Kirsch Douglas B
Sleep Health Centers, 1505 Commonwealth Ave, 5th Floor, Brighton, MA 02135, USA.
Continuum (Minneap Minn). 2013 Feb;19(1 Sleep Disorders):223-8. doi: 10.1212/01.CON.0000427204.90682.78.
The landscape of sleep medicine practice is actively evolving out of the laboratory, driven primarily by the improvement of home testing technology and the implementation of utilization management by insurance companies. This article will review a case of a patient with possible obstructive sleep apnea and discuss the history of home sleep testing and the reasons that home sleep testing will have an increasingly large role in the practices of physicians who evaluate patients with sleep disorders. Neurologists with an interest in sleep medicine should educate themselves on the use of home testing in clinical practice.
睡眠医学实践的格局正积极地从实验室走向临床，这主要是由家庭检测技术的改进以及保险公司实施的利用管理推动的。本文将回顾一例疑似阻塞性睡眠呼吸暂停患者的病例，并讨论家庭睡眠检测的历史，以及家庭睡眠检测在评估睡眠障碍患者的医生实践中发挥越来越大作用的原因。对睡眠医学感兴趣的神经科医生应该了解家庭检测在临床实践中的应用。
