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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 37(2); 1994 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1994;37(2): 369-76.
Clinical Evaluation of Polysomnography in Snoring and Obstructive Sleep Apnea Syndrome(OSA) Patients
Jae Hoon Park, MD, Dong Yong Wang, MD, Won Il Kim, MD, Sang Duck Lee, MD, Soon Yuhl Nam, MD, and Yong Bae Lee, MD
Department of Otorhinolaryngology, Koryo General Hospital, Seoul, Korea
코골음 및 수면무호흡증환자에서 시행한 수면다원검사의 임상적 고찰
박재훈 · 왕동용 · 김원일 · 이상덕 · 남순열 · 이용배
고려병원 이비인후과
ABSTRACT

Sleep disorders as a new disease entity continues to experience growth and greater definition. Obstructive sleep apnea syndrome is a disorder characterized by a wide range of severity of subjective symptoms including daytime hypersomnolence, headache, altered mention, and snoring. Objective measurement using polysomnography documents episodes of apnea and desaturation level that provides more important information. From June, 1991 to May, 1993, we performed polysomnography in 142 cases of sleep disorders. The results were follows : 1) Types of sleep apnea were as obstructive type 113 cases(79.5%), mixed type 26 cases(18.3%), and central type 3 cases(2.1%). 2) In obstructive type, Apnea index ranged from 5.6 to 81.6(mean 30.9±18.3). Mean apnea duration was 23.5±4.2 second. Lowest oxygen saturation ranged from 21% to 89%(mean 71.4±11.7%). 3) In central type, Apnea index ranged from 8.3 to 30.7(mean 19.3±5.6). Mean apnea duration was 17.7±3.2 second. Lowest oxygen saturation ranged from 67% to 88%(mean 72.5±5.1%). 4) In postoperative polysomnography result, Mean apnea index was 12.1±9.5. Mean lowest SaO2 was 82.1±4.3%. 5) Success Rates were 73%(criteria for success : change in A.I>50%) and 63%(criteria for success : lowest SaO2>80%). The polysomnography is essential for accurate diagnosis of obstructive sleep apnea patients and provides important objective informations such as type of apnea, apnea index, lowest arterial oxygen saturation, and criteria of successful operation.

Keywords: Obstructive sleep apnea syndromePolysomnography.
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