摘要
目的评估氧减指数(ODI)、Stop-Bang问卷及Epworth嗜睡(ESS)量表在公交车司机中筛查阻塞性睡眠呼吸暂停综合征(OSA)的应用价值。方法采用便利抽样法选取2016年12月至2018年1月宁波市公交公司伴有打鼾的公交车司机195例,男177例,女18例,完成Stop-Bang问卷、ESS量表,并行连续血氧饱和度监测和多导睡眠图(PSG)监测。根据PSG监测结果将患者分为单纯鼾症组(<5次/h)、轻度OSA组(5～15次/h)、中度OSA组(15～30次/h)、重度OSA组(≥30次/h)。计算两种量表及ODI≥5次/h的灵敏度、特异度、阳性预测值、阴性预测值,绘制受试者工作特征(ROC)曲线,分析3种检测方法预测OSA的准确性。结果在判断OSA时,Stop-Bang问卷的灵敏度最高,ODI的ROC曲线下面积最大,ESS量表的灵敏度最低。联合使用时,Stop-Bang问卷及ODI二者联合诊断正确率最高。结论在公交车司机中,Stop-Bang问卷及ODI二者联合使用对OSA的评估有较高应用价值。
Objective To evaluate oxygen desaturation index(ODI),Stop-Bang questionnaire and Epworth sleepiness scale(ESS)in screening of the bus drivers with obstructive sleep apnea syndrome(OSA).Methods A total of 195 cases of bus drivers with snoring between December 2016 and January 2018(177 males and 18 females)were randomly selected.Stop-Bang questionnaire,ESS,nocturnal oximetry monitoring and the overnight polysomnography(PSG)monitoring were conducted among them.Based on the severity of OSA which was determined by PSG,the participants were classified into four groups:primary snoring(<5 events/h),mild(-15 events/h),moderate(-30 events/h),and severe(≥30 events/h).Sensitivity,specificity,positive predictive value,negative predictive and the receiver operating characteristics curve of three detection methods were calculated.Results Using mild-moderatesevere(≥5 events/h),moderate-severe(≥15 events/h),and severe(≥30 events/h)OSA as cutoffs,Stop-Bang questionnaire had the highest sensitivity;ODI had the largest area under the receiver operating characteristics curve,while ESS had the lowest sensitivity.Application of Stop-Bang questionnaire,combined with ODI,boasts the highest diagnostic accuracy.Conclusion Combination of Stop-Bang questionnaire with ODI has great value to assess OSA in bus drivers.
出处
《临床荟萃》
CAS
2018年第12期1053-1056,1060,共5页
Clinical Focus
基金
浙江省医药卫生科技计划(2017KY136)
宁波市社发重大专项(2017C510010)
