Penzel T
Med. Poliklinik, Philipps-Universität, Schlafmedizinisches Labor, Marburg.
Pneumologie. 1995 Mar;49 Suppl 1:98-102.
The different types of sleep related breathing and cardiovascular disorders are well known and defined nowadays. Thereby it is possible to present a configuration by which a cardiorespiratory sleep laboratory is enabled to perform a complete differential diagnosis. This configuration consists of the function sleep with EEG, EOG and EMG, the function respiration with respiratory effort, respiratory flow and oxygen saturation, and the cardiovascular function with ECG and blood pressure if indicated. Continuous monitoring by videocamera and a patient call system with a technician present during the entire recording time must be assured. Recording and evaluation of all signals can be done with chart polygraphs or with computer systems if they provide a high-resolution graphic monitor. Automatic sleep analysis systems support evaluation of polysomnograms. But automatic analysis of sleep stages as well as automatic analysis of respiratory disorders needs visual counterchecking before results can be accepted. On the basis of today's knowledge recommendation for the setting of a sleep laboratory were set and new sleep labs are controlled on a voluntary basis by a commission of the German society for sleep research and sleep medicine. This first step of quality control is introduced to establish a procedure to keep quality of diagnosis and treatment on a high level in this medical specialty.
如今，不同类型的睡眠相关呼吸和心血管疾病已广为人知并得到明确界定。因此，有可能提出一种配置，使心肺睡眠实验室能够进行全面的鉴别诊断。这种配置包括带有脑电图（EEG）、眼电图（EOG）和肌电图（EMG）的睡眠功能，带有呼吸努力、呼吸流量和血氧饱和度的呼吸功能，以及在必要时带有心电图（ECG）和血压的心血管功能。必须确保通过摄像机进行连续监测，并在整个记录期间有技术人员在场的患者呼叫系统。如果图表式多导记录仪或计算机系统提供高分辨率图形监视器，那么所有信号的记录和评估都可以通过它们来完成。自动睡眠分析系统支持多导睡眠图的评估。但是，在接受结果之前，睡眠阶段的自动分析以及呼吸障碍的自动分析都需要进行视觉核对。基于当今的知识，制定了睡眠实验室设置的建议，新的睡眠实验室由德国睡眠研究和睡眠医学协会的一个委员会进行自愿控制。引入这一质量控制的第一步是建立一个程序，以在这个医学专业中保持诊断和治疗的高质量水平。
