摘要
目的:分析动态心电图检查对睡眠呼吸暂停综合征初筛的临床意义。方法:选取2017年2月至2019年2月福建省三明市第二医院收治的睡眠呼吸暂停综合征患者50例作为研究对象,进行动态心电图检查和多导睡眠监测(PSG)检查,对比检查结果,分析动态心电图筛查价值。结果:经研究,PSG检测阳性39例(78%),阴性11例(22%)。动态心电图检查阳性41例(82%),真阳性39例(78%),假阳性2例(4%),阴性9例(18%)。动态心电图组灵敏度39例(100%),误诊率2例(4%),漏诊率0例(0%),准确性48例(96%)。结论:对于睡眠呼吸暂停综合征患者使用动态心电图进行初筛检查,可实现无创快捷检查,不会影响患者正常睡眠,对于检查环境和资源的要求较低,检查成本更低,能够提供较高灵敏性的检查,并提供心血管功能检查结果,同时完成2项检查,为医生的诊断、治疗提供参考。
Objective:To analyze the clinical significance of holter electrocardiogram screening for sleep apnea syndrome.Methods:A total of 50 patients with sleep apnea syndrome admitted to the Second Hospital of Sanming City of Fujian Province from February 2017 to February 2019 were selected as the research objects.Dynamic electrocardiogram examination and polysomnography monitoring(PSG)examination were performed.The examination results were compared and the screening value of dynamic electrocardiogram was analyzed.Results:There were 39 cases(78%)were positive and 11 cases(22%)were negative for PSG.There were 41 positive cases(82%),39 true positive cases(78%),2 false positive cases(4%),and 9 negative cases(18%)for holter ECG.In the holter ECG group,there were 39 cases(100%)of sensitivity,2 cases(4%)of misdiagnosis,0 cases(0%)of missed diagnosis,and 48 cases(96%)of accuracy.Conclusion:For patients with sleep apnea syndrome,using holter electrocardiogram for preliminary screening examination can realize non-invasive and quick examination,and will not affect patient′s normal sleep.It has lower requirements for examination environment and resources,lower examination cost,and can provide high sensitivity examination.The results of cardiovascular function examination were provided,and the 2 examinations were completed at the same time to provide reference for doctor′s diagnosis and treatment.
作者
肖燕榕
林永平
XIAO Yanrong;LIN Yongping(The Second Hospital of Sanming City of Fujian Province,Yong′an 366000,China)
出处
《世界睡眠医学杂志》
2022年第10期1968-1970,共3页
World Journal of Sleep Medicine
