Department of Child Psychiatry, Paedopsychiatry Service, University of Lyon, Lyon, France.
UMR CNRS 8590 IHPST, Sorbonne University, Paris 1, France.
J Sleep Res. 2022 Aug;31(4):e13541. doi: 10.1111/jsr.13541. Epub 2021 Dec 20.
Given the clinical, methodological, conceptual and modelling challenges within the field of sleep medicine, polysomnography (PSG) has emerged as a central diagnostic tool over time. It has been highly beneficial to clinical practice over the years, thanks to the scientific data that it provides. More recently, sleep medicine has sought answers in precision medicine, broadening its quest for biomarkers that take into account environmental factors, big data, and nosological refinement. However, despite these innovative developments that are relatively independent of PSG, sleep medicine remains intimately associated with the latter. The aim of this paper was to show the central role of PSG for sleep medicine. Indeed, PSG is central to sleep medicine, not only due to the empirical data it provides but also because it represents an obligatory passage point (OPP) within the discipline. It crystallizes debate, pulls disparate types of data together, and facilitates a common language for the different specialties involved in sleep medicine, thereby lending legitimacy and credibility to the specialty. Thus, the role of polysomnography as an OPP in the field of sleep medicine reinforces the discipline, especially because critics (e.g., of the Apnea Hypopnea Index) cannot easily find fault with it.
鉴于睡眠医学领域在临床、方法学、概念和建模方面存在挑战，多导睡眠图（PSG）作为一种核心诊断工具逐渐发展起来。多年来，它为临床实践提供了科学数据，具有非常重要的意义。近年来，睡眠医学在精准医学方面寻求答案，扩大了对生物标志物的探索，这些生物标志物考虑了环境因素、大数据和分类学的细化。然而，尽管这些创新发展相对独立于 PSG，但睡眠医学仍然与后者密切相关。本文旨在展示 PSG 在睡眠医学中的核心作用。实际上，PSG 是睡眠医学的核心，不仅因为它提供了经验数据，还因为它代表了该学科的一个必经之路（OPP）。它集中了争论，将不同类型的数据汇集在一起，并为睡眠医学涉及的不同专业提供了共同的语言，从而使该专业具有合法性和可信度。因此，多导睡眠图作为睡眠医学领域的一个必经之路（OPP），加强了该学科的地位，特别是因为批评者（例如，对呼吸暂停低通气指数的批评）很难对其进行批评。
