期刊文献+

微动敏感床垫睡眠监测系统对儿童阻塞性睡眠呼吸暂停低通气综合征的诊断作用 被引量:8

Clinical research on micro-movement sensitive mattress sleep monitoring system in children with obstructive sleep apnea hypopnea syndrome
原文传递
导出
摘要 目的 研究微动敏感床垫睡眠监测系统(micro movement sensitive mattress sleep monitoring system,MSMSMS)在诊断儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)中的临床应用价值.方法 对65例由监护人代诉存在睡眠紊乱的患儿同步进行多道睡眠检测图(PSG)和MSMSMS整夜至少7h的睡眠监测.由2名专业的分析人员采用双盲法分别对PSG和MSMSMS结果进行仪器自动分析,再由工作人员对分析结果进行人工分析.比较两种方法对儿童OSAHS诊断的一致性以及对睡眠呼吸暂停低通气指数(AHI)及其他睡眠生理参数记录结果的一致性评价.结果 整夜同步记录的65例患儿中最终有61例患儿达到试验要求,该61例受试患儿中平均年龄(7.0±2.7)岁(x^-±s表示),最小3岁,最大13岁;男性患儿46例,女性患儿15例,体重指数(BMI)中位数[25分位数;75分位数]为16.00[14.80; 17.65] kg/m2.受试者PSG测得平均AHI为4.50[2.30;10.15]次/h,微动敏感床垫睡眠检测系统测得AHI为3.63[2.56;6.43]次/h.对所有受试者PSG和MSMSMS测得的AHI进行相关性分析(r=0.935,P<0.01).采用Bland-Altam法对两种监测方法进行一致性评价,95.1%的数据在95.0%一致性界限之内.以AHI>5次/h并且夜间最低血氧饱和度<91%或者阻塞性呼吸暂停指数(obstructive apnea index,OAI)>1次/h并且夜间最低血氧饱和度<91%为诊断OSAHS的阳性标准,两种方法一致性检验Kappa=37.262,P=0.125,差异无统计学意义;MSMSMS检测的灵敏度为82.9%,特异度为92.3%,误诊率为7.7%,漏诊率为17.1%.结论 MSMSMS操作简单,其作为一种诊断OSAHS的工具在OSAHS患儿的诊断上有较高的可信度,其记录的AHZ与PSG有着较高的一致性. Objective To evaluate the diagnostic value of micro-movement sensitive mattress sleep monitoring system (MSMSMS)in children with obstructive sleep apnea hypopnea syndrome.Methods Sixty-five children with the complaint of sleep disorder were collected and detected by polysomnography and micro-sensitive mattress sleep monitoring system overnight at least seven hours.The date from two instruments were analyzed by computer automatically and then modified by two professional staff double-blind separately.The data about the diagnosis of sleep breath disorder and other sleep physiology information were compared between the two groups.Results Sixty-one cases finished the study finally.The mean age of these children was (7.0 ± 2.7) and the youngest was 3 years old,maximum was 13 years old,male children 46 cases,female patients 15 cases,body mass index (BMI) median [25 quantile; 75 quantile] 16.00[14.80;17.65]kg/m2.Mean PSG measured apnea hypopnea index (AHI) was 4.50[2.30;10.15] times/h,and mean MSMSMS AHI was 3.63 [2.56 ;6.43] times/h.There was a significant correlation between PSG AHI and AHI by MSMSMS(r =0.935,P 〈0.01).A Bland-Altamplot of PSG AHI and MSMSMS AHI was also used to assess the accuracy of MSMSMS.95.1% of the data was fallen in the 95% consistency areas.For AHI ≥5 times/h and nighttime minimum oxygen 〈 91% or obstructive apnea index (OAI) 〉 1 time/h and nighttime minimum oxygen saturation 〈 91% as threshold value,the MSMSMS diagnosing sensitivity and specificity were 82.9% and 92.3%.The misdiagnosis rate and missed diagnosis rate were 7.7% and 17.1%.Conclusions The MSMSMS offer a simple and comfortable method to monitor children's sleep.It improves the compliance in the process of sleep monitoring.Besides,as a diagnostic tool in the diagnosis of OSAHS on children has a high credibility in AHI.
出处 《中华耳鼻咽喉头颈外科杂志》 CAS CSCD 北大核心 2015年第3期215-220,共6页 Chinese Journal of Otorhinolaryngology Head and Neck Surgery
关键词 睡眠呼吸暂停 阻塞性 多道睡眠描计术 儿童 Sleep apnea,obstructive Polysomnography Child
  • 相关文献

参考文献11

二级参考文献49

  • 1俞梦孙,杨军,张宏金.微动敏感床垫睡眠检测系统的理论和实践[J].中华航空航天医学杂志,2009,20(4):313-315. 被引量:9
  • 2张宏金,杨军,俞梦孙,吴锋,王青青,徐先荣,陈同欣,赵显亮,成奇明,周玉彬,金璋瑞,刘娟.一种鉴定飞行员睡眠呼吸暂停低通气综合征的新方法[J].中华航空航天医学杂志,2004,15(2):102-105. 被引量:25
  • 3张宏金,杨军,俞梦孙,吴锋,王青青,徐先荣,陈同欣,赵显亮,成奇明,周玉彬,金璋瑞,刘娟.微动敏感床垫式睡眠监测系统与多导睡眠图的比较研究[J].实用诊断与治疗杂志,2004,18(6):476-478. 被引量:30
  • 4俞梦孙 杨军 等.用微动敏感床垫监测睡眠的研究[J].中华航空航天医学杂志,1999,10(1):40-45. 被引量:24
  • 5Silvestri JM,Hanna BD,Volgmau AS,et al.Cardiac rhythm disturbances among children with idiopathic congenital central hypoventilation syndrome.Pediatr Pulmonol,2000,29 (5):351-358. 被引量:1
  • 6Kaw R,Michota F,Jaffer A,et al.Unrecognized sleep apnea in the surgical patients:implications for the perioperative setting.Chest,2006,129 (1):198-205. 被引量:1
  • 7Lankford DA.Wireless CPAP patient monitoring:accuracy study.Telemed J E-Health,2004,10 (2):162-169. 被引量:1
  • 8Matin JM,Carrizo SJ,Vicente E,et al.Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure:an observational study.Lancet,2005,365(9464):1046-1053. 被引量:1
  • 9Stepnowsky CJ Jr,Marler MR,Ancoli-Israel S.Determinants of nasal CPAP compliance.Sleep Meal,2002,3 (3):239-247. 被引量:1
  • 10Chase HP,Pearson JA,Wightman C,et al.Modem transmission of glucose values reduces the costs and need for clinic visits.Diabetes Care,2003,26 (5):1475-1479. 被引量:1

共引文献44

同被引文献72

引证文献8

二级引证文献22

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部