Epworth嗜睡量表和颈围对OSAHS患者病情评估的临床意义.docVIP

Epworth嗜睡量表和颈围对OSAHS患者病情评估的临床意义 李国平 许 雯【摘要】 目的 了解Epworth嗜睡量表Epworth sleepiness scale, ESS）和颈围对评估阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者病情严重程度的意义。方法 男性经多导睡眠监测仪（Polysomnography, PSG）确诊的OSAHS患者，30例，所有研究对象均ESS评分和颈围测量，比较ESS评分、颈围睡眠呼吸暂停低通气指数( AHI ) 夜间最低血氧饱和度( LSaO2 ) 的。结果ESS评分、颈围在鼾症组OSAHS组有显著性( P＜0.05) ESS评分、颈围与AHI呈正相关( P＜0.0) ，而与LSaO2呈负相关( P＜0.01) 。结论 ESS、颈围和OSAHS患者的病情严重程度相关，可用于基层医院及在人群疾病普查时对可疑OSAHS患者进行初筛诊断。 【关键词】Epwrth嗜睡量表；阻塞性睡眠呼吸暂停低通气综合征颈围 Epworth Sleepiness Scale and Neck Circumference on Evaluating Severity of Obstructive Sleep Apnea Hypopnea Syndrome Li Guo-ping*, Jin Qian, Xu Wen, et al.* Department of Respiratory Medicine, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang 310012, China. 【Abstract】Objective To understand theEpworth sleepiness scale (ESS) and neck circumference on evaluating severity of obstructive sleep apnea hypopnea syndrome (OSAHS). Methods 126 male patients with snoring were adopted into our study, 96 patients were diagnosed with OSAHS by polysomnography (PSG), other 30 patients were diagnosed with simple snoring. All subjects received ESS test and neck circumference measurement. Then we evaluated the relationship between ESS score, neck circumference and apnea hyponea index (AHI), nocturnal lowest oxygen saturation ( LSaO2 ), compared these data between OSAHS group and simple snoring group. Result There were significant differences between simple snoring group and OSAHS for ESS score and neck circumference respectively( P＜0.05neck circumference showed positive correlation to AHI (P＜0.01 LSaO2 (P＜0.01. Conclusion ESS score and neck circumference are related with the severity of OSAHS, and can be used in the prescreening of OSAHS during general investigation of disease in basic unit hospitals. Key words: Epworth sleepiness scale Obstructive Sleep Apnea Syndrome Neck circumference 睡眠呼吸暂停综合征( sleep apnea syndrome, SAS) 是多种全身疾患的独立危险因素，临床上以阻塞性睡眠呼吸暂停低通气综合征( obstructive sleep apnea hypopnea syndrome, OSAHS) 最为常见。国外流行病学资料显示，OSAHS在成年人中的患病率为1%～5%［