García de Gurtubay I
Servicio de Neurofisiología Clínica, Hospital Virgen del Camino, Pamplona.
An Sist Sanit Navar. 2007;30 Suppl 1:37-51.
Sleep disorders encompass pathology of very diverse origin with clinical expressions as varied as insomnia, hypersomnia, breathing disorders, complex motor disorders, etc. Some of these processes can be diagnosed clinically, while for the evaluation, diagnosis and treatment of others a battery of tests are required that are carried out in a sleep laboratory. Given the complexity and the cost of these tests, their indication must be based on a suitable evaluation and clinical exploration of the subject. Besides establishing the pertinence of the indication of the study, such evaluation must establish the type of test to be carried out. We review the different diagnostic tests available in the sleep units: polysomnography, respiratory poligraphy, multiple sleep latency test, maintenance of wakefulness test, Osler test, video- EEG for sleep and actigraphy. We comment on basic aspects of these, both theoretical and practical.
睡眠障碍包括起源非常多样的病理学情况，其临床表现多种多样，如失眠、嗜睡、呼吸障碍、复杂运动障碍等。其中一些情况可通过临床诊断，而对于其他情况的评估、诊断和治疗，则需要在睡眠实验室进行一系列检查。鉴于这些检查的复杂性和成本，其适应证必须基于对患者的适当评估和临床检查。除了确定检查适应证的相关性外，这种评估还必须确定要进行的检查类型。我们回顾了睡眠单元中可用的不同诊断检查：多导睡眠图、呼吸描记术、多次睡眠潜伏期试验、清醒维持试验、奥斯勒试验、睡眠视频脑电图和活动记录仪。我们对这些检查的基本理论和实践方面进行了评论。
