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Questionnaire

疾病自测问卷

OSA Questionnaire
COPD Questionnaire
阻塞性睡眠呼吸暂停低通气综合征（OSAHS）疾病自测问卷
阻塞性睡眠呼吸暂停低通气综合征（Obstructive Sleep Apnea Hypopnea Syndrome，OSAHS）是一种由于睡眠过程中由多种原因引起上气道部分或完全塌陷，出现呼吸暂停和低通气现象的疾病。本问卷依据国际STOP-Bang量表，是筛查有无OSA的有效手段。高风险患者均应及时就诊以获得明确诊断。
Gender
Age
Height
m
Weight
kg
1.Do you snore loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)?
2.Do you often feel Tired, Fatigued, or Sleepy during the daytime (such as falling asleep during driving or talking to someone)?
3.Has anyone Observed you Stop Breathing or Choking/Gasping during your sleep?
4.Do you have or are being Treated for High Blood Pressure?
5.Is your Body Mass Index more than 35 kg/m²?
6.Are you Age older than 50?
7.Is your Neck size large? (Measured around Adam's apple) Male: shirt collar ≥ 17 inches / 43 cm | Female: ≥ 16 inches / 41 cm
8.Are you Male?
Your OSA questionnaire result is
Low Risk
Maintain healthy habits and monitor any changes in your symptoms.
High Risk
You may have mild OSA. Consult a specialist and consider a sleep study.
Back to Questionnaire
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