Nakamura Hiroshi, Takara Chikashi, Yamashiro Kazumi, Nakamura Chiharu, Okada Tatsuo, Tohyama Kazuyo
Nakamura Clinic Sleep Respiratory Center.
Nihon Rinsho. 2009 Aug;67(8):1569-75.
To define and evaluate sleepiness thoroughly has not yet completely established because of its multidimensional aspects of character. Multiple sleep latency test (MSLT) and maintenance of wakefulness test (MWT) have been the important tools to assess sleepiness in the research and clinical settings, although they have several limitations and pitfalls. The coverage by the National Health Insurance of MSLT, since April 1, 2008, in Japan, so far not MWT, would extend the diagnosis and care of sleep disorders concerning excessive daytime sleepiness including narcolepsy and idiopathic hypersomnia. The relevant and appropriate use of these modalities should be always considered in line with clinical history, medical information and judgment.
由于嗜睡具有多维度特征，目前尚未完全建立起对其进行全面定义和评估的方法。多次睡眠潜伏期试验（MSLT）和清醒维持试验（MWT）一直是研究和临床环境中评估嗜睡的重要工具，尽管它们存在一些局限性和缺陷。自2008年4月1日起，日本国家健康保险涵盖了MSLT，但目前尚未涵盖MWT，这将扩大对包括发作性睡病和特发性嗜睡症在内的与白天过度嗜睡相关的睡眠障碍的诊断和治疗。应始终根据临床病史、医学信息和判断来考虑这些方法的合理和恰当使用。
