中重度阻塞性睡眠呼吸暂停筛查工具的研究进展

Research Progress of Screening Tools for Moderate to Severe Obstructive Sleep Apnea

摘要: 阻塞性睡眠呼吸暂停(OSA)/低通气综合征与多种慢性疾病密切相关，特别是在其最严重的形式。据相关文献报告，有接近82%~92%的中重度OSA患者没有得到诊断。目前诊断OSA的金标准整夜多导睡眠检测的广泛开展也有较多局限性，因此采用问卷筛选严重高危OSA病人是最简单、快速有效的办法，有助于严重OSA患者的早期筛查，也利于基层医院的转诊及优先PSG检查和处理。目前有几个基于问卷的筛选方法，能够更高效的筛查出中重度OSA病例，在这篇综述中，本文将重点探讨柏林问卷、STOP-Bang问卷、OSA50问卷、BASAN指数筛查中重度OSA的效果。

Abstract: Obstructive sleep apnea (OSA)/hypopnea syndrome is closely associated with a variety of chronic diseases, especially in its most severe form. According to the relevant literature, nearly 82%~92% of patients with moderate to severe OSA have not been diagnosed. At present, the gold standard overnight polysomnography for the diagnosis of OSA has many limitations. Therefore, the use of questionnaires to screen patients with severe high-risk OSA is the most simple, fast and effective method, which is helpful for the early screening of patients with severe OSA. It is also conducive to referral and priority PSG examination and treatment in primary hospitals. At present, there are several questionnaire-based screening methods that can more efficiently screen out moderate to severe OSA cases. In this review, this article will focus on the effects of Berlin questionnaire, STOP-Bang questionnaire, OSA50 questionnaire, and BASAN index screening for moderate to severe OSA.