Nokelainen Pekka, Perez-Macias Jose-Maria, Himanen Sari-Leena, Hakala Anna, Tenhunen Mirja
Department of Clinical Neurophysiology, Medical Imaging Centre, Pirkanmaa Hospital District, Tampere, Finland.
Outpatient Clinic for Patients with Intellectual Disability, Pirkanmaa Hospital District, Tampere, Finland.
Child Neurol Open. 2023 Feb 20;10:2329048X231151361. doi: 10.1177/2329048X231151361. eCollection 2023 Jan-Dec.
We present contactless technology measuring abnormal ventilation and compare it with polysomnography (PSG). A 13-years old girl with Pitt-Hopkins syndrome presented hyperpnoea periods with apneic spells. The PSG was conducted simultaneously with Emfit movement sensor (Emfit, Finland) and video camera with depth sensor (NEL, Finland). The respiratory efforts from PSG, Emfit sensor, and NEL were compared. In addition, we measured daytime breathing with tracheal microphone (PneaVox,France). The aim was to deepen the knowledge of daytime hyperpnoea periods and ensure that no upper airway obstruction was present during sleep. The signs of upper airway obstruction were not detected despite of minor sleep time. Monitoring respiratory effort with PSG is demanding in all patient groups. The used unobtrusive methods were capable to reveal breathing frequency and hyperpnoea periods. Every day diagnostics need technology like this for monitoring vital signs at hospital wards and at home from subjects with disabilities and co-operation difficulties.
我们展示了测量异常通气的非接触技术，并将其与多导睡眠图（PSG）进行比较。一名患有皮特-霍普金斯综合征的13岁女孩出现呼吸急促期并伴有呼吸暂停发作。PSG与Emfit运动传感器（芬兰Emfit公司）以及带深度传感器的摄像机（芬兰NEL公司）同时进行。比较了PSG、Emfit传感器和NEL的呼吸努力情况。此外，我们用气管麦克风（法国PneaVox公司）测量了白天的呼吸情况。目的是加深对白天呼吸急促期的了解，并确保睡眠期间不存在上呼吸道阻塞。尽管睡眠时间较短，但未检测到上呼吸道阻塞的迹象。在所有患者群体中，用PSG监测呼吸努力情况都很费力。所使用的非侵入性方法能够揭示呼吸频率和呼吸急促期。日常诊断需要这样的技术来在医院病房和家中监测残疾及合作困难患者的生命体征。
