Peacock M D, Morris M J, Houghland M A, Anders G T, Blanton H M
Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, TX 78234-6271, USA.
Mil Med. 1997 Apr;162(4):249-51.
The prevalence of sleep apnea-hypopnea syndrome (SAHS) was investigated in a selected group of veterans of the Persian Gulf War at Brooke Army Medical Center. One hundred ninety-two self-referred patients participated in the full evaluation of the Comprehensive Clinical Evaluation Program (CCEP) for veterans of the Persian Gulf War. After completing an initial survey, an interview and examination were performed by staff internists. Forty-six participants with histories suggestive of a sleep disorder were referred for further evaluation. Those patients suspected of SAHS then completed a sleep disorders questionnaire and underwent standard nocturnal polysomnography (PSG). SAHS was defined as a respiratory disturbance index > or = 15 in a symptomatic patient. Fifteen of 46 patients undergoing PSG at this institution met criteria for SAHS. The majority of these patients had symptoms of fatigue and memory loss. Overall, 16 of the 192 patients (8.3%) in the CCEP of our institution were diagnosed with SAHS. SAHS may play a significant role in the symptom complex presented by many veterans of the Persian Gulf War.
布鲁克陆军医疗中心对一组经过挑选的海湾战争退伍军人的睡眠呼吸暂停低通气综合征(SAHS)患病率进行了调查。192名主动前来的患者参与了针对海湾战争退伍军人的综合临床评估项目(CCEP)的全面评估。在完成初步调查后,内科实习医生进行了访谈和检查。46名有睡眠障碍病史提示的参与者被转介进行进一步评估。那些疑似患有SAHS的患者随后完成了一份睡眠障碍问卷,并接受了标准的夜间多导睡眠图(PSG)检查。SAHS在有症状的患者中被定义为呼吸紊乱指数≥15。在该机构接受PSG检查的46名患者中有15名符合SAHS的标准。这些患者中的大多数有疲劳和记忆力减退的症状。总体而言,我们机构CCEP中的192名患者中有16名(8.3%)被诊断为SAHS。SAHS可能在许多海湾战争退伍军人出现的症状群中起重要作用。