阻塞性睡眠呼吸暂停低通气综合征患者的病情评估问题
作者简介:

李进让,Email: entljr@sina.com

基金项目:

北京市科委首都临床特色应用研究项目(D101100050010020)。


Evaluation of the severity of patients with obstructive sleep apnea hypopnea syndrome
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    摘要:

    阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome, OSAHS)影响患者的生活质量,可引起心脑血管等多系统并发症,准确评估其病情严重程度,有助于判断其预后。多导睡眠监测(polysomnography,PSG)是目前诊断OSAHS的“金标准”,但是其主要参数呼吸紊乱指数及最低血氧饱和度并不能准确反映患者的病情严重程度,常常与患者的主观感觉严重程度分离,而一些嗜睡量表及生活质量量表与患者的主观因素有关,客观性和可重复性较差,因此有必要制定全方位多角度综合评估方法。

    Abstract:

    Obstructive sleep apnea hypopnea syndrome (OSAHS) affects the patients' quality of life, and can cause cardiovascular and cerebrovascular complications. Accurate assessment of the severity of the disease can help to judge its prognosis. Polysomnography (PSG) is the gold standard for the diagnosis of OSAHS, but its main parameters, respiratory disturbance index and minimum oxygen saturation, can not accurately reflect the severity of the disease and are often separated from the subjective sensory severity of the patient. However, some somnolence scales and quality of life scales are related to the subjective factors of patients with poor objectivity and reproducibility. The current clinical evaluation methods and parameters all have some disadvantages, so it is necessary to develop a comprehensive evaluation method from multiple perspectives.

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李进让.阻塞性睡眠呼吸暂停低通气综合征患者的病情评估问题[J].中国耳鼻咽喉颅底外科杂志,2018,24(5):397-400

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  • 在线发布日期: 2018-10-31
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