实用心电学杂志2016，Vol.25Issue(5)：355-358,4.DOI:10.13308/j.issn.2095-9354.2016.05.012
动态心电图在睡眠呼吸暂停综合征筛查中的应用价值
Application value of ambulatory electrocardiography examination in screening sleep apnea syndrome
张锡兰 1吴岳平1
作者信息
- 1. 361004 福建 厦门，厦门大学附属中山医院心功能科
- 折叠
摘要
Abstract
Objective To investigate the application value of ambulatory electrocardiography (AECG)examination in screening sleep apnea syndrome(SAS).Methods AECG examination was performed on 121 patients with different degrees of sleep snoring.AECG and respiratory waves were extracted synchronously with second-generation SAS initial screening technology by DMS Com-pany.Meanwhile,polysomnography(PSG)examination was performed on the patients and positive rate was compared.Results In 121 enrolled patients,PSG examination reported 40 negative cases and 81 positive ones including 25 with mild SAS,42 with moderate SAS and 14 with severe SAS. AECG examination found 46 negative cases and 75 positive ones.There were 72 cases found positive both in AECG examination and PSG monitoring.The diagnostic positive rate of AECG and PSG were coincident for patients with moderate and severe sleep snoring.However,the detection rate of AECG was comparatively lower in patients with mild sleep snoring,and false positive phenomenon was ob-served.For moderate and severe SAS patients,the positive detection rate of AECG was significantly higher than that of mild cases,with statistically significant difference(P <0.05 ).Conclusion AECG is an easy,convenient,practical and reliable method to detect SAS.For its great effect in screening SAS,AECG can be recommended for clinical diagnosis.关键词
动态心电图/睡眠呼吸暂停综合征/呼吸波Key words
ambulatory electrocardiography/sleep apnea syndrome/respiratory waves分类
医药卫生引用本文复制引用
张锡兰,吴岳平..动态心电图在睡眠呼吸暂停综合征筛查中的应用价值[J].实用心电学杂志,2016,25(5):355-358,4.
