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頁籤選單縮合
題名 | Evaluation of a Portable Device for Diagnosing Sleep Apnea/Hypopnea Syndrome=驗證攜帶式睡眠呼吸生理檢查機應用於睡眠呼吸障礙之診斷 |
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作者 | 黃舒儀; 莊立邦; 林士為; 楊政達; 林裕清; 陳濘宏; Huang, Shu-yi; Chuang, Li-pang; Lin, Shih-wei; Yang, Cheng-ta; Lin, Yu-ching; Chen, Ning-hung; |
期刊 | 胸腔醫學 |
出版日期 | 20120400 |
卷期 | 27:2 2012.04[民101.04] |
頁次 | 頁81-87 |
分類號 | 415.41 |
語文 | eng |
關鍵詞 | 睡眠呼吸障礙; 驗證攜帶式簡易睡眠呼吸生理檢查機; Sleep apnea/hypopnea disorders; Portable polysomnography; |
中文摘要 | 呼吸睡眠障礙近年來逐漸接受到大家的重視,但睡眠中心有限的資源常導致延遲診斷睡眠呼吸障礙,而未診斷的睡眠呼吸障礙常導致車禍、心血管疾病危險性增加等併發症;若能有攜帶式的睡眠呼吸生理檢查讓病患可於家中接受檢查,可減少等待的時間。但攜帶式的呼吸生理檢查機應用於睡眠呼吸障礙症候群之診斷準確度是需要驗證。本研究希望藉由調查驗證此攜帶式的睡眠呼吸生理檢查機與正規睡眠呼吸生理檢查機之間的差異。結果顯示兩種機型診斷在中重度以上之睡眠呼吸中止症有高度正相關(ROC:AHI≥15:n = 37, r = 0.86, p<0.0001; AHI≥30:n = 25, r = 0.78, p<0.0001);且具高敏感性(97.3%)、高特異性(88.57%)於重度睡眠呼吸障礙病患,適合用於篩選於被高度懷疑為睡眠呼吸障礙臨床症狀之病人,可降低等待檢查的時間以及減少醫療資源的支出。 |
英文摘要 | To limit time spent in the sleep-lab ward and avoid a delayed diagnosis of sleep apnea, adequate and accurate diagnosis/monitoring of sleep apnea/hypopnea using a portable device may be of benefit. This study was designed to evaluate the use of a portable sleep monitoring device in the diagnosis of sleep apnea/hypopnea syndrome. A high correlation in the apnea-hypopnia index (AHI) and the lowest oxygen saturation was noted between standard polysomnography and this portable device. The agreement between the 2 methods was also good (linear regression: R^2 0.799, p value <0.001). Extremely good sensitivity (97.3%) and specificity (88.6%) were noted at the diagnostic threshold of AHI ≥30, which means this portable device is a good screening and monitoring tool for severe sleep apnea/hypopnea disorders at home and may reduce waiting time and costs in medical resources. |
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