Factors related to sleep apnea syndrome in sleep clinic patients.
Factors related to sleep apnea syndrome in sleep clinic patients.
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睡眠门诊患者睡眠呼吸暂停综合征的相关因素。
作者：
M. Dealberto;Chantal Ferber;Lucile Garma;Patrick Lemoine;Annick Alpérovitch
我们从两个睡眠诊所招募了129名患者来研究睡眠呼吸暂停综合征(SAS)，以呼吸暂停低通气指数(AHI)或=10为定义。信息登记来自自填问卷、基础体格测量和多导睡眠图。在连续两个晚上记录的68名受试者中，第一晚和第二晚的AHIS之间存在高度相关性(r=0.89)。睡眠中习惯性打鼾声和呼吸停止与AHI>；OR=10有关。为了预测AHI>；OR=10，建立了一个包括性别、年龄和体重指数这两个变量的模型，并有可能成功地将四个患者中的近三个分类。在主观睡眠问卷项目中，只有白天嗜睡与经皮氧分压下降有关。观察到的睡眠参数和主观睡眠项目之间的关系的这些差异降低了流行病学环境中的调查表值，在流行病学环境中，问卷的目的是检测SAS，如仅由AHI值定义的那样。
We examined 129 patients recruited from two sleep clinics to study the sleep apnea syndrome (SAS), defined by the apnea-hypopnea index (AHI) > or = 10. Information was registered from a self-administered questionnaire, basal physical measurements, and polysomnography. In 68 subjects recorded for two consecutive nights, a high correlation was found between first- and second-night AHIs (r = 0.89). Habitual loud snoring and breathing arrests during sleep were associated with AHI > or = 10. A model including these two variables, sex, age, and body mass index was created in order to predict AHI > or = 10 and with which it was possible to successfully classify almost three of four patients. Among subjective sleep questionnaire items, only daytime sleepiness was related to drops of transcutaneous oxygen tension. These discrepancies in the observed relationship between sleep parameters and subjective sleep items reduce the questionnaire value in epidemiologic settings where it aimed to detect SAS, as defined solely by the AHI value.
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