Penzel Thomas, Schöbel Christoph, Fietze Ingo
Interdisciplinary Sleep medicine Center, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic.
F1000Res. 2018 Mar 29;7:413. doi: 10.12688/f1000research.13010.1. eCollection 2018.
Sleep medicine has been an expanding discipline during the last few decades. The prevalence of sleep disorders is increasing, and sleep centers are expanding in hospitals and in the private care environment to meet the demands. Sleep medicine has evidence-based guidelines for the diagnosis and treatment of sleep disorders. However, the number of sleep centers and caregivers in this area is not sufficient. Many new methods for recording sleep and diagnosing sleep disorders have been developed. Many sleep disorders are chronic conditions and require continuous treatment and monitoring of therapy success. Cost-efficient technologies for the initial diagnosis and for follow-up monitoring of treatment are important. It is precisely here that telemedicine technologies can meet the demands of diagnosis and therapy follow-up studies. Wireless recording of sleep and related biosignals allows diagnostic tools and therapy follow-up to be widely and remotely available. Moreover, sleep research requires new technologies to investigate underlying mechanisms in the regulation of sleep in order to better understand the pathophysiology of sleep disorders. Home recording and non-obtrusive recording over extended periods of time with telemedicine methods support this research. Telemedicine allows recording with little subject interference under normal and experimental life conditions.
在过去几十年里，睡眠医学一直是一个不断发展的学科。睡眠障碍的患病率在上升，医院和私人护理环境中的睡眠中心也在不断扩大以满足需求。睡眠医学有基于证据的睡眠障碍诊断和治疗指南。然而，该领域的睡眠中心和护理人员数量并不充足。已经开发出许多记录睡眠和诊断睡眠障碍的新方法。许多睡眠障碍是慢性病，需要持续治疗并监测治疗效果。用于初始诊断和治疗随访监测的经济高效技术很重要。远程医疗技术恰恰能满足诊断和治疗随访研究的需求。睡眠及相关生物信号的无线记录使诊断工具和治疗随访能够广泛且远程获取。此外，睡眠研究需要新技术来研究睡眠调节的潜在机制，以便更好地理解睡眠障碍的病理生理学。通过远程医疗方法在长时间内进行家庭记录和非侵入性记录有助于这项研究。远程医疗允许在正常和实验生活条件下以很少干扰受试者的方式进行记录。
