int j tokat med sci

International Journal of Tokat Medical Sciences

3061-9912

Tokat Gaziosmanpaşa Üniversitesi

Chest Diseases

Göğüs Hastalıkları

PSG Öncesi Horlama Sesi Analiz Parametreleri Obstrüktif Uyku Apne Sendromunun Şiddetini Öngörmede Kullanılabilir mi?

Could Snoring Sound Analysis Parameters Be Used To Predict The Severity Of Obstructive Sleep Apnea Syndrome Before PSG?

https://orcid.org/0000-0002-0973-9173

Yakar

Halil İbrahim

TOKAT GAZİOSMANPAŞA ÜNİVERSİTESİ, TIP FAKÜLTESİ

https://orcid.org/0000-0002-7901-3466

İnönü Köseoğlu

Handan

TOKAT GAZİOSMANPAŞA ÜNİVERSİTESİ, TIP FAKÜLTESİ

https://orcid.org/0000-0001-8133-2717

Yelken

Kürşat

Istanbul Voicest Klinik- İstanbul

https://orcid.org/0000-0002-4938-1946

Alpüran Kocabıyık

Nurcan

ÜSKÜDAR ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ

04 28 2026

18 1 18 27 10 13 2025 02 06 2026

2024

International Journal of Tokat Medical Sciences

Amaç: Horlama semptomu, OSAS hastalarının ana semptomlarından biridir. Bu çalışmada, horlama sesi analizi ile OSAS evreleri arasındaki ilişkinin araştırılması amaçlandı.Metod: Tüm hastalara tüm gece polisomnografi (PSG) testi uygulandı. Horlama sesi parametreleri, PRAAT akustik analiz yazılımı kullanılarak ölçüldü. Bu parametreler ile OSAS şiddeti ve horlama sesi özellikleri ile OSAS alt tipleri arasındaki ilişkiler prospektif olarak analiz edildi.Bulgular: Çalışmaya OSAS tanısı almış yetmiş yedi hasta dahil edildi. Shimmer (ses dalgalanması) skorlarının hafif OSAS’tan şiddetli OSAS’a doğru anlamlı şekilde azaldığı bulundu (p = 0.045). Ortalama pitch (perde) skorları hafiften şiddetliye doğru artmasına rağmen, bu fark istatistiksel olarak anlamlı bulunmadı (p = 0.16). Ancak alt grup analizinde, ortalama perde skorunun şiddetli grupta, hafif ve orta şiddetteki gruplara göre anlamlı derecede yüksek olduğu görüldü (p = 0.022). REM-dominant OSAS hastalarında shimmer skorları, REM-dominant olmayanlara göre anlamlı derecede daha yüksekti (p = 0.006). Ayrıca, shimmer skorları obez hastalarda obez olmayanlara göre ve 40 yaş üzeri hastalarda 40 yaş altındakilere göre anlamlı derecede daha yüksekti (sırasıyla p = 0.032; p < 0.01). ROC analizi ile şiddetli OSAS sınıflandırmasını öngörmede ortalama perde için ≥74.65 Hz eşik değeri belirlendi (AUC = 0.69; p = 0.017).Sonuç: Sonuçlarımız, horlama sesinin akustik ses analizi gibi hızlı ve noninvaziv bir yöntemle analiz edilmesinin, özellikle ivedi olarak tanı konması gereken ileri evre OSAS olgularının PSG öncesi taramasında kolaylıkla uygulanabileceğini göstermesi açısından önemlidir.

Background/aim: Snoring is one of the main symptoms of obstructive sleep apnea syndrome (OSAS) patients. In this study, it was aimed to investigate the relationship between snoring sound analysis and OSAS stages.Materials and Methods: All patients underwent full-night PSG test. Sound parameters were measured using the PRAAT acoustic analysis program. The relationship between these parameters and degree of OSAS, and also the relationship between snoring sound and types of OSAS were analyzed prospectively.Results: Seventy seven patients diagnosed OSAS were included the study. It was found that the shimmer scores decreased significantly from mild OSAS to severe OSAS (p=0.045). Although mean pitch scores increased from mild to severe OSAS, it was not found to be statistically significant (p=0.16). Mean pitch score was found to be significantly higher in the severe group compare to mild and moderate group in subgroup analysis (p=0.022). Shimmer scores were found significantly higher in REM-predominant OSAS patients than without REM-predominant OSAS patients (p=0.006). Shimmer scores were significantly higher in obese patients than in non-obese patients and in patients over 40 years of age years than under 40 years of age (p=0.032; p

Obstructive sleep apnea syndrome snoring sound analysis schimmer value pitch value

Obstrüktif uyku apnesi sendromu horlama ses analizi schimmer değeri pitch değeri

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