重度阻塞性睡眠呼吸暂停低通气综合征患者的生活质量评估

目的:研究重度阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患者的生活质量。方法:50例OSAHS患者多导睡眠监测(polysomnography,PSG)检查呼吸暂停指数(apnea hypopnea index,AHI)>40。患者行多导睡眠监测前填写睡眠呼吸暂停生活质量指数(the sleep apnea quality of life index,SAQLI)问卷,Epwoth嗜睡量表(epwoth sleepy scale,ESS)和鼾声(Snoring)量表。结果:50例OSAHS患者SAQLI均降低,平均SAQLI为(4.06±0.26),重度OSAHS患者SAQLI中的社会交往评分(3.85±0.54),情绪评分(4.57±0.48),而SAQLI中的日常生活评分和症状评分别为(4.51±0.63)、(3.68±0.32)。结论:重度OSAHS患者的SAQLI降低明显,因此临床上对重度OSAHS行SAQLI评分可以更全面的评估疾病的严重程度。

The sleep apnea quality of life index of severe obstructive sleep apnea hy-popnea syndrome

Objective:This study was designed to assess the sleep apnea quality of life index (SAQLI)of the patients suffering from severe obstructive sleep apnea hypopnea syndrome (OSAHS).Methods:50 severe OSAHS patients who were diagnosed by poly-somnography (PSG)were examined by apnea hypopnea index(AHI)>40.All the patients were evaluated by SAQLI,the Epworth Sleepiness Scale(ESS)and the snoring was observed before starting PSG recording.Results:The SAQLI scores of all patients were sig-nificantly decreased.The mean SAQLI score was 4.06 ±0.26.The score of social interactions was 3.85 ±0.54,the emotional activities was 4.57 ±0.48.The score of daily activity and the assessment of symptoms were 4.5 1 ±0.63 and 3.68 ±0.32,respectively.Conclu-sion:The SAQLI scores of the severe OSAHS patients were significantly decreased.Therefore,severe OSAHS by SAQLI can be a more comprehensive assessment of the severity of the disease in clinical treatment.