摘要
目的了解阻塞性呼吸暂停低通气综合征是否伴白天嗜睡的患者临床与多导睡图的特点。方法所有入选病人都进行病史询问、白天嗜睡量表评分(epworth sleepiness scale,ESS)和多导睡眠图检测,ESS评分≤10分为无白天嗜睡,ESS评分>10分为白天嗜睡,将入选病人分嗜睡组和非嗜睡组;采用单因素分析临床各种特点和多导睡眠呼吸监测结果。结果收集了302例阻塞性呼吸暂停低通气综合征患者,男258例(85%),女44例(25%);其中178例(44%)有白天嗜睡;在阻塞性呼吸暂停低通气综合征有白天嗜睡和没有白天嗜睡分组中,患者的颈围大小、多导睡眠图中血氧饱和度下降最大值和血氧饱和度<90%的睡眠时间有明显的差异,P<0.05,有显著的统计学意义。结论我们不能仅通过白天嗜睡这个症状来决定患者是否具有睡眠呼吸紊乱,而应该通过一个全面临床评估联合整晚多导睡眠监测来判定。
Objective This study is to describe the clinical and polysomnographic differences found in patients diagnosed with obstructive sleep apnea– hypopnea(OSAH),with or without excessive daytime sleepiness(EDS).Methods A physical examination,ESS,and polysomnography were applied to all the participants,considering an ESS score of ≤10 to indicate without EDS and an ESS score of >10 to indicate EDS.Univariate(chi-squared or Student’s t test) analysis approaches were used.Results The study covered 302 OSAH patients,including 258(85%) male patients,178(44%) with EDS.In the univariate analysis of demographic and polysomnographic variables,a comparison between patients without and with EDS showed that the latter had a larger neck circumference,maximum O 2 desaturation,and increased sleep time at <90 % O 2 saturation,with significant statistical differences.Conclusion Therefore,we can’t only use daytime sleepiness scale to determine whether a patient has sleep breathing disorder,and should be estimated a comprehensive clinical evaluation and polysomnography throngh the whole night monitoring.
出处
《江西医药》
CAS
2013年第4期286-288,共3页
Jiangxi Medical Journal
