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[夜间多导睡眠图与呼吸多导描记术在小儿阻塞性睡眠呼吸暂停诊断中的比较]

[Overnight polysomnography versus respiratory polygraphy in the diagnosis of pediatric obstructive sleep apnea].

作者信息

Franco P, Bourdin H, Braun F, Briffod J, Pin I, Challamel M-J

机构信息

Unité de sommeil pédiatrique, CRNL-Inserm U1028, hospices civils de Lyon, hôpital Femme-Mère-Enfant, CHU de Lyon, 59, boulevard Pinel, 69500 Lyon, France.

Unité d'explorations du sommeil et de la vigilance, hôpital Saint-Jacques, CHRU de Besançon, 2, place Saint-Jacques, 25030 Besançon, France.

出版信息

Arch Pediatr. 2017 Feb;24 Suppl 1:S16-S27. doi: 10.1016/j.arcped.2016.09.050. Epub 2016 Oct 25.

Abstract

The French Society of Research and Sleep Medicine (SFRMS) organized a meeting on obstructive sleep apnea syndrome (OSAS) in children. A multidisciplinary group of specialists (pulmonologists, ENT surgeons, pediatricians, neurophysiologists, sleep specialists) drew up a consensus document on the value of electrophysiological recordings in the diagnosis of OSAS in children. Technical considerations and recommended sensors, respiratory event definitions, and scoring criteria are presented according to the 2012 and 2014 recommendations of the American Academy of Sleep Medicine (AASM). Polysomnographic criteria for sleep-disordered breathing in children and the French National Authority for Health guidelines for indications of polysomnographic studies were reported. Relevance and limits of in-lab PSG, home PSG, and respiratory polygraphy were presented and guidelines were proposed to improve the diagnosis and follow-up of these children.

摘要

法国睡眠医学研究协会(SFRMS)组织了一场关于儿童阻塞性睡眠呼吸暂停综合征(OSAS)的会议。一个由多学科专家组成的小组(肺科医生、耳鼻喉科外科医生、儿科医生、神经生理学家、睡眠专家)起草了一份关于电生理记录在儿童OSAS诊断中的价值的共识文件。根据美国睡眠医学学会(AASM)2012年和2014年的建议,介绍了技术考量、推荐的传感器、呼吸事件定义和评分标准。报告了儿童睡眠呼吸障碍的多导睡眠图标准以及法国国家卫生管理局关于多导睡眠图研究适应症的指南。介绍了实验室多导睡眠图、家庭多导睡眠图和呼吸多导记录的相关性和局限性,并提出了改善这些儿童诊断和随访的指南。

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