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家用睡眠呼吸暂停监测

Home Sleep Testing of Sleep Apnea.

机构信息

Interdisciplinary Center for Sleep Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Department of Respiratory Medicine, Allergology, Sleep Medicine, Paracelsus Medical University Nuremberg, Nuremberg General Hospital, Nuremberg, Germany.

出版信息

Adv Exp Med Biol. 2022;1384:147-157. doi: 10.1007/978-3-031-06413-5_9.

DOI:10.1007/978-3-031-06413-5_9
PMID:36217083
Abstract

Measurement methods with graded complexity for use in the lab as well as for home sleep testing (HST) are available for the diagnosis of sleep apnea, and there are different classification systems in existence. Simplified HST measurements, which record fewer parameters than traditional four- to six-channel devices, can indicate sleep apnea and can be used as screening tool in high-prevalence patient groups. Peripheral arterial tonometry (PAT) is a technique which can be suitable for the diagnosis of sleep apnea in certain cases. Different measurement methods are used, which has an influence on the significance of the results. New minimal-contact and non-contact technologies of recording and analysis of surrogate parameters are under development. If they are validated by clinical studies, it will be possible to detect sleep apnea in need of treatment more effectively. In addition, this could become a solution to monitor the effectiveness of such treatment.

摘要

用于诊断睡眠呼吸暂停的检测方法具有不同的分级复杂性,可在实验室和家庭睡眠测试(HST)中使用,并且存在不同的分类系统。简化的 HST 测量记录的参数比传统的四到六通道设备少,可以指示睡眠呼吸暂停,并可用作高患病率患者群体的筛查工具。外周动脉张力测定(PAT)是一种在某些情况下可用于诊断睡眠呼吸暂停的技术。不同的测量方法有不同的影响。正在开发新的最小接触和非接触记录和分析替代参数的技术。如果这些技术能被临床研究验证,将有可能更有效地检测需要治疗的睡眠呼吸暂停。此外,这可能成为监测此类治疗效果的一种解决方案。

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本文引用的文献

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Surrogate based continuous noninvasive blood pressure measurement.基于替代物的连续无创血压测量。
Biomed Tech (Berl). 2021 Feb 10;66(3):231-245. doi: 10.1515/bmt-2020-0209. Print 2021 Jun 25.
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Screening for obstructive sleep apnea with novel hybrid acoustic smartphone app technology.使用新型混合声学智能手机应用程序技术筛查阻塞性睡眠呼吸暂停。
J Thorac Dis. 2020 Aug;12(8):4476-4495. doi: 10.21037/jtd-20-804.
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Alternative algorithms and devices in sleep apnoea diagnosis: what we know and what we expect.睡眠呼吸暂停诊断中的替代算法和设备:我们知道什么,以及我们期望什么。
Curr Opin Pulm Med. 2020 Nov;26(6):650-656. doi: 10.1097/MCP.0000000000000726.
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Oxygen desaturation rate as a novel intermittent hypoxemia parameter in severe obstructive sleep apnea is strongly associated with hypertension.氧减率作为严重阻塞性睡眠呼吸暂停中一种新的间歇性低氧血症参数,与高血压密切相关。
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Applicability of a Textile ECG-Belt for Unattended Sleep Apnoea Monitoring in a Home Setting.用于家庭环境中无人值守睡眠呼吸暂停监测的织物心电图带的适用性。
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Validation of an apnea and hypopnea detection algorithm implemented in implantable cardioverter defibrillators. The AIRLESS study.植入式心脏复律除颤器中应用的睡眠呼吸暂停和呼吸不足探测算法的验证。AIRLESS 研究。
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Ambulatory detection of sleep apnea using a non-contact biomotion sensor.使用非接触式生物运动传感器进行睡眠呼吸暂停的动态监测。
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