Kingshott R N, Sime P J, Engleman H M, Douglas N J
Department of Medicine, University of Edinburgh, Royal Infirmary, UK.
Thorax. 1995 Sep;50(9):994-5. doi: 10.1136/thx.50.9.994.
Patients with the sleep apnoea/hypopnoea syndrome (SAHS) and their spouses often differ in their assessment of the patient's sleepiness. A study was therefore undertaken to investigate whether either the patient's or partner's rating on the Epworth sleepiness scale (ESS) was better related to illness severity.
Nocturnal variables (apnoeas+hypopnoeas/hour (AHI) and arousals/hour) and patient and partner ESS scores were compared in 103 new patients attending the sleep clinic.
Mean patient and partner ESS scores were not different. In the whole population neither patient nor partner ESS variables correlated with AHI or arousal frequency. In the patients with SAHS (AHI > or = 15), partner ESS correlated weakly with AHI, but patient ESS did not.
This study suggests that neither patient nor partner ESS ratings are strong predictors of SAHS severity.
睡眠呼吸暂停/低通气综合征（SAHS）患者及其配偶对患者嗜睡程度的评估往往存在差异。因此，开展了一项研究以调查患者或其配偶在爱泼华嗜睡量表（ESS）上的评分是否与疾病严重程度更相关。
对103名前往睡眠诊所就诊的新患者的夜间变量（呼吸暂停+低通气/小时（AHI）和觉醒/小时）以及患者和配偶的ESS评分进行了比较。
患者和配偶的平均ESS评分没有差异。在总体人群中，患者和配偶的ESS变量均与AHI或觉醒频率无关。在SAHS患者（AHI≥15）中，配偶的ESS与AHI呈弱相关，但患者的ESS则不然。
本研究表明，患者和配偶的ESS评分均不是SAHS严重程度的有力预测指标。
