Mehrabi Samrad, Bagheri Soroush
Division of Pulmonology, Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran E-mail:
Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Qatar Med J. 2022 Mar 2;2022(1):14. doi: 10.5339/qmj.2022.14. eCollection 2022.
Polysomnography is the gold standard diagnostic method for obstructive sleep apnea syndrome, and on-time treatment can help prevent further complications of obstructive sleep apnea. However, polysomnography is associated with some difficulties for the patients and physicians, which hinder its application. This study aimed to evaluate the clinical features and polysomnography findings of patients with obstructive sleep apnea.
Data were retrospectively collected from polysomnography studies at the Sleep Laboratory of Namazi Hospital, Shiraz, Iran, from February 2013 to December 2017. Polysomnography was performed for any patients suspected of obstructive sleep apnea. The researcher reviewed the data extracted and selected the essential clinical features for the statistical analysis. The association of variables with the polysomnography findings was analyzed.
Significant associations were observed between the following factors and severity of obstructive sleep apnea: older age (p = 0.01), snoring (p = 0.122), history of sleep disorders (p = 0.11), no sedatives before sleep (p = 0.039), nocturia (p = 0.001), apnea (p = 0.035), no smoking (p = 0.039), no substance abuse (p = 0.011), hypertension (p = 0.001), cardiac diseases (p = 0.025), and overweight and obesity (p < 0.001).
Considering the concomitant occurrence of obstructive sleep apnea with obesity, hypertension, cardiac disease, snoring, and observed apnea, polysomnography is recommended in these patients before further assessments.
多导睡眠图是阻塞性睡眠呼吸暂停综合征的金标准诊断方法，及时治疗有助于预防阻塞性睡眠呼吸暂停的进一步并发症。然而，多导睡眠图对患者和医生来说存在一些困难，这阻碍了其应用。本研究旨在评估阻塞性睡眠呼吸暂停患者的临床特征和多导睡眠图检查结果。
回顾性收集2013年2月至2017年12月在伊朗设拉子纳马齐医院睡眠实验室进行的多导睡眠图研究数据。对任何疑似阻塞性睡眠呼吸暂停的患者进行多导睡眠图检查。研究人员审查提取的数据并选择基本临床特征进行统计分析。分析变量与多导睡眠图检查结果之间的关联。
观察到以下因素与阻塞性睡眠呼吸暂停严重程度之间存在显著关联：年龄较大（p = 0.01）、打鼾（p = 0.122）、睡眠障碍史（p = 0.11）、睡前未使用镇静剂（p = 0.039）、夜尿症（p = 0.001）、呼吸暂停（p = 0.035）、不吸烟（p = 0.039）、无药物滥用（p = 0.011）、高血压（p = 0.001）、心脏病（p = 0.025）以及超重和肥胖（p < 0.001）。
考虑到阻塞性睡眠呼吸暂停与肥胖、高血压、心脏病、打鼾和观察到的呼吸暂停同时存在，建议在对这些患者进行进一步评估之前进行多导睡眠图检查。
