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黄 彬.数字化信息监测与控制系统在睡眠呼吸暂停综合征诊断中的应用价值[J].中国现代医生,2021,59(4):23-25+29
数字化信息监测与控制系统在睡眠呼吸暂停综合征诊断中的应用价值
Application value of digital information monitoring and control system in the diagnosis of sleep apnea syndrome
  
DOI:
中文关键词:  睡眠呼吸暂停综合征  数字化信息监测与控制系统  多导睡眠监测  临床监测价值
英文关键词:Sleep apnea syndrome  Digital information monitoring and control system  Polysomnography monitoring  Clinical monitoring value
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作者单位
黄 彬 厦门大学附属福州第二医院呼吸与危重症医学科福建福州 350007 
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中文摘要:
      目的分析在睡眠呼吸暂停综合征的诊断中应用数字化信息监测与控制系统的价值。方法 选取2018 年12 月至2019 年12 月于我院收治的60 例睡眠呼吸暂停综合征患者进行分析,所有患者收治入院后,均同时采用两种监测方式,分别为数字化信息监测方式与控制系统及多导睡眠监测方式,以多导睡眠监测中的呼吸暂停通气指数(AHI)作为患者睡眠呼吸暂停综合征的诊断金标准。比较数字化信息监测与控制系统及多导睡眠监测的AHI,对数字化信息监测与控制系统的应用价值进行评价。结果 根据多导睡眠监测的AHI 分组,轻度组的DAMICS-AHI 与PSG-AHI 比较,差异无统计学意义(P>0.05);按照数字化信息监测与控制系统测出的AHI 分组发现,轻度组与鼾症组比较,差异无统计学意义(P>0.05)。当PSG-AHI≥5 时,发现在DAMICS 诊断下,DAMICS-AHI 的值≥7.6 时,特异度为100.00%,灵敏度为94.20%,约登指数在此时达到一个最大值。PSG-AHI≥15时,DAMICS-AHI 在中重度患者的诊断中,特异度为95.90%,灵敏度为94.20%,最佳诊断点为14.15。结论睡眠呼吸暂停综合征的出现会对患者的睡眠产生较大影响,会造成患者睡眠质量的严重降低,临床需要对患者睡眠情况进行分析,才能采取对症的治疗方式为患者进行有效的治疗。采用数字化信息监测与控制系统进行诊断,能有效监测患者的睡眠情况,及时发现患者睡眠过程中发生的呼吸事件,操作相对简便,同时能分析患者不同分期的睡眠时间占比情况,具有较高的准确度,临床价值高。
英文摘要:
      Objective To analyze the value of digital information monitoring and control system in the diagnosis of sleep apnea syndrome.Methods A total of 60 cases of sleep apnea syndrome who were admitted to our hospital from December 2018 to December 2019 were selected for analysis.After all patients were admitted to our hospital,two monitoring methods were used at the same time,namely,the digital information monitoring method and the control system and the polysomnography monitoring method.The apnea ventilation index in polysomnography was used as the gold standard for diagnosis of sleep apnea syndrome.The AHI from the digital information monitoring and the control system and polysomnography was compared,and the application value of the digital information monitoring and control system was evaluated.Results According to the AHI grouping under polysomnography,there was no significant difference between the DAMICS-AHI and PSG-AHI in the mild group(P>0.05);according to the AHI grouping detected by the digital information monitoring and control system,it was found that there was no significant difference between the mild group and the snoring group(P>0.05).When PSG-AHI≥5,it was found that under DAMICS diagnosis,when the value of DAMICS-AHI≥7.6,the specificity was 100.00%,and the sensitivity was 94.20%.The Youden Index could reach a maximum at this time.It was found that when PSG-AHI≥15,in the diagnosis among moderate to severe patients,the specificity of DAMICS-AHI was 95.90%,the sensitivity was 94.20%,and the optimal diagnosis point was 14.15.Conclusion The emergence of sleep apnea syndrome will have a greater impact on the patient′s sleep,and will cause a serious decrease in the patient′s sleep quality.Clinically,it is necessary to analyze the patient′s sleep status in order to adopt symptomatic treatment methods for effective treatment of patients.The digital information monitoring and control system are used for diagnosis,which can effectively detect the patient′s sleep status and timely discover the respiratory events that occur during the patient′s sleep.The process is relatively simple.At the same time,it can analyze the proportion of sleep time of patients in different stages,with a high accuracy and a high clinical value.
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