睡眠時呼吸モニター検査の有用性について:レスピンムノグラフとアプノモニターの比較

概要

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In 72 adults who underwent surgery because of suspected sleep apnea syndrome (SAS), respiration was simultaneously monitored by two modalities (a Respisomnograph and an Apnomonitor). The data from the two modalities were compared for 51 patients in who m valid preoperative Apnomonitor data were available. The apnea index (AI) derived from the Respisomnograph tended to be lower than that derived from the Apnomonitor. There was a significant, positive correlation between the AI values obtained by the two modalities (r=0.62, p<0.001).<BR>In 33 patients, valid Apnomonitor data were available both preoperatively and postoperatively. It was possible to make a diagnosis of SAS with a Respisomnograph in 27(81.8%) of the 33 cases, and with an Apnomonitor in 25 (75.8%) of the 33 cases.<BR>In 25 patients who were diagnosed with SAS based on Apnomonitor d a ta, we compared the assessment of surgery by the two modalities. In 6 cases (24%), the ratings of the two modalities concurred. The assessment of surgery differed between the two modalities by one level in 16 cases (64%), by 2 levels in 1 case (4%) and by 3 levels in 2 cases (8%). Thus, in 3 cases (12%), the rating of the effect of surgery differed by 2 or more levels.
耳鼻咽喉科臨床学会の論文