广东医学2024，Vol.45Issue(3)：287-293,7.DOI:10.13820/j.cnki.gdyx.20230961
微动敏感床垫式睡眠监测系统诊断阻塞性睡眠呼吸暂停及睡眠参数一致性评价
Evaluation of consistency between Micro-Motion-Sensitive Mattress Sleep Monitoring System and polysomnog-raphy in diagnosing obstructive sleep apnea and assessing sleep parameters
摘要
Abstract
Objective To evaluate the consistency of multiple parameters between the Micro-Motion-Sensitive Mattress Sleep Monitoring System(MSMSMS)and polysomnography(PSG)in the diagnosis of obstructive sleep apnea(OSA)and sleep assessment.Methods Sixty-seven subjects suspected of having OSA underwent PSG and MSMSMS simultaneously to record multiple sleep parameters.The consistency between PSG and MSMSMS in the diagnosis and grad-ing of OSA,as well as the consistency in respiratory events,blood oxygen events,sleep basic information,and sleep structure parameters,was compared.Paired t-test,Bland-Altman analysis,and intraclass correlation coefficient(ICC)were used for continuous data,and weighted kappa analysis was used for categorical data.Results Compared with PSG,the areas under the curve for diagnosing mild,moderate,and severe OSA were 1,0.999,and 0.967,respectively(P＜0.001);the weighted kappa coefficient for the two diagnostic results was 0.841(95％CI:0.766-0.928,P＜0.001).The intraclass correlation coefficients of the apnea-hypopnea index(AHI),apnea index(Al),and blood oxygen indexes were 0.967(0.943,0.980),0.937(0.900,0.961),and 0.900(0.837,0.939),respectively,and 0.936(0.891,0.962).Except for the hypopnea index(HI)[0.181(-0.032,0.387),P=0.036],there was high consistency in the interpretation of other respiratory events and blood oxygen indexes(P＜0.001).There was a moderate level of consis-tency between the two methods in the interpretation of sleep structure,including the proportion and time of light sleep and the time of deep sleep.Conclusion MSMSMS has high sensitivity and specificity in the diagnosis and grading of OSA compared with PSG.In addition to strong consistency in respiratory events and blood oxygen indexes,MSMSMS also has certain significance in evaluating the sleep structure of OSA patients.关键词
微动敏感床垫式睡眠监测系统/多导睡眠监测/阻塞性睡眠呼吸暂停/诊断试验/一致性评价/睡眠结构Key words
micro-movement sensitive mattress sleep monitoring system/polysomnography/obstructive sleep apnea/diagnostic tests/consistency evaluation/sleep structure分类
医药卫生引用本文复制引用
梁锡丽,许婷,陈莉雅,江茵,谢晴娥,廖生武,冯媛..微动敏感床垫式睡眠监测系统诊断阻塞性睡眠呼吸暂停及睡眠参数一致性评价[J].广东医学,2024,45(3):287-293,7.基金项目
广州市科技计划项目(202103000037) （202103000037）
南方医科大学南方医院"临床研究专项"(2018CR010) （2018CR010）
