行多导睡眠图测试,并根据呼吸暂停低通气指数(AHI)确定疾病评分。最后,测定患者的去饱和率(基于基线SO<3%)和去饱和指数。随后,将结果与问卷结果进行比较。

结果

STOP-BANG评分高于3分的患者体重、氧去饱和指数(ODI)指数和平均去饱和程度显著更高,而外周毛细血管血氧饱和度(SpO)基线和平均SpO低于评分低于3分的患者(P<0.05)。然而,ESS问卷评分高于10分和低于10分的患者之间无显著差异(P>0.05)。

结论

这两份问卷的结果反映了血液中的不饱和氧指数,可用于评估疾病的严重程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccf/6182531/92248dc3f4c7/OAMJMS-6-1617-g001.jpg

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