来自儿科睡眠问卷的荷兰睡眠相关呼吸障碍尺度的验证:使用多睡眠学诊断准确性研究
Bibi E Becking1, Ronald E G Jonkman2, Dominique J P M Stumpel3
1Department of Oral and Maxillofacial Surgery, Leiden University Medical Center, P.O. Box 9600, 2300 RC, Leiden, The Netherlands. bbecking@me.com.
Sleep & breathing = Schlaf & Atmung
|November 28, 2025
概括
荷兰睡眠相关呼吸障碍 (SRBD) 规模有效地选儿科睡眠呼吸障碍 (PSDB). 这种经过验证的工具通过识别需要进一步的多睡眠图 (PSG) 评估的儿童来帮助初级保健.
科学领域:
- 儿科肺病学 儿科肺病学
- 睡眠医学 睡眠医学
- 诊断准确性研究 诊断准确性研究
背景情况:
- 儿童睡眠呼吸障碍 (PSDB) 与显著的并发症有关.
- 多人睡眠学 (PSG) 是PSDB诊断的黄金标准,但在初级保健机构的可访问性有限.
- 需要查工具来识别可能受益于PSG的儿童.
研究的目的:
- 评估荷兰版儿科睡眠问卷 (PSQ) 睡眠相关呼吸障碍 (SRBD) 尺度的有效性.
- 为了比较SRBD尺度与PSG的性能,用于诊断PSDB.
- 评估SRBD尺度作为初级保健查工具的实用性.
主要方法:
- 一项涉及75名接受PSG治疗的儿童的横截面研究.
- 父母/监护人完成了SRBD尺度表.
- 使用 PSG 确认的 PSDB 和阻塞性睡眠呼吸暂停 (OSA) 诊断,以及灵敏度,特异性和 AUC-ROC 分析来评估构造和标准有效性.
主要成果:
- 在SRBD尺度上得分显著区分了PSDB儿童与对照儿童的差异.
- 对OSA的敏感性和特异性分别为0.92和0.74.
- 对于PSDB (打和/或OSA),灵敏度和特异性为0.85,所有PSG结果的AUC超过0.87.
结论:
- 荷兰SRBD尺度表现出PSDB的适当选性能.
- 它是初级保健医生作为识别潜在PSDB儿童的初步步骤的有效和有用工具.
- 这有助于早期诊断和治疗儿科睡眠障碍.
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