مشاركة
التقييم السريري ورصد قياس التاكسج خلال الليل للمرضى المعرضين لخطر توقف التنفس الانسدادي اثناء النوم == Clinical Evaluation and Overnight Oximetry Monitoring of High Risk Patients for Obstructive Sleep Apnea
اسم المؤلف:
محمد شاكر حسن
اسم المشرف:
قاسم محمد سلطان
الموضوع العام:
الطب
السنة:
2014
الموضوع الدقيق:
الامراض - الصدرية
الدرجة:
دبلوم عالي
الجامعة:
جامعة بغداد - كلية الطب
اللغة:
الانكليزية
مكان الجامعة:
بغداد
الصفحات الاولى:
19T1620 - p.pdf
المستخلص:
Obstructive sleep apnea OSA is a condition of sleep related pharyngeal collapse, in which recurrent episodes of upper airway occlusion occur during sleep causing diminution (hypopnea) or cessation of airflow (apnea) in the pharynx provoking arousals and sleep fragmentation , resulting in daytime sleepiness. Aim of study : To evaluate patients at high risk of OSA, by clinical parameters and overnight oximetry monitoring.Patients and Method : Cross sectional study of 20 patients, 12 male and 8 female with high probability of OSA, attended to respiratory clinic in Baghdad teaching hospital suffering from excessive daytime sleepiness, they were clinically evaluated plus using overnight oximetry as an objective testing method.Results : 20 patients only complete the study, 12 male (60%), 8 female (40%), 4 patients >60 years old (20%), 9 patients 40 - 59 (45%), and 7 patients 20 - 40 (35%), smokers were 11 (55%), patients with hypertension were 8 (40%) all of them with regular anti - hypertensive drugs , 2 (10%) patients were hypothyroidism according to thyroid function test .DI show significant correlation with AHI, BMI, Baseline SPO2 and gender, while no significant correlation with age.AHI show significant correlation with baseline SPO 2 and gender, and no correlation with BMI and age.Conclusion : Desaturation index assessed by nocturnal pulse oximetry maintain its utility as a screening method in the recognition of obstructive sleep apnea in morbidly obese patients with high clinical pretest suspicion, DI > 4% when combined with appropriate clinical evaluation, could be used as an initial diagnostic test for OSA.Obesity is a major risk factor and almost all suspected patients with OSA are obese.
