贵州地区阻塞性睡眠呼吸暂停的认知率及不同类型睡眠监测仪临床应用的效果评价

Evaluation of the cognitive rate of obstructive sleep apnea in Guizhou and the clinical application of different types of sleep monitors

摘要:

目的 通过问卷调查评估贵州地区人群对阻塞性睡眠呼吸暂停(OSA)的认知程度；同时通过观察不同类型睡眠监测仪在睡眠参数上的差异，探讨兆观智能健康指环对OSA患者的诊断价值。方法 设计问卷在贵州进行调查；同时另随机选取116例高危OSA人群行兆观智能健康指环监测，其中随机选取101例同时行多导睡眠监测(PSG)仪同步整夜监测、15例同时行便携式睡眠监测仪(PM)同步整夜监测，比较不同监测方法的临床参数。结果 ①在医务人员调查者中，医院等级越高、文化程度越高、职称越高，对OSA专业知识了解程度越高。②在非医务人员调查者中，女性、对OSA有了解的受访者更重视OSA。③ 69.7%医务人员倾向于推荐PSG，8.7%医务人员推荐PM监测，5.8%倾向于推荐便携指环初筛，4.6%选择推荐腕表式血氧监测仪初筛，11.2%医务人员不清楚推荐哪种方式合适。④以PSG为金标准，兆观智能健康指环的灵敏度为95.9%、特异度为66.7%、阳性预测值为97.9%、阴性预测值为57.1%；3种睡眠监测仪对OSA病情严重程度的评估结果不同，PSG与兆观智能健康指环差异具有统计学意义(P＜0.01)。⑤Spearman等级相关分析显示兆观智能健康指环与PSG测定的睡眠呼吸暂停低通气指数(AHI)值、最低血氧饱和度(LSaO₂)、夜间血氧饱和度≤90%时间占监测时间的百分比(SIT90)、夜间血氧饱和度≤80%时间占监测时间的百分比(SIT80)呈正相关。结论 医务人员及非医务人员均对OSA专业知识认知率偏低，兆观智能健康指环对可疑OSA患者具有一定的诊断价值，但对病情严重程度的评估有差异。

Abstract:

Objective To evaluate the cognitive level of obstructive sleep apnea (OSA) among the population in Guizhou region through questionnaire survey, and to explore the diagnostic value of Zhaoguan intelligent health ring for OSA patients by observing the differences in sleep parameters among different types of sleep monitors.Methods A questionnaire was designed and a survey was conducted in Guizhou. Additionally, a total of 116 patients with suspected OSA were selected for Zhaoguan intelligent health ring monitoring. Among them, 101 were randomly selected for simultaneous overnight monitoring using a polysomnography (PSG) device, and 15 patients using PM. The clinical parameters of different monitoring methods were compared.Results ①Among the medical staff surveyed, the higher the hospital grade, the educational level and the professional title, the greater the understanding of professional knowledge about OSA. ②Among the non-medical staff respondents, female respondents and those with knowledge of OSA paid more attention to OSA. ③Among the medical staff respondents, 69.7% tended to recommend PSG monitoring, 8.7% recommended PM monitoring, 5.8% preferred to recommend portable ring for preliminary screening, 4.6% chose to recommend wristwatch blood oxygen monitor for preliminary screening, and 11.2% of them were not sure which method was appropriate to recommend. ④Taking PSG as the gold standard, the sensitivity of Zhaoguan intelligent health ring was 95.9 %, the specificity was 66.7 %, the positive predictive value was 97.9 %, and the negative predictive value was 57.1%. The evaluation results of the three sleep monitors on the severity of OSA were different, and the difference between PSG and Zhaoguan intelligent health ring was statistically significant (P<0.01). ⑤Spearman rank correlation analysis showed that the AHI value, LSaO₂, SIT90 and SIT80 obtained by Zhaoguan intelligent health ring were positively correlated with those measured by PSG.Conclusion Both medical staff and non-medical personnel have a relatively low awareness of OSA knowledge. Zhaoguan intelligent health ring has a certain diagnostic value for patients with suspected OSA, but there are differences in the assessment of the severity of the disease.