Comparative Analysis of the Methods for the Diagnosis of Sleep Disordered Breathing
https://doi.org/10.51523/2708-6011.2020-17-1-5
Abstract
Objective: to assess the effectiveness of the diagnosis of sleep apnea syndrome by the methods of respiratory monitoring and polysomnogaphу.
Material and methods. 40 patients were examined (19 men and 21 women, their average age was 54 ± 14. All the patients underwent respiratory monitoring and polysomnography.
Results. The comparative analysis of the parameters of sleep disordered breathing obtained by the methods of respiratory monitoring and polysomnography has revealed no significant differences in such main diagnostic indicators as index apnea/ hypopnea, apnea index, hypopnea index, snoring index, desaturation index, average SPO2 (p> 0.05). In the diagnosis of sleep apnea syndrome, the method of respiratory monitoring has showed a sensitivity of 96.7 %, specificity of 70.0 %, accuracy of 83.3 %, positive predictive value of 90.6 and negative predictive value of 87.5.
Conclusion. Respiratory monitoring is comparable to polysomnography in terms of the main significant diagnostic indicators of sleep disordered breathing and taking in account its cheapness and easiness of performance may serve as an alternative to polysomnography.
About the Authors
E. V. SerebrovaBelarus
Serebrova E.V., senior lecturer at the Department of Neurology and Neurosurgery with the courses of Medical Rehabilitation and Psychiatry of the EI "Gomel State Medical University"
A. B. Malkov
Belarus
Malkov A.B., Candidate of Medical Sciences, neurologist at the Republican Research Center for Radiation Medicine and Human Ecology
N. N. Usova
Belarus
Usova N.N., Candidate of Medical Sciences, Associate Professor, Head of the Department of Neurology and Neurosurgery with the courses of Medical Rehabilitation and Psychiatry of the EI "Gomel State Medical University"
References
1. Гордеев ИГ, Шайдюк ОЮ, Таратухин ЕО. Синдром апноэ во сне и кардиологическая патология: современный взгляд. Рос Кардиологический Журн. 2012;6 (98):5-12.
2. Крюков АИ. Диагностика и лечение синдрома обструктивного апноэ во сне. Москва, РФ; 2010. 31с.
3. Полуэктов МГ, Центерадзе СЛ. Влияние нарушений сна на возникновение и течение мозгового инсульта. Мед Cовет. 2015;2:10-15.
4. Punjabi NM. The Epidemiology of Adult Obstructive Sleep Apnea. Proc Am Thorac Soc. 2008;(2):136-43.
5. Бузунов РВ, Легейда ИВ. Храп и синдром обструктивного апноэ сна. Москва, РФ; 2010. 77 с.
6. Бикметова АВ. Синдром обструктивного апноэ-гипопноэ во сне: клиническая значимость, взаимосвязь с артериальной гипертензией принципы диагностики и лечения. Вятский Мед Вестн. 2011;1:3-12.
7. Jerome A, Dempsey JA, Veasey SC, Morgan B, O'Donnell C. Pathophysiology of Sleep Apnea. Physiol Rev. 2010;90(1):47-112.
8. Drager LF, Lorenzi-Filho G. Effects of continuous positive airway pressure on early signs of atherosclerosis in obstructive sleep apnea. Am J Respir Crit Care Med 2007;176(7):706-12.
9. Галяви РА. Синдром обструктивного апноэ сна. Определение, диагностика, лечение. Вестн Совр Клин Мед. 2010;4:38-42.
10. Ермолаева ТН, Кашин ВЮ. Синдром обструктивного апноэ сна: этиология, патогенез, клиника, диагностика и лечение. Здравоохр Чувашии. 2013;3:10-5.
11. Реброва ОЮ. Статистический анализ медицинских данных. Москва, РФ; 2002. 312 с.
12. Флетчер Р, Флетчер С, Вагнер Э. Клиническая эпидемиология. Москва, РФ; 1998. 352 с.
Review
For citations:
Serebrova E.V., Malkov A.B., Usova N.N. Comparative Analysis of the Methods for the Diagnosis of Sleep Disordered Breathing. Health and Ecology Issues. 2020;(1):28-34. (In Russ.) https://doi.org/10.51523/2708-6011.2020-17-1-5