目的研究STOP-Bang问卷与中重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者认知功能的关系,以探讨其临床应用价值。方法纳入经多导睡眠监测确诊的中重度OSAHS患者94例,根据STOP-Bang问卷将患者分为重度组(44例)和中度组(50例),并用简易智能状态量表(MMSE)评价患者的认知功能,运用Pearson相关分析和ROC曲线评价STOP-Bang问卷结果与认知功能的关系。结果与中度组患者比较,重度组患者高血压比例较高(59.1%vs.36.0%,P=0.03),体质量指数[(30.3±2.5)kg/m~2vs.(28.5±1.7)kg/m~2]、呼吸暂停低通气指数[(51.2±2.4)次/h vs.(26.5±3.5)次/h]和STOP-Bang总得分较高(5.6±1.2 vs.2.3±0.6),而最低氧饱和度[(62.7+4.6)%vs.(78.2±3.8)%]、快眼动睡眠比例[(4.2±0.7)%vs.(5.3±1.3)%]和MMSE评分较低[(22.6±1.2)分vs.(27.3±0.6)分],差异均有统计学意义(P0.01);重度组患者的记忆力[(1.2±0.4)分vs.(2.2±0.5)分]、注意力[(2.5±0.9)分vs.(3.4±1.1)分]和回忆力[(1.2±0.7)分vs.(2.4±0.3)分]评分均显著下降,差异均有统计学意义(P0.01);STOP-Bang问卷得分与认知功能呈负相关(r=-0.69,P0.01);其预测认知功能障碍的敏感度为82.4%,特异度为65.8%,曲线下面积为0.72(95%C1 0.61~0.82,P0.01)。结论在中重度OSAHS患者中,STOP-Bang问卷结果与患者的认知功能明显相关,对认知功能具有一定的预测价值,
Objective To investigate the relationship between STOP-Bang questionnaire and cognitive function in pa-tients with moderate to severe obstructive sleep apnea hypopnea syndrome (OSAHS), and to evaluate its clinical application value.Methods Ninety-four patients with severe OSAHS were confirmed by polysomnogram were enrolled , according to the STOP-Bang questionnaire, they were divided into severe group (44 cases) and moderate group (50 cases), and mini mental status scale ( MMSE) were used to assess cognitive function in patients , the relationship between STOP-Bang questionnaire re-sults and cognitive function were analyzed by Pearson correlation analysis and ROC curve .Results Comparing with the pa-tients of moderate group, patients in severe group with a higher proportion of hypertension (59.1%vs.36.0%, P =0.03), body mass index [(30.3 ±2.5) kg/m2 vs.(28.5 ±1.7) kg/m2],apnea hypopnea index [(51.2 ±2.4) /h vs.(26.5 ± 3.5) /h] and STOP-Bang total scores (5.6 ±1.2 vs.2.3