Alborz University Medical Journal
نشریه علمی پژوهشی دانشگاه علوم پزشکی البرز
aumj
Medical Sciences
http://aums.abzums.ac.ir
1
admin
2322-3839
2588-3046
10.61186/aums
fa
jalali
1403
12
1
gregorian
2025
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fulltext
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بررسی ارزش تشخیصی ترکیب پرسشنامههای Stop-Bang و ESS با پالس اکسی متری در تشخیص آپنه انسدادی حین خواب (OSA) در مقایسه با پلی سومنوگرافی (PSG)
Evaluation of diagnostic value of combining STOP-BANG and ESS questionnaires with pulse oximetry in the diagnosis obstructive sleep apnea in comparison with polysomnography
تخصصي
Special
پژوهشی کاربردی
Original
<p><span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">مقدمه</span></span></b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">: آپنه</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">انسدادی</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">حین</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">خواب (</span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">OSA</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">)</span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">یک اختلال شایع خواب است که همراه با بیماریهای قلبی عروقی و مغزی</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">و اختلالات متابولیکی است. هدف پژوهش حاضر بررسی ارزش تشخیصی ترکیب پرسشنامههای </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">Stop-Bang</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> و </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">ESS</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> با پالس­اکسی­متری در تشخیص </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">OSA</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> در مقایسه با</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">پلی سومنوگرافی (</span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">PSG</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">) است.</span></span></span></span></span></span></span><br>
<span style="font-size:14pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">روش کار</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">: این مطالعه توصیفی تحلیلی و مقطعی است و توسط افرادی که برای انجام تست خواب به بیمارستان مراجعه میکنند قبل از انجام تست دو پرسشنامه </span></span></span><span dir="LTR" lang="EN-US" style="font-size:11.0pt"><span style="font-family:"ti",serif"><span style="font-weight:normal">STOP-BANG</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal"> و </span></span></span><span dir="LTR" lang="EN-US" style="font-size:11.0pt"><span style="font-family:"ti",serif"><span style="font-weight:normal">ESS</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">تکمیل شد. سپس نتایج حاصل از پرسشنامهها که مجموع نمرات هر پرسشنامه است و نتایج پالس­اکسی­متری که شامل هایپوکسی و ایندکسهای </span></span></span><span dir="LTR" lang="EN-US" style="font-size:11.0pt"><span style="font-family:"ti",serif"><span style="font-weight:normal">AHI</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">و </span></span></span><span dir="LTR" lang="EN-US" style="font-size:11.0pt"><span style="font-family:"ti",serif"><span style="font-weight:normal">ODI</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">است با نتایج حاصل از </span></span></span><span dir="LTR" lang="EN-US" style="font-size:11.0pt"><span style="font-family:"ti",serif"><span style="font-weight:normal">PSG</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal"> مقایسه شد.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> <b>نتایج:</b> در این مطالعه نشان داده شد بین تست </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">SPO2</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> و </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">PSG </span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">، </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">STOP-BANG</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> و </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">psg</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">، </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">ESScod</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> و </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">PSG</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">، بر اساس آزمون کاپا، هماهنگی خوبی وجود دارد. میزان حساسیت نتیجه پرسشنامه </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">STOP-BANG</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> نسبت به پرسشنامه </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">ESS</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> با پالس­اکسی­متری در تشخیص </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">OSA</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> در مقایسه با </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">psg</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">، بیشتر نشان داده شد و میزان حساسیت نتیجه پرسشنامه ترکیبی بیشتر از پرسشنامه </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">ESS</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> با پالس­اکسی­متری در تشخیص </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">OSA</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> در مقایسه با </span></span><span dir="LTR" lang="EN-US" style="font-family:"ti",serif">PSG</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> بود.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">نتیجهگیری: </span></span></b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">بر اساس یافته­ها ترکیب پرسشنامههای مورد بررسی دارای ارزش افزوده تشخیصی بیشتری است.</span></span></span></span></span></span></span></p>
<p><span style="font-size:11pt"><span style="background-color:white"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="color:#131414">Introduction:</span></span></strong><span style="font-size:12.0pt"><span style="color:#131414"> Obstructive sleep apnea (OSA) is a common sleep disorder associated with cardiovascular and cerebrovascular diseases and metabolic disorders. The aim of the present study was to investigate the diagnostic value of combining the Stop-Bang and ESS questionnaires with pulse oximetry in diagnosing OSA compared to polysomnography (PSG).</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="background-color:white"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="color:#131414">Methods:</span></span></strong><span style="font-size:12.0pt"><span style="color:#131414"> This is a descriptive, analytical, and cross-sectional study. People who visit the hospital for a sleep test completed the STOP-BANG and ESS questionnaires before the test. Then, the results of the questionnaires, which are the sum of the scores of each questionnaire, and the results of pulse oximetry, which include hypoxia and the AHI and ODI indices, were compared with the results of PSG.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="background-color:white"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="color:#131414">Results:</span></span></strong><span style="font-size:12.0pt"><span style="color:#131414"> In this study, it was shown that there is a good agreement between SPO2 and PSG, STOP-BANG and PSG, ESScod and PSG, based on the Kappa test. The sensitivity of the STOP-BANG questionnaire was higher than the ESS questionnaire with pulse oximetry in diagnosing OSA compared to PSG, and the sensitivity of the combined questionnaire was higher than the ESS questionnaire with pulse oximetry in diagnosing OSA compared to PSG.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="background-color:white"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="color:#131414">Conclusion:</span></span></strong><span style="font-size:12.0pt"><span style="color:#131414"> Based on the findings, the combination of the studied questionnaires has more added value.</span></span></span></span></span></p>
آپنه انسدادی خواب, بیماری های قلبی عروقی, بیماری های عروق مغزی, اختلالات متابولیک, پلی سومنوگرافی
Obstructive sleep apnea, cardiovascular diseases, cerebrovascular diseases, metabolic disorders, polysomnography
154
161
http://aums.abzums.ac.ir/browse.php?a_code=A-10-1562-1&slc_lang=fa&sid=1
Abolhasan
Halvani
ابوالحسن
حلوانی
halvani47@yahoo.com
100319475328460013850
100319475328460013850
No
Department of Internal Medicine, Yazd Medical Science Branch, Islamic Azad University, Yazd, Iran
گروه بیماریهای داخلی، دانشکده پزشکی، دانشگاه آزاد اسلامی واحد یزد، یزد، ایران
Sareh
Rafatmagham
ساره
رفعت مقام
r.sareh2012@gmail.com
100319475328460013851
100319475328460013851
Yes
Department of Internal Medicine, Fasa University of Medical Sciense, Fasa, Iran
دستیار تخصصی بیماریهای داخلی، گروه بیماریهای داخلی، دانشکده پزشکی، دانشگاه علوم پزشکی فسا، فسا، ایران
Foroghosadat
Jamaledini
فروغ السادات
جمال الدینی
f.s.jamaledini@gmail.com
100319475328460013852
100319475328460013852
No
Yazd Medical Science Branch, Islamic Azad University, Yazd, Iran
دانشآموخته پزشکی عمومی، دانشکده پزشکی، دانشگاه آزاد اسلامی واحد یزد، یزد، ایران