Dealberto M J, Ferber C, Garma L, Lemoine P, Alpérovitch A
INSERUM Unité 360, Villejuif, France.
Chest. 1994 Jun;105(6):1753-8. doi: 10.1378/chest.105.6.1753.
We examined 129 patients recruited from two sleep clinics to study the sleep apnea syndrome (SAS), defined by the apnea-hypopnea index (AHI) > or = 10. Information was registered from a self-administered questionnaire, basal physical measurements, and polysomnography. In 68 subjects recorded for two consecutive nights, a high correlation was found between first- and second-night AHIs (r = 0.89). Habitual loud snoring and breathing arrests during sleep were associated with AHI > or = 10. A model including these two variables, sex, age, and body mass index was created in order to predict AHI > or = 10 and with which it was possible to successfully classify almost three of four patients. Among subjective sleep questionnaire items, only daytime sleepiness was related to drops of transcutaneous oxygen tension. These discrepancies in the observed relationship between sleep parameters and subjective sleep items reduce the questionnaire value in epidemiologic settings where it aimed to detect SAS, as defined solely by the AHI value.
我们对从两家睡眠诊所招募的129名患者进行了检查，以研究睡眠呼吸暂停综合征（SAS），该综合征由呼吸暂停低通气指数（AHI）≥10定义。信息来自一份自我填写的问卷、基础身体测量和多导睡眠图。在连续两晚记录的68名受试者中，发现第一晚和第二晚的AHI之间存在高度相关性（r = 0.89）。习惯性大声打鼾和睡眠期间呼吸暂停与AHI≥10相关。创建了一个包含这两个变量、性别、年龄和体重指数的模型，以预测AHI≥10，利用该模型几乎可以成功地对四分之三的患者进行分类。在主观睡眠问卷项目中，只有白天嗜睡与经皮氧分压下降有关。睡眠参数与主观睡眠项目之间观察到的这种差异降低了问卷在旨在检测仅由AHI值定义的SAS的流行病学环境中的价值。
