Clinical application of the modified Epworth Sleepiness Score in the gestation women combined with obstructive sleep apnea-hypopnea syndrome
10.3760/cma.j.issn.1008-6706.2011.01.004
- VernacularTitle:改良Epworth嗜睡量表在妊娠合并阻塞性睡眠呼吸暂停低通气综合征中的应用
- Author:
Zhong XU
;
Qiaoli LUO
;
Taoping LI
;
Huishu LIU
;
Dongjian HUANG
;
Dunjin CHEN
- Publication Type:Journal Article
- Keywords:
Sleep apnea-hypopnea syndrome;
Pregnancy;
Epworth sleepiness score;
Screening;
Neck circumference;
Body mass index
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(1):9-11
- CountryChina
- Language:Chinese
-
Abstract:
Objective Screening OSAHS patients on pregnancy with Modified Epworth Sleepiness Scale( Epworth sleepiness scale,ESS)and to assess its effect. Methods 22 patients underwent the pregnancy,and pregnancy with OSAHS( mild in 23 cases,22 cases of moderate and severe in 19 cases)group were 64 people, By ESS and modified ESS score, EP and modified EP values was derived. The neck circumference ( NC), body mass index (BMI) was measured. Conduct of polysomnography ( PSG), apnea hypopnea index ( AHI ) and lowest oxygen saturation ( LSaO2 )ESS and modified ESS correlation with the AHI was analyzed and ROC curves was drawn. Results The EP value of pregnancy with mild OSAHS group has no significant difference between normal pregnancy group( P ＞ 0.05) ;the rest of pregnancy OSAHS group modified EP, EP values and the normal pregnancy group were significantly different ( all P＜0.05) ;modified EP, EP, NC, BMI values positively correlated with the AHI value, the correlation coefficient r were :0.876,0.748,0.671,0.670 ( all P ＜ 0.001 ) ;modified EP, EP, NC, BM I of the A UC values were 0.901,0.819,0.750, 0.779; when the modified EP = 8.5, had higher sensitivity ( 84.4% ) and specificity ( 90.9% ).Conclusion Modified ESS on pregnancy OSAHS patients had better clinical value of screening.
