体检人群使用 NOSAS 评分作为阻塞性睡眠 呼吸暂停初筛工具的可行性分析.

Objective　To compare the predictive value of NoSAS score and STOP-Bang questionnaire score， and evaluate the feasibility of NoSAS score screening for OSAHS in physical examination population. Methods　Retrospective analysis of the polysomnography （PSG） monitoring results of 135 patients with suspected OSAHS in our health management center was made from January 2018 to August 2019，including the NOSAS score and the Stop Bang Questionnaire and patient information. Grouped by apnea-hypopnea index （AHI），the sensitivity， specificity， positive predictive value and negative predictive value of NOSAS score and Stop-Bang questionnaire score were calculated， and ROC curves were drawn so as to compare the effectiveness of two scores which screened OSAHS. Result　Of the 135 patients，75.6% were male and 24.4% were female. Using AHI ≥ 5 events/h， AHI ≥ 15 events/h and AHI ≥ 30 events/h as the diagnostic criteria， the sensitivity and specificity of NOSAS scores were： 0.891 and 0.720， 0.910 and 0.587， 0.814， and 0.553； The sensitivity and specificity of STOP-Bang questionnaire were 0.873 and 0.560，0.910 and 0.435，0.949 and 0.329，respectively. When AHI ≥ 5 events/h， AHI ≥ 15 events/h and AHI ≥ 30 events / h were used as diagnostic criteria， the areas under ROC curve of the No SAS score were 0.847，0.773 and 0.693，the difference was statistically significant （ P < 0.001）；the areas under the ROC curve of the STOP-Bang questionnaire were 0.784， 0.711， 0.694 and the differences were statistically significant （P < 0.001）. When AHI is 5 events/h，15 events/h and 30 events/h as the critical points， the area under the NOSAS score ROC curve is greater than or equal to the STOP-Bang questionnaire score. The NOSAS score has good predictive value. Conclusion　As a simple and effective initial screening tool， the NOSAS score can effectively help physicians quickly screen OSAHS patients in physical examination population. [ABSTRACT FROM AUTHOR]