Epworth嗜睡量表和微觉醒指数在单纯鼾症患者病情评估的价值

目的 探讨Epworth嗜睡量表(ESS)和微觉醒指数在单纯鼾症患者病情评估的价值。 方法 经多导睡眠监测(PSG)确诊的358例单纯鼾症患者,按嗜睡程度分为3组,即嗜睡轻度组(ESS≤12)、中度组(13≤ESS≤17)、重度组(18≤ESS),分别对各组间微觉醒指数(MAI)、睡眠呼吸暂停低通气指数(AHI)、呼吸暂停指数(AI)、低通气指数(HI)、最低血氧饱和度(LSaO₂)、体质量指数(BMI)进行比较。ESS与MAI进行相关性分析。 结果 轻度嗜睡组286例,中度嗜睡组43例,重度嗜睡组29例,3组间AHI、AI、HI、LSaO₂、BMI差异无统计学意义(P>0.05),轻度组与重度组、中度组与重度组间微觉醒指数差异有统计学意义(U=-8.030, -5.604, P<0.05),轻度组与中度组微觉醒指数差异无统计学意义(U=-1.623, P>0.05),ESS与MAI呈正相关(r=0.331, P<0.05)。 结论 Epworth嗜睡量表和微觉醒指数对单纯鼾症患者病情评估有重要价值。

The significance of Epworth sleepiness scale and micro-arousal index in simple snoring

Objective To explore the significance of Epworth sleepiness scale (ESS) and micro-arousal index in simple snoring.Methods Polysomnography (PSG) recordings of 358 adults with simple snoring were divided into 3 groups according to ESS:mild group (n =286,ESS≤12),moderate group (n =43,13≤ESS≤17) and severe group (n =29,18 ≤ESS).The apnea hypopnea index (AHI),apnea index (AI),hypopnea index (HI),the lowest oxygen saturation (LSaO2),micro-arousal index (MAI),and body mass index (BMI) were compared.Results The differences in AHI,AI,HI,LSaO2 and BMI were not significant among the 3 groups (P ＞ 0.05).Significant differences were observed in MAI between mild and severe groups,moderate and severe groups (U =-8.030,-5.604,P ＜ 0.05,respectively).ESS was significantly correlated to MAI (r =0.331,P ＜ 0.05).Conclusion MAI and ESS are important to evaluate the severity of simple snoring.