Mayo Clinic, Rochester, MN, USA.
Sleep. 2012 Nov 1;35(11):1451-66. doi: 10.5665/sleep.2188.
This evidence-based review provides a systematic and comprehensive review of the literature regarding the utility of polysomnography for the evaluation of non-respiratory sleep disorders in children including hypersomnias, parasomnias, sleep-related movement disorders, and sleep in other special populations.
A task force of pediatric sleep medicine experts performed a systematic review of the literature regarding the use of polysomnography for non-respiratory sleep disorders in children. They identified and graded 76 papers as evidence.
The main results include (1) polysomnography combined with the multiple sleep latency test is useful for evaluating disorders of excessive somnolence to objectively quantify sleepiness. The results have to be interpreted with consideration of the pubertal stage and regularity of the sleep patterns of the child; (2) polysomnography is indicated in children with parasomnias or sleep related movement disorders who have a high likelihood of having obstructive sleep apnea (OSA); (3) polysomnography is not routinely indicated in children with enuresis unless there is a high likelihood of OSA; (4) polysomnography can be helpful in evaluating children with restless legs syndrome (RLS) and when periodic limb movement disorder (PLMD) is suspected.
These findings suggest that, in children with non-respiratory sleep disorders, polysomnography should be a part of a comprehensive sleep evaluation in selected circumstances to determine the nature of the events in more detail or when the suspicion of OSA is relatively high.
本循证综述系统全面地回顾了有关多导睡眠图在儿童非呼吸性睡眠障碍评估中的应用的文献，包括嗜睡症、睡眠障碍、睡眠相关运动障碍和特殊人群的睡眠。
一组儿童睡眠医学专家对多导睡眠图在儿童非呼吸性睡眠障碍中的应用进行了系统的文献回顾。他们确定并对 76 篇论文进行了分级评估。
主要结果包括：(1)多导睡眠图联合多次睡眠潜伏期试验可用于评估过度嗜睡障碍，以客观量化嗜睡程度。结果的解释必须考虑到儿童的青春期阶段和睡眠模式的规律性；(2)对于有发生阻塞性睡眠呼吸暂停（OSA）高风险的睡眠障碍或睡眠相关运动障碍的儿童，建议进行多导睡眠图检查；(3)除非有发生 OSA 的高风险，否则不常规建议遗尿症儿童进行多导睡眠图检查；(4)对于不宁腿综合征（RLS）和周期性肢体运动障碍（PLMD）的儿童，多导睡眠图检查可能会有帮助。
这些发现表明，在患有非呼吸性睡眠障碍的儿童中，多导睡眠图检查应作为选择情况下全面睡眠评估的一部分，以更详细地确定事件的性质，或当怀疑发生 OSA 的可能性较高时。
