摘要
目的探讨OSA-18量表评价儿童睡眠呼吸紊乱严重程度的价值。方法我科收治的疑似阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)儿童患者160例,均行多道睡眠描记术(polysomnography,PSG)监测。采用OSA-18评估患儿的生活质量。分析确诊为OSAHS患儿的呼吸暂停低通气指数(apnea hypopnea index,AHI)和最低血氧饱和度(lowest oxygen saturation,LSaO2)与OSA-18评分的相关性。结果确诊OSAHS患者123例,单纯鼾症37例。OSAHS患者的OSA-18评分与AHI及LSaO2的相关系数分别为0.615和-0.496,P<0.05。单纯鼾症及轻中度OSAHS患者各组间OSA-18中位数差异有统计学意义(P<0.05);重度OSAHS患者OSA-18中位数为91.0,高于单纯鼾症及轻、中度OSAHS患者(OSA-18评分依次为64.0、76.0和87.0,P<0.05)。以LSaO2为依据对OSAHS患者进行分组,发现无低氧血症组及轻、中度低氧血症患者各组间OSA-18中位数差异有统计学意义(P<0.05),重度低氧血症患者OSA-18中位数为93.0,高于无低氧血症组及轻、中度低氧血症患者(OSA-18评分依次为69.0、81.0和89.0,P<0.05)。结论 OSA-18评分与PSG存在相关关系,在不同程度睡眠呼吸紊乱中有差异,可作为临床诊断儿童OSAHS的评价指标。
Objective To investigate the value of OSA-18 questionnaire in evaluating the extent of severity of pediatric sleep-disordered breathing（SDB）. Methods Polysomnography （PSG） and OSA-18 was performed in 160 suspected pediatric obstructive sleep apnea hypopnea syndrome（OSAHS） patients. The correlations between apnea hypopnea index（AHI） and lowest oxygen saturation（ LSaO2 ） and OSA-18 score were analyzed in patients who were finally diagnosed as OSAHS. Results One hundred and twenty-seven patients were finally diagnosed as OSAHS and 37 cases as simple snoring. The correlation coefficients of OSA-18 score with AHI and LSaO2 were 0.615 and -0.496 respectively（P 〈 0.05 ）. Significant difference in median of OSA-18 score was observed among simple snoring, mild OSAHS and moderate OSAHS group. The median of OSA-18 score in severe OSAHS was 91.0, which was higher than that in simple snoring, mild OSAHS and moderate OSAHS group （ 64.0,76.0 and 87.0 by turns ） （ P 〈 0.05 ）. All OSAHS patients were divided into groups according to LSaO2. The difference of median of OSA-18 score among non-, mild and moderate hypoxemia patients was obvious （P 〈0. 05）. The median of OSA-18 score in severe hypoxemia was 93.0, which was higher than that in non-, mild and moderate hypoxemia patients （69.0,81.0 and 89.0 by tunas） （P 〈 0.05）. Conclusions OSA-18 was correlated with PSG, and difference was observed in different extent of sleep-disordered breathing. OSA-18 was helpful for the diagnosis of pediatric OSAHS. （Chin J Ophthalmol and Otorhinolaryngol,2011,11：19-21 ）
出处
《中国眼耳鼻喉科杂志》
2011年第1期19-21,共3页
Chinese Journal of Ophthalmology and Otorhinolaryngology
基金
温州市科技计划项目(Y2005A027)
