阻塞性睡眠呼吸暂停综合征的诊断与鉴别诊断

目的:探讨阻塞性睡眠呼吸暂停综合征(OSAS)的诊断及鉴别诊断方法.方法:对初诊为OSAS的100例进行详细临床调查分析和多导睡眠图检查.结果:初诊正确者83例,准确率83%,其中2例为心力衰竭、发作性睡病合并OSAS;17例经相关检查排除OSAS,分别确诊为夜间惊恐发作、夜间癫痫发作、周期性肢体运动和发作性睡病等神经精神和睡眠障碍疾患.误诊率17%.结论:重视OSAS的鉴别诊断,详细采集病史并进行多导睡眠图检查,是正确诊断OSAS的保证.

Diagnosis and Differential Diagnosis of Obstructive Sleep Apnea Syndrome

Objective:To research on the approaches of diagnosis and differential diagnosis method of obstructive sleep apnea syndrome(OSAS).Methods:100 cases diagnosed as OSAS in outpatient were analysed and investigated in details and monitored by polysomnography(PSG).Results:The correct diagnosis rate in outpatient was 83%,including 2 cases diagnosed as heart failure and narcolepsy complicated with OSAS.17 cases were excluded as OSAS but were respectively diagnosed as nocturnal panic disorder,nocturnal epilepsy,narcolepsy and periodic limb movement disorder.The misdiagnosis rate was 17%.Conclusion:Correct differential diagnosis,detailed history data analysis and PSG monitoring can ensure the correct diagnosis of OSAS.