睡眠问卷在阻塞性睡眠呼吸暂停低通气综合征程度判定中的作用

目的探讨睡眠问卷对阻塞性睡眠呼吸暂停低通气综合征（OSAHS）临床诊断的意义。方法对22例单纯鼾症、80例OSAHS患者（轻度20例、中度30例、重度30例）分别进行睡眠问卷调查并评分，然后行多导睡眠监测（PSG）。将PSG检查结果与问卷评分相关资料做统计学分析，验证睡眠问卷与睡眠检测的符合程度。结果单纯鼾症、OSAHS患者问卷评分与睡眠呼吸暂停低通气指数（AHI）呈明显正相关；评分与最低氧饱和度（SaO2）呈明显负相关，且各组问卷评分、睡眠呼吸暂停低通气指数（AHI）及最低氧饱和度（SaO2）之间存在显著性差异（P〈0．01），即OSAHS病情越重，问卷评分越高。结论睡眠问卷在OSAHS诊断及判断严重程度方面具有预测作用，尤其在基层医院对此疾病的筛查工作有很大的帮助．但使用中要适当变通。

The primary diagnostic significance of the sleep quality questionnaire in patients with obstructive sleep apnea syndrome

Objective To evaluate the diagnostic usefulness of sleep quality questionnaire in patients with OSAHS. Methods The questionnaire was used to evaluate 80 patients with OSAHS and 22 patients with＇snoring. The results were compared to those of polysomnography. Results Significant differences in sleep quality questionnaire score, AHI and SaO2 were found between patients with OSAHS and patients with scoring. A significant correlation was found among sleep quality questionnaire score, AHI and SaO2. There was no significant differences when we use these two methods to judge the character of the apnoea. Conclusion Sleep quality questionnaire is consistent with clinical diagnosis and could be used as a primary diagnostic method in patients with OSAHS, especially in primary-care hospitals.