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[自行设计问卷在诊断疑似阻塞性睡眠呼吸暂停患者中的价值评估]

[Estimation of the value of a self-designed questionnaire in diagnosing patients with suspected obstructive sleep apnea].

作者信息

Zgierska A, Koziej M, Pływaczewski R

机构信息

Kliniki Chorób Płuc, Instytutu Gruźlicy i Chorób Płuc, w Warszawie.

出版信息

Pneumonol Alergol Pol. 1997;65(11-12):802-10.

PMID:9760795
Abstract

We have investigated the use of our own sleep questionnaire as a screening test for patients suspected of obstructive sleep apnoea (OSA). We examined 156 unselected patients (mean age 49.5 +/- 0.9 years) referred to our clinic because of snoring or excessive daytime sleepiness. Each subject answered the questionnaire and underwent full standard polysomonography (PSG). Diagnosis of OSA, based on PSG, was established when AHI > 10. Significant correlations between AHI and questionnaire questions were found for BMI (r = 0.54, p < 0.001), questions considering snoring (r = 0.3, p < 0.001), questions considering apnoeas during sleep, difficulties with falling asleep and nycturia (r = 0.21, p < 0.01) and questions asking for dry mouth and tongue in the morning and excessive daytime sleepiness (r = 0.16, p < 0.05). Sensitivity and specificity of investigated questionnaire to confirm the disease were: 92% and 38%, respectively. Evaluated questionnaire helps to select patients with severe form of OSA demanding quick diagnosis and treatment.

摘要

我们研究了使用我们自己的睡眠问卷作为疑似阻塞性睡眠呼吸暂停(OSA)患者的筛查测试。我们检查了156名因打鼾或白天过度嗜睡而转诊至我们诊所的未经挑选的患者(平均年龄49.5±0.9岁)。每位受试者回答问卷并接受全面的标准多导睡眠图(PSG)检查。当呼吸暂停低通气指数(AHI)>10时,基于PSG确定OSA诊断。发现AHI与问卷问题之间存在显著相关性,包括体重指数(BMI)(r = 0.54,p < 0.001)、关于打鼾的问题(r = 0.3,p < 0.001)、关于睡眠期间呼吸暂停、入睡困难和夜尿症的问题(r = 0.21,p < 0.01)以及询问早晨口干、舌干和白天过度嗜睡的问题(r = 0.16,p < 0.05)。所研究问卷确诊该疾病的敏感性和特异性分别为92%和38%。评估后的问卷有助于挑选出需要快速诊断和治疗的重度OSA患者。

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