Application of Portable Sleep Monitoring in the Diagnosis of Children's OSAHS

Wei Shanwen; Tan Liuchun; Li Jian

doi:10.19617/j.issn1001-1307.2024.04.17

Abstract：Objective To investigate the clinical application effect of portable sleep monitoring(PM)method in the diagnosis of obstructive sleep apnea hypopnea syndrome(OSAHS)in children.Methods 94 children with suspected OSAHS due to adenoid hypertrophy and/or tonsil hypertrophy admitted to our hospital from January 2018 to December 2020 were selected.All children were monitored by polysomnography(PSG)and PM monitor.Statistical PSG monitoring and PM monitoring of 94 children suspected of having OSAHS;monitoring and analysis indicators mainly include:AHI,sleep efficiency,mean blood oxygen saturation(MSaO2)and minimum arterial blood oxygen saturation(LSaO2);and statistical PM monitoring method sensitivity,accuracy and specificity.Results PSG monitoring diagnosed with simple snoring in 12 cases,diagnosed with OSAHS in 82 cases(mild OSAHS in 26 cases,moderate OSAHS in 41 cases,severe OSAHS in 15 cases);PM monitoring in the diagnosis of simple snoring in 15 cases,79 cases were diagnosed with OSAHS(24 cases of mild OSAHS,40 cases of moderate OSAHS,15 cases of severe OSAHS).There was no significant difference between PSG monitoring and PM monitoring AHI,sleep efficiency,MSaO2 and LSaO2(P>0.05).PSG was the gold standard for diagnosing OSAHS.Based on the results of PSG monitoring in this study,the sensitivity of PM monitoring method is 93.14%,accuracy is 96.34%,and specificity is 95.72%.Conclusion The various indicators of PSG monitoring and PM monitoring have a good correlation.The operation method of PM monitoring is relatively simple,which helps the convenience and timeliness of examination,and can significantly reduce the medical expenditure of patients,which is easy to be affected by patients and their families.Accepted,it has high application value in the diagnosis of children's OSAHS.