多导睡眠图及家庭记录的心肺模式监测。
Polysomnography and home documented monitoring of cardiorespiratory pattern.
作者信息
Daniëls H, Naulaers G, Deroost F, Devlieger H
机构信息
Department of Paediatrics, University Hospital Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium.
出版信息
Arch Dis Child. 1999 Nov;81(5):434-6. doi: 10.1136/adc.81.5.434.
Polysomnographic findings were compared with data obtained subsequently from home documented monitoring in order to study the diagnostic value of both techniques. Polysomnography was performed in 1274 infants born prematurely and in 422 patients admitted because of apparent life threatening events (ALTEs). In 72 of the infants, home documented monitoring of the cardiorespiratory pattern, including QRS complexes, was performed. Subsequent documented episodes of heart rate < 50 beats/min were considered as "serious life threatening events". It was confirmed that polysomnographic findings correlated well with subsequent events as registered by home documented monitoring. Especially in the ALTE group where both infants with and without abnormal polysomnography were home monitored, the single polysomnography significantly predicted subsequent life threatening events. Home documented monitoring of the cardiorespiratory pattern has a distinctive advantage over simple cardiorespiratory monitoring as a means to identify and document life threatening events, in addition to its value as a rescue device.
将多导睡眠图检查结果与随后通过家庭记录监测获得的数据进行比较，以研究这两种技术的诊断价值。对1274名早产婴儿和422名因明显危及生命事件（ALTE）入院的患者进行了多导睡眠图检查。在72名婴儿中，对包括QRS波群在内的心肺模式进行了家庭记录监测。随后记录的心率<50次/分钟的发作被视为“严重危及生命事件”。证实多导睡眠图检查结果与家庭记录监测所记录的后续事件密切相关。特别是在ALTE组中，无论多导睡眠图检查是否异常的婴儿都进行了家庭监测，单次多导睡眠图检查能显著预测随后的危及生命事件。除了作为一种救援设备的价值外，家庭记录监测心肺模式作为识别和记录危及生命事件的一种手段，比简单的心肺监测具有独特的优势。
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