[多导睡眠图检查中阻塞性与中枢性睡眠呼吸暂停的鉴别诊断]
[Differential diagnosis of obstructive and central sleep apnea in polysomnographic investigation].
作者信息
Eroshina V A, Buzunov R V
出版信息
Ter Arkh. 1999;71(4):18-21.
AIM
To try validity of polysomnography in differential diagnosis of obstructive and central sleep apnea (SA).
MATERIALS AND METHODS
A retrospective analysis was made of 138 cases of sleep apnea (SA) subjected to polysomnography. 79 of them were treated with continuous positive pressure.
RESULTS
In clinical practice it is rather difficult to distinguish between central and obstructive SA. In this respect, polysomnography was also unreliable as it is predisposed to hyperdiagnosis of central SA.
CONCLUSION
In SA diagnosis, polysomnography should be used in combination with other diagnostic methods. In indeterminate diagnosis, a test course of the positive pressure is recommended to exclude obstructive SA.
目的
探讨多导睡眠图在阻塞性和中枢性睡眠呼吸暂停（SA）鉴别诊断中的有效性。
材料与方法
对138例接受多导睡眠图检查的睡眠呼吸暂停（SA）患者进行回顾性分析。其中79例接受持续气道正压通气治疗。
结果
在临床实践中，区分中枢性和阻塞性SA相当困难。在这方面，多导睡眠图也不可靠，因为它容易对中枢性SA进行过度诊断。
结论
在SA诊断中，多导睡眠图应与其他诊断方法联合使用。在诊断不明确时，建议进行正压通气试验疗程以排除阻塞性SA。
Zotero 插件