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为确定临床病史、咽部检查和医师的综合印象对诊断睡眠呼吸暂停是否是一个敏感的筛选方法,作者采用双盲对照法,根据病史、体检与夜间多导仪睡眠图检查结果进行分析。试验在三级治疗中心的睡眠诊所进行。对象和方法研究对象为疑有睡眠呼吸暂停综合征(SAS)的患者,大多数患者有打鼾史。对所有患者进行有关SAS规范的问答及检查,每人都具有夜间多导仪睡眠图检查结果,凡睡眠中呼吸暂停10次/h以上或呼吸不全者确定患有SAS。采用分段直线回归计算法显示两种SAS的类型:一类是根据临床特征、年龄、性别和体积指数;另一类根据临床印象。
To determine whether clinical history, pharyngeal examination, and physician’s comprehensive impressions are a sensitive screening method for the diagnosis of sleep apnea, the authors used double-blind control, based on medical history, physical examination, and nighttime polysomnography sleep patterns. The trial was conducted in a sleep clinic at a tertiary care center. Subjects and Methods Subjects were suspected of having sleep apnea syndrome (SAS), most patients had a history of snoring. SAS questionnaires and tests were conducted for all patients. Each person had a nighttime polysomnography test. All patients had apnea during sleep more than 10 beats / h or were diagnosed as having respiratory insufficiency. Two types of SAS were shown using piecewise linear regression calculations: one was based on clinical features, age, gender, and volume index; the other was based on clinical impression.