한 대학병원에서 철야 수면다원검사를 시행한 환자들의 수면설문조사 결과 분석
Analysis of Sleep Questionnaires of Patients who Performed Overnight Polysomnography at the University Hospital
권순석 (가톨릭대학교)
송정섭 (가톨릭대학교)
박성학 (가톨릭대학교)
김영균 (가톨릭대학교)
김관형 (가톨릭대학교)
문화식 (가톨릭대학교)
박용문 (가톨릭대학교)
이상학 (가톨릭대학교)
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Abstract
Background : The objective of this study was to understand sleep-related problems, and to determine whether the sleep questionnaires is a clinically useful method in patients who need polysomnography.Methods : Subjects were patients who performed polysomnography and who asked to answer a sleep questionnaires at the Sleep Disorders Clinic of St. Paul’s Hospital, Catholic University of Korea. Baseline characteristics, past medical illness, behaviors during sleep-wake cycle, snoring, sleep-disordered breathing and symptoms of daytime sleepiness were analyzed to compare with data of polysomnography.Results : The study population included 1081 patients(849 men, 232 female), and their mean age was 44.2±12.8 years. Among these patients, 38.9% had an apnea-hypopnea index(AHI)<5, 27.9% had 5≤AHI<20, 13.2% had 20≤AHI<40, and 20.0% had 40≤AHI. The main problems for visiting our clinic were snoring(91.7%), sleep apnea(74.5%), excessive daytime sleepiness(8.0%), insomnia(4.3%), bruxism(1.1%) and attention deficit(0.5%). The mean value of frequency of interruptions of sleep was 1.6 and the most common reason was urination(46.3%). Epworth Sleepiness Scale(ESS) had a weak correlation with AHI(r=0.209, p<0.01). When we performed analysis of sleep questionnaires, there were significant differences in the mean values of AHI according to the severity of symptoms including snoring, daytime sleepiness, taking a nap and arousal state after wake(p<0.05).Conclusion : On the basis of statistical analysis of sleep questionnaires, the severity of subjective symptoms such as ESS, snoring, daytime sleepiness and arousal state after wake correlated with the AHI significantly. Therefore the sleep questionnaires can be useful instruments for prediction of the severity of sleep disorder, especially sleep-disordered breathing.(Tuberc Respir Dis 2006; 60: 76-82)
- keywords
- Sleep questionnaires, Polysomnography, Obstructive sleep apnea
참고문헌
(2000) Long-term results of uvulopalatopharyngoplasty for obstructive sleep apnea syndrome,
(1985) Obesity and hormonal factors in sleep and sleep apnea,
(1987) Changes in pharyngeal cross-sectional area with posture and application of continuous positive airway pressure in patients with obstructive sleep apnea,
(1996) Obstructive sleep apnea and related disorders,
Use of the sleep laboratory in suspected sleep apnea syndrome,
(1968) A manual of standardized terminology techniques and scoring system for sleep stages of human subjects University of California Los Angeles,
(1991) Single-night studies in obstructive sleep apnea,
(1999) Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research: The Report of an American Academy of Sleep Medicine Task Force,
(2002) Relationship between quality of life and mood or depression in patients with severe obstructive sleep apnea syndrome,
(1998) Statement on health outcomes research in sleep apnea,
(1995) Impact of self-reported sleep-breathing disturbances on psychosocial performance in the Swedish Obese Subjects(SOS)Study,
(2001) The road to danger:the comparative risks of driving while sleepy,
(1988) Neuropsychologic symptoms in obstructive sleep apnea improve after treatment with nasal continuous positive airway pressure,
(1999) Psychological correlates of sleep apnea,
(1995) The changes of plasma atrial natriuretic peptide concentrations during waking and sleep in patients with obstructive sleep apnea syndrome,
(1997) Sleep apnoea as a cause of daytime and nocturnal enuresis,
(1999) Polysomnographic and urodynamic changes in a case of obstructive sleep apnea syndrome with enuresis,
(2004) A prospective study of nocturia and the quality of life of elderly patients with obstructive sleep apnea or sleep onset insomnia,
(2005) Effectiv eness of adenotonsillectomy in the resolution of nocturnal enuresis secondary to obstructive sleep apnea,
(1999) Relation of sleepiness to respiratory disturbance index:the Sleep Heart Health Study,
(2004) Polysomnography vs self-reported measures in patients with sleep apnea,
(2001) Association between polysomnographic sleep measures and health-related quality of life in obstructive sleep apnea,
(2004) A new standardised and self-administered quality of life questionnaire specific to obstructive sleep apnea,
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