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在记忆诊所进行阻塞性睡眠呼吸暂停的查:问卷,脉冲氧计和多睡眠计的比较
Aaron Lam1,2,3,4,5, Angela L D'Rozario1,3,4,6, Shawn Kong1,2,6
1Healthy Brain Ageing Program, The Brain and Mind Centre, University of Sydney, Australia.
Journal of Alzheimer's disease : JAD
|November 29, 2024
概括
STOP-Bang问卷对老年人有认知问题的阻塞性睡眠呼吸暂停 (OSA) 的查无效. 脉冲氧计显示承诺作为一个可行的查工具OSA在记忆诊所.
科学领域:
- 老年学是一门学科.
- 睡眠医学 睡眠医学
- 神经学 神经学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在老年人中很常见,与认知能力下降和痴呆症有关.
- 在记忆诊所设置中,OSA查工具的有效性尚未得到充分证实.
研究的目的:
- 在一个记忆诊所评估STOP-Bang问卷 (SBQ) 和脉冲氧计来查老年人OSA.
- 为了比较它们的准确性与多睡眠学 (PSG),黄金标准的诊断工具.
主要方法:
- 年长的成年人 (年龄大于50岁) 有新的认知/情绪问题接受了SBQ,氧计和PSG.
- 接收器操作曲线评估了SBQ和氧度的准确性,用于中度至重度和重度的OSA.
- 氧度学 (ODI-Ox) 和PSG (AHI-PSG) 之间的一致性使用Bland-Altman图表和类内相关性进行了评估.
主要成果:
- 在检测中度至重度 (AUC=0.600) 和重度OSA (AUC=0.577) 方面,SBQ表现有限.
- 氧度测试显示中度至重度 (AUC=0.769) 和重度OSA (AUC=0.730) 的性能令人满意.
- 调整的氧度测量切线 (ODI-Ox ≥11对于AHI-PSG ≥15,ODI-Ox ≥20对于AHI-PSG ≥30) 改善了诊断准确度,在方法之间达成可接受的协议.
结论:
- 在SBQ可能不适合查中度或重度的OSA在认知障碍的老年人.
- 脉冲氧测 emerges 作为一个潜在的可行的查工具 OSA 在记忆诊所患者.
- 建议在记忆诊所进行常规的OSA查,因为OSA治疗可能会减轻认知能力下降.
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