Najjar Muhammad
Internal Medicine, University of Illinois at Chicago, Chicago, USA.
Cureus. 2021 Aug 16;13(8):e17216. doi: 10.7759/cureus.17216. eCollection 2021 Aug.
Background Polysomnography is widely utilized as a diagnostic tool in sleep medicine. It is used to diagnose a variety of sleep disorders, including obstructive and central sleep apnea, periodic limb movements, parasomnia, and other sleep disorders. The objective of this study is to discuss the utility of recording submental electrical activity as a tool that provides the additional information needed in producing accurate results of a polysomnogram and emphasize the importance of including this recording in home sleep apnea tests. Methods A total of 1472 consecutive polysomnograms were used to assess the usefulness of submental activity in contributing to the accurate reporting of polysomnographic findings. These records were gathered over a one-year period at a major academic sleep center. Results Some of the observed electrical activities in the submental area are rare, although they may be important in confirming the findings of the polysomnogram or provide additional information. Adding an electroencephalographic channel and submental electromyographic recording is likely to increase the accuracy of home sleep apnea tests. Conclusions Recording of submental electrical activity is an integral part of polysomnography and provides more information than just recording the muscle tone of the submental area and is important in increasing the accuracy of home sleep apnea tests.
背景
多导睡眠图在睡眠医学中被广泛用作诊断工具。它用于诊断各种睡眠障碍，包括阻塞性和中枢性睡眠呼吸暂停、周期性肢体运动、异态睡眠及其他睡眠障碍。本研究的目的是探讨记录颏下电活动作为一种工具的实用性，该工具能为准确得出多导睡眠图结果提供所需的额外信息，并强调在家庭睡眠呼吸暂停测试中纳入该记录的重要性。
方法
共使用1472份连续的多导睡眠图来评估颏下活动对准确报告多导睡眠图结果的作用。这些记录是在一家主要的学术睡眠中心一年内收集的。
结果
颏下区域观察到的一些电活动很少见，尽管它们在确认多导睡眠图的结果或提供额外信息方面可能很重要。增加一个脑电图通道和颏下肌电图记录可能会提高家庭睡眠呼吸暂停测试的准确性。
结论
记录颏下电活动是多导睡眠图的一个组成部分，它提供的信息不止于记录颏下区域的肌张力，对提高家庭睡眠呼吸暂停测试的准确性很重要。
