The snoring spectrum - Acoustic assessment of snoring sound intensity in 1,139 individuals undergoing polysomnography

The snoring spectrum - Acoustic assessment of snoring sound intensity in 1,139 individuals undergoing polysomnography
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DOI:
10.1378/chest.115.3.762
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发表时间:
1999-03-01
期刊:
影响因子:
9.6
通讯作者:
Huang, Z
Huang, Z
中科院分区:
医学1区
文献类型:
--
作者:
Wilson, K;Stoohs, RA;Huang, Z

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研究目的:量化个体在多导睡眠图测试中产生的鼾声强度水平,并检验声学和多导睡眠图与临床变量之间的关系。设计:前瞻性获取声学和多导睡眠图数据,并回顾病历。地点:一家初级保健医院的睡眠实验室。参与者:所有1139名患者从1980年到1994年到睡眠实验室进行多导睡眠图测试。干预:在多导睡眠图测试的同时,对睡眠中鼾声强度进行声学测量。测量和结果:通过鼾声强度记录获得四个分贝水平。L-1、L-5和L-10是采用A加权网络的分贝声压测量方法,其产生的人耳响应分别超过测试期的1、5和10%。支路是对整个测试期间波动的声学信号的A加权平均强度的测量。L-10水平超过55dBA者占12.3%。男性鼾声强度的平均水平明显高于女性。鼾声强度与以下方面显著相关:多导睡眠图测试结果,包括呼吸紊乱指数(RDI)、睡眠潜伏期和慢波睡眠百分比;人口统计因素,包括性别和体重;以及临床因素,包括鼾病史、睡眠过度和呼吸停止。体重指数为>30、平均鼾声强度为>38dba的男性患>10.结论:鼾声强度与人口学、临床和多导睡眠图测试结果有关,鼾声强度与睡眠中呼吸暂停/低呼吸密切相关。打呼噜产生的噪音会干扰或干扰打鼾者的睡眠,就像床伴的睡眠一样。
Study objectives: To quantify the snoring sound intensity levels generated by individuals during polysomnographic testing and to examine the relationships between acoustic, polysomnographic, and clinical variables.Design: The prospective acquisition of acoustic and polysomnographic data with a retrospective medical chart review.Setting: A sleep laboratory at a primary care hospital.Participants: All 1,139 of the patients referred to the sleep laboratory for polysomnographic testing from 1980 to 1994.Interventions: The acoustic measurement of snoring sound intensity during sleep concurrent with polysomnographic testing.Measurements and results: Four decibel levels were derived from snoring sound intensity recordings. L-1, L-5, and L-10 are measures of the sound pressure measurement in decibels employing the A-weighting network that yields the response of the human ear exceeded, respectively, for 1, 5, and 10% of the test period. The Leg is a measure of the A-weighted average intensity of a fluctuating; acoustic signal over the total test period. L-10 levels above 55 dBA were exceeded by 12.3% of the patients. The average levels of snoring sound intensity were significantly higher for men than for women. The levels of snoring sound intensity were associated significantly with the following: polysomnographic testing results, including the respiratory disturbance index (RDI), sleep latency, and the percentage of slow-wave sleep; demographic factors, including gender and body mass; and clinical factors, including snoring history, hypersomnolence, and breathing stoppage, Men with a body mass index of > 30 and an average snoring sound intensity of > 38 dBA were 4.1 times more likely to have an RDI of > 10.Conclusions: Snoring sound intensity levels are related to a number of demographic, clinical, and polysomnographic test results, Snoring sound intensity is closely related to apnea/hypopnea during sleep. The noise generated by snoring can disturb or disrupt a snorer's sleep, as wed as the sleep of a bed partner.