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使用基于外周动脉张力测量法的动态监测设备区分浅睡眠和深睡眠阶段。

Differentiating between light and deep sleep stages using an ambulatory device based on peripheral arterial tonometry.

作者信息

Bresler Ma'ayan, Sheffy Koby, Pillar Giora, Preiszler Meir, Herscovici Sarah

机构信息

University of California, Berkeley, USA.

出版信息

Physiol Meas. 2008 May;29(5):571-84. doi: 10.1088/0967-3334/29/5/004. Epub 2008 May 7.

Abstract

The objective of this study is to develop and assess an automatic algorithm based on the peripheral arterial tone (PAT) signal to differentiate between light and deep sleep stages. The PAT signal is a measure of the pulsatile arterial volume changes at the finger tip reflecting sympathetic tone variations and is recorded by an ambulatory unattended device, the Watch-PAT100, which has been shown to be capable of detecting wake, NREM and REM sleep. An algorithm to differentiate light from deep sleep was developed using a training set of 49 patients and was validated using a separate set of 44 patients. In both patient sets, Watch-PAT100 data were recorded simultaneously with polysomnography during a full night sleep study. The algorithm is based on 14 features extracted from two time series of PAT amplitudes and inter-pulse periods (IPP). Those features were then further processed to yield a prediction function that determines the likelihood of detecting a deep sleep stage epoch during NREM sleep periods. Overall sensitivity, specificity and agreement of the automatic algorithm to identify standard 30 s epochs of light and deep sleep stages were 66%, 89%, 82% and 65%, 87%, 80% for the training and validation sets, respectively. Together with the already existing algorithms for REM and wake detection we propose a close to full stage detection method based solely on the PAT and actigraphy signals. The automatic sleep stages detection algorithm could be very useful for unattended ambulatory sleep monitoring assessing sleep stages when EEG recordings are not available.

摘要

本研究的目的是开发并评估一种基于外周动脉张力(PAT)信号的自动算法,以区分浅睡眠和深睡眠阶段。PAT信号是指尖搏动性动脉容积变化的一种测量指标,反映交感神经张力的变化,由一种便携式无人值守设备Watch-PAT100记录,该设备已被证明能够检测清醒、非快速眼动(NREM)和快速眼动(REM)睡眠。使用49例患者的训练集开发了一种区分浅睡眠和深睡眠的算法,并使用另外44例患者的数据集进行了验证。在这两组患者中,在整夜睡眠研究期间,Watch-PAT100数据与多导睡眠图同时记录。该算法基于从PAT振幅和脉搏间期(IPP)的两个时间序列中提取的14个特征。然后对这些特征进行进一步处理,以产生一个预测函数,该函数可确定在NREM睡眠期检测到深睡眠阶段时段的可能性。自动算法识别浅睡眠和深睡眠阶段标准30秒时段的总体敏感性、特异性和一致性,训练集分别为66%、89%、82%,验证集分别为65%、87%、80%。结合现有的REM和清醒检测算法,我们提出了一种仅基于PAT和活动记录仪信号的近乎全阶段检测方法。当无法进行脑电图记录时,自动睡眠阶段检测算法对于无人值守的便携式睡眠监测评估睡眠阶段可能非常有用。

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