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《Practical Preventive Medicine》 2007-02
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Diagnosis Value of ODI4 in Patients With Sleep Apnea/hypopnea Syndrome

HU Fang,YANG Yu,LUO Ying-quan(Department of Geriatrics,the Second Xiangya Hospital of Central South University,Changsha 410011,Hunan,China)  
Objective To study the relations of oximetry data, somatotype and Epworth sleepiness score(ESS) in patients with sleep apnea hypopnea syndrome(SAHS).MethodsAltogether 368 patients with suspected SAHS were detected with 7-hour polysomnography(PSG).Apnea/hypopnea index(AHI),the lowest SaO2(LSaO2), the mean SaO2(M SaO2),oxygen desaturation index 4(ODI4),the percent of the total time with oxygen saturation level 90%(TS90%),the neck circumference,BMI and ESS were calculated.Results There was a significant correlation(r=0.880,P0.001) between ODI4 and AHI.TS90% and AHI showed a significant correlation(r=0.772,P0.001) too.ODI4≥5 identified patients with AHI≥5 at a sensitivity of 97.8% and a specificity of 63.8%.ODI4≥15 identified patients with AHI≥15 at a specificity of 89.7% and a sensitivity of 94.4%.Conclusions The best indicator in screening SAHS patients is ODI4.It could be used as the parameter in evaluating the severity of SAHS,and also has a great value in diagnosis of SAHS.
【CateGory Index】: R766
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