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通过自动分析记录研究年轻成年人的睡眠情况

[Sleep in the young adult studied through automatic analysis of recordings].

作者信息

Gaillard J M, Tissot R

出版信息

Electroencephalogr Clin Neurophysiol. 1976 Jul;41(1):73-82. doi: 10.1016/0013-4694(76)90216-9.

Abstract

Our laboratory sleep polygraphic recordings are all automatically scored by a scoring system previously described. The automatic scoring reliability has already been estimated by a comparison with visual scoring. Nevertheless, it was interesting to investigate whether the picture of sleep given by this system, of a precisely defined group of subjects, was very different from that obtained by visual scoring for similar subjects in other laboratories. Therefore, we compared the results given by automatic analysis in a group of normal subjects aged 20--29 years with the results of Williams et al. (1974) for subjects of the same age. We thus mixed on purpose three sources of difference: the studied population, the laboratory and its habits, and the technique of scoring the records. This comparison showed a clear difference in the total time of sleep for men and women. This time, longer in our conditions, depended certainly on subjects and on recording conditions more than on automatic scoring. Sleep and stage latencies were not significantly different by the two scoring techniques. A difference appeared for waking latency, longer in our findings, but probably resulting from the definition of this parameter. The number of sleep cycles and their average duration were not different in the two techniques. Concerning sleep stages, stage 3 was slightly overestimated and stage 4 underestimated by automatic scoring compared with visual scoring, while there was no marked difference for the other stages. Finally, a larger number of stages are detected by the machine than by the human eye, which is probably due to the fact that the latter neglects some transitions from one stage to another when they are not important with regard to the context. Thus, apart from some differences resulting from the definition of parameters, there is a very large analogy between visual and automatic results of sleep scoring. The only effects of the latter are a slightly different assessment of the ratio of stages 3 and 4, in favour of stage 3, a larger estimate of the number of sleep stages, and a slight underestimation of REM sleep.

摘要

我们实验室的睡眠多导记录均由先前描述的评分系统自动评分。自动评分的可靠性已经通过与人工视觉评分比较进行了评估。然而,研究由该系统给出的特定明确受试者群体的睡眠情况与其他实验室对类似受试者进行人工视觉评分所得到的睡眠情况是否存在很大差异,这一点很有意思。因此,我们将一组20至29岁正常受试者的自动分析结果与威廉姆斯等人(1974年)对同年龄段受试者的结果进行了比较。我们有意混合了三个差异来源:研究人群、实验室及其习惯以及记录评分技术。这种比较显示男性和女性的总睡眠时间存在明显差异。在我们的条件下,这个时间更长,当然更多地取决于受试者和记录条件,而非自动评分。两种评分技术得出的睡眠和各阶段潜伏期没有显著差异。清醒潜伏期出现了差异,我们的研究结果中清醒潜伏期更长,但这可能是由于该参数的定义所致。两种技术在睡眠周期数量及其平均持续时间方面没有差异。关于睡眠阶段,与人工视觉评分相比,自动评分对3期略有高估,对4期略有低估,而其他阶段没有明显差异。最后,机器检测到的阶段数量比人眼检测到的更多,这可能是因为人眼在某些阶段过渡在上下文方面不重要时会忽略它们。因此,除了参数定义导致的一些差异外,睡眠评分的人工视觉结果和自动结果之间存在很大的相似性。自动评分的唯一影响是对3期和4期比例的评估略有不同,偏向3期,对睡眠阶段数量的估计更大,以及对快速眼动睡眠略有低估。

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