Arnardottir Erna Sif, Gislason Thorarinn
Department of Respiratory Medicine and Sleep, Landspitali - The National University Hospital of Iceland, Fossvogur (E7), Reykjavik 108, Iceland; Faculty of Medicine, University of Iceland, Reykjavik, Iceland.
Department of Respiratory Medicine and Sleep, Landspitali - The National University Hospital of Iceland, Fossvogur (E7), Reykjavik 108, Iceland; Faculty of Medicine, University of Iceland, Reykjavik, Iceland.
Sleep Med Clin. 2016 Dec;11(4):421-434. doi: 10.1016/j.jsmc.2016.07.004. Epub 2016 Oct 27.
Traditional techniques to assess respiratory disturbances during sleep allow the accurate diagnosis of moderate and severe cases of obstructive sleep apnea but have serious limitations in mild obstructive sleep apnea and cases with signs of obstructive breathing during sleep without apneas and hypopneas. This article describes advantages and limitations of available techniques to measure obstructive breathing during sleep by measuring flow limitation, respiratory effort, and snoring. Standardization of these techniques is crucial for moving the field further and understanding the pathophysiologic role of obstructive breathing itself, and not solely focusing on the associated outcomes of arousals and oxygen desaturations.
评估睡眠期间呼吸紊乱的传统技术能够准确诊断中度和重度阻塞性睡眠呼吸暂停病例，但在轻度阻塞性睡眠呼吸暂停以及睡眠期间有阻塞性呼吸迹象但无呼吸暂停和呼吸浅慢的病例中存在严重局限性。本文通过测量气流受限、呼吸努力和打鼾情况，描述了现有测量睡眠期间阻塞性呼吸技术的优缺点。这些技术的标准化对于推动该领域进一步发展以及理解阻塞性呼吸本身的病理生理作用至关重要，而不仅仅关注觉醒和氧饱和度下降等相关结果。
