Comparing MSLT and ESS in the measurement of excessive daytime sleepiness in obstructive sleep apnoea syndrome

Comparing MSLT and ESS in the measurement of excessive daytime sleepiness in obstructive sleep apnoea syndrome
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DOI:
10.1016/j.jpsychores.2004.05.004
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发表时间:
2005-01-01
影响因子:
4.7
通讯作者:
Wing, YK
Wing, YK
中科院分区:
医学3区
文献类型:
--
作者:
Fong, SYY;Ho, CKW;Wing, YK

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目的:本研究的目的是比较多次睡眠潜伏期试验(MPERT)和埃普沃思嗜睡量表(ESS)在不同严重程度阻塞性睡眠呼吸暂停综合征(OSAS)患者中的日间过度嗜睡(EDS)情况。方法:296例连续OSAS患者,用中文版ESS和5次小睡的MPERS测量EDS,并与OSAS的严重程度进行比较(通过呼吸紊乱指数确定)通过夜间多导睡眠图,被归类为轻度RDI 5-15/h组59例,RDI 15-30/h组71例,RDI > 30/h组166例。比较两组ESS、MPEST等睡眠参数。结果如下:重度组的平均睡眠潜伏期(MSL = 6.26 +/- 4.90 min)显著短于中度组(8.26 +/- 4.57 min)和轻度组(8.07 +/- 4.37 min)。ESS评分无显著差异。结论:MPEG4在测量EDS与OSAS严重程度相关性方面优于ESS。(c)2005年爱思唯尔公司All rights reserved.
Objective: The objective of this study is to compare the use of Multiple Sleep Latency Test (MSLT) and Epworth Sleepiness Scale (ESS) in measuring excessive daytime sleepiness (EDS) in patients with different severity of obstructive sleep apnoea syndrome (OSAS). Method: Two hundred ninety-six consecutive OSAS patients, with their EDS measured by a Chinese version of ESS and a five-nap MSLT, and their severity of OSAS (determined by respiratory disturbance index) by a nocturnal polysomnogram, were classified into mild (RDI 5-15/h, n = 59), moderate (RDI 15-30/h, n = 71) and severe (RDI > 30/h, n = 166) groups, respectively. Their ESS, MSLT and other sleep parameters were compared. Results: The severe group had significantly shorter mean sleep latency (MSL = 6.26 +/- 4.90 min) than the moderate (8.26 +/- 4.57 min) and mild groups had (8.07 +/- 4.37 min). There was no significant difference in their ESS scores. Conclusion: MSLT is better than ESS in the measurement of EDS in relation to the severity of OSAS in clinical patients. (c) 2005 Elsevier Inc. All rights reserved.