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在中国成年人中查阻塞性睡眠呼吸暂停:优化STOP-Bang和NoSAS截止值

Xiaojun Zhan¹, Yang Gao², Zhifu Sun³

¹Department of Otolaryngology-Head and Neck Surgery, Capital Center for Children's Health, Capital Medical University, Beijing, China.

Medical science monitor : international medical journal of experimental and clinical research

|August 21, 2025

概括

这项研究建议在中国患者中使用STOP-Bang问卷 (SBQ) 和NoSAS得分,以更好地查阻塞性睡眠呼吸暂停 (OSA). 添加最小氧和度 (LSpO2) 进一步提高了选准确度.

科学领域:

睡眠医学
呼吸系统医学
诊断工具

背景情况:

阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的疾病,需要有效的查工具.
像STOP-Bang问卷 (SBQ) 和NoSAS得分这样的现有问卷在某些人群中存在局限性.
显然需要优化中国患者的查参数.

研究的目的:

评估修改后的STOP-Bang问卷 (SBQ) 和部,肥胖,打,年龄,性别 (NoSAS) 评分对中国人的阻塞性睡眠呼吸暂停 (OSA) 查的有效性.
建立适合中国人口的SBQ和NoSAS分数的切割值.
通过将最低氧和度 (LSpO2) 纳入这些问卷来研究选准确度的潜在改善.

主要方法:

对3129名参与者的多睡眠数据进行了回顾性分析.
收集人口统计数据,人类测量,SBQ和NoSAS分数.
对SBQ和NoSAS分数的诊断能力的评估,对OSA检测有不同的截止值.

主要成果:

优化SBQ截止值为女性的4 (AUCmax为AHI≥30/ h) 和男性的5 (AUCmax为AHI≥5/ h).
女性的最佳NoSAS评分截止值为8 (AUCmax为AHI≥5/h),男性的最佳AUCmax为12 (AUCmax为AHI≥5/h).
包括LSpO2<85%作为一个项目显著增加了两个问卷的曲线下的面积 (AUC) 值.

结论:

该研究建议在中国患者中实施SBQ和NoSAS评分的新确定的切断值,以改善OSA查.
在SBQ和NoSAS问卷中添加LSpO2<85%可以提高它们对OSA的预测能力.
这些精细的查策略可以帮助在中国人口中早期发现和管理OSA.

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