Non-Contact Screening of OSAHS Using Multi-Feature Snore Segmentation and Deep Learning.

Obstructive sleep apnea-hypopnea syndrome (OSAHS) is a prevalent sleep disorder strongly linked to increased cardiovascular and metabolic risk. While prior studies have explored snore-based analysis for OSAHS, they have largely focused on either detection or classification in isolation. Here, we present a two-stage framework that integrates precise snoring event detection with deep learning-based classification. In the first stage, we develop an Adaptive Multi-Feature Fusion Endpoint Detection algorithm (AMFF-ED), which leverages short-time energy, spectral entropy, zero-crossing rate, and spectral centroid to accurately isolate snore segments following spectral subtraction noise reduction. Through adaptive statistical thresholding, joint decision-making, and post-processing, our method achieves a segmentation accuracy of 96.4%. Building upon this, we construct a balanced dataset comprising 6830 normal and 6814 OSAHS-related snore samples, which are transformed into Mel spectrograms and input into ERBG-Net-a hybrid deep neural network combining ECA-enhanced ResNet18 with bidirectional GRUs. This architecture captures both spectral patterns and temporal dynamics of snoring sounds. The experimental results demonstrate a classification accuracy of 95.84% and an F1 score of 94.82% on the test set, highlighting the model's robust performance and its potential as a foundation for automated, at-home OSAHS screening.