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폐쇄성 무호흡증 환자에서 코골이 시간(%)의 임상적 의의

Title
폐쇄성 무호흡증 환자에서 코골이 시간(%)의 임상적 의의
Other Titles
Clinical Implications of Snoring Time (%) in Patients with Obstructive Sleep Apnea
Author
김경래
Keywords
Neck; Obstructive sleep apnea; Snoring; Waist-hip ratio
Issue Date
2016-09
Publisher
대한이비인후과학회
Citation
대한이비인후과학회지 두경부외과학, v. 59, NO. 9, Page. 649-654
Abstract
BACKGROUND AND OBJECTIVES: Snoring is the vibration sound of respiratory structures when air stream flows through the narrowed airway during sleep. In this study, we aimed to determine the clinical meaning of snoring time (%) of patients who have simple snoring or obstructive sleep apnea (OSA). MATERIALS AND METHODS: We performed a retrospective review of 240 cases of clinical data and polysomnography, which were diagnosed with either simple snoring (n=53) or OSA (n=187). Clinical data included anthropometric measurements such as body mass index, neck and waist circumference (WC), and wasit-hip ratio (WHR). Snoring time (%) was calculated as the total time of snoring per hour of sleep. RESULTS: In the female group, snoring time (%) increased in OSA compared to simple snoring, which showed a negative correlation with N3 (r=-0.395, p=0.002) and a positive correlation with the arousal index (r=0.39, p=0.003). Moreover, in females, snoring time (%) showed significant correlations with respiratory indexes: hypopnea index (p=0.008), apnea-hypopnea index (p=0.049), and lowest SpO₂ (p=0.003). WC and WHR showed significant correlations with snoring time (%) in both male and female. CONCLUSION: Snoring time (%) of females showed important clinical associations with sleep quality and respiratory index. Therefore, snoring may have an important role in the pathogenesis of OSA in females.
URI
http://www.kjorl.org/journal/view.php?doi=10.3342/kjorl-hns.2016.59.9.649http://repository.hanyang.ac.kr/handle/20.500.11754/76744
ISSN
2092-5859; 2092-6529
DOI
10.3342/kjorl-hns.2016.59.9.649
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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