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[1]李胜,姚晓光,汪迎春,等.STOP-BANG问卷在高血压人群筛查重度睡眠呼吸暂停综合征的适用性评价及改良[J].慢性病学杂志,2020,21(05):641-644.
　LISheng *,YAOXiao-guang,WANGYing-chun,et al.Applicability and improvement of STOP-BANG questionnaire in screening for severe OSA in hypertension patients[J].,2020,21(05):641-644.
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STOP-BANG问卷在高血压人群筛查重度睡眠呼吸暂停综合征的适用性评价及改良

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
21
期数:
2020年05期
页码:
641-644
栏目:
论　著
出版日期:
2020-05-28

文章信息/Info

Title:
Applicability and improvement of STOP-BANG questionnaire in screening for severe OSA in hypertension patients
作者:
李胜1; 姚晓光2; 汪迎春2; 闻璐2; 洪静2; 李南方2
1.石河子大学医学院，新疆 石河子 832000； 2.新疆自治区人民医院高血压中心新疆高血压研究所，乌鲁木齐 830000
Author(s):
LISheng * ; YAOXiao-guang; WANGYing-chun; WENLu; HONGJing; LINan-fang
*School of Medicine,Shihezi University,Shihezi,Xinjiang832000,China Correspondingauthor:LINan-fang,E-mail:lnanfang2016@sina.com
关键词:
高血压; 睡眠呼吸暂停; STOP-BANG问卷; 筛查
Keywords:
Hypertension;  Sleep apnea;  obstructive;  STOP-BANG questionnaire;  Screening
分类号:
R544.1
DOI:
-
摘要:
目的 评估STOP-BANG问卷针对高血压合并重度睡眠呼吸暂停综合征（OSA）人群的预测效能，以 及在STOP-BANG问卷中建立更合适该人群的BMI及颈围截断值。方法 收集2018—2019年于新疆自治区人 民医院高血压科住院的高血压疑似OSA患者342例，进行7 h的夜间多导睡眠监测（PSG），完成STOP-BANG问卷。评估STOP-BANG问卷预测重度OSA准确性，并评价针对该人群重新设定截断值的改良 STOP-BANG问卷的适用性。结果 共284例患者完成试验，原始STOP-BANG问卷对高血压重度OSA人 群预测的敏感度和特异度分别为80.58%和60.69%，ROC曲线下面积为0.755（P<0.001）。改良问卷中当体质量 指数（BMI）与颈围截断值分别改变为28 kg/m 2与42 cm时，曲线下面积为0.81（0.76~0.85），此时改良问卷 敏感度87.77%（81.1%~92.7%），特异度为62.07%（53.6%~70.0%），约登指数为0.50。结论 STOP-BANG问卷对筛查该人群具有较高的敏感度和中度的准确性，建议该改良问卷使用BMI>28 kg/m 2，颈围> 42 cm，STOP-BANG评分≥3为截断值识别高血压重度OSA高风险患者。
Abstract:
Objective To evaluate the predictive efficacy of the STOP-BANG questionnaire for pa-tients with hypertension and severe sleep apnea syndrome （OSA）, and to establish a more suitable boday mass index（BMI）and neck circumference cutoff value for this population in the STOP-BANG questionnaire. Methods Hypertensive patients with suspected OSA hospitalized in the Hypertension Department of the People’s Hospital of Xinjiang Autonomous Region from 2018 to 2019 were collected. The7-hour night polysomnography（PSG）and the STOP-BANG questionaire were conducted. The accuracy of the STOP-BANG questionnaire to predict severe OSA was assessed, and the applicability of the modified STOP-BANG questionnaire to reset the cut-off value for this population was ob-served. Results A total of284 patients completed the trial. The sensitivity and specificity of the orig-inal STOP-BANG questionnaire for severe OSA was 80.58% and60.69%, respectively, and the area under the ROC curve was 0.755（P<0.001）. In the modified questionnaire, when the cut-off value of BMI was changed to 28 kg/m 2 and the cut-off value of neck circumference was change to 42 cm, the area under the curve was 0.81（0.76-0.85）. The sensitivity and specificity of the modified ques-tionnaire for severe OSA was 87.77%（81.1%-92.7%）and 62.07%（53.6%-70.0%）, respectively, and the Youden index was 0.50. Conclusion The STOP-BANG questionnaire has high sensitivity and moderate accuracy for screening severe OSA in patients with hypertention. It is recommended that the modified questionnaire with BMI>28 kg/m 2 , neck circumference >42 cm, and STOP- BANG score ≥3 has better predictive efficacy for this population.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：国家卫生健康委高血压诊疗研究重点实验室、自治区卫生健康青年医学科技人才专项科研项目（WJWY-202031） 作者简介：李胜，硕士研究生，研究方向：心血管疾病 通信作者：李南方，E-mail：lnanfang2016@sina.com
更新日期/Last Update: 2020-05-28