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-  2016 

脉氧仪诊断睡眠呼吸暂停低通气综合征

DOI: doi:10.7507/1671-6205.2016115

Keywords: 阻塞性睡眠呼吸暂停低通气综合征, 脉氧仪, 氧减饱和指数, 睡眠呼吸暂停低通气指数

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Abstract:

目的探讨脉氧仪在睡眠呼吸暂停低通气综合征(SAHS)诊断中的作用。 方法纳入符合入选标准的疑似SAHS患者,进行多导睡眠监测仪(PSG)和脉氧仪检测,研究睡眠呼吸暂停低通气指数(AHI)与氧减饱和指数(ODI4)的相关性,分析ODI4作为筛选标准的最佳值。 结果共纳入628例研究对象。ODI4与AHI呈线性相关,回归系数接近1;ODI4≥10次/h与≥20次/h为标准筛查SAHS患者与中重度患者具有很高的特异性(99.9%与99.3%),受试者工作特征曲线下面积分别为0.931与0.934;女性、轻体重及病情较轻者易被漏诊。 结论ODI4的变化可反映AHI的动态变化,脉氧仪筛选SAHS患者不易误诊,可作为SAHS病情变化的随访指标

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