Sleep. 1995 Jan;18(1):55-7.
These clinical guidelines, which have been reviewed and approved by the Board of Directors of the American Sleep Disorders Association, provide recommendations for the practice of sleep medicine in North America for the use of polysomnography in the evaluation of insomnia. The diagnosis of sleeplessness, or insomnia, is primarily based upon a careful, detailed medical and psychiatric history. Clinicians have sought an objective means to measure this symptom and have, therefore, turned to polysomnography. The American Sleep Disorders Association has assessed the available data and produced guidelines for the use of polysomnography in evaluating the symptoms of insomnia. Polysomnography is not required for the routine evaluation of transient or chronic insomnia. Polysomnography is, however, indicated in the evaluation of suspected sleep-related breathing disorders and periodic limb movement disorder, which may occasionally contribute to a complaint of insomnia, particularly in middle-aged or elderly patients. In addition, when the cause of insomnia is uncertain or when behavioral or pharmacologic therapy is unsuccessful, polysomnography may be helpful.
这些临床指南已经过美国睡眠障碍协会董事会的审查和批准，为北美睡眠医学实践中使用多导睡眠图评估失眠提供了建议。失眠的诊断主要基于详细的医学和精神病史。临床医生一直在寻求一种客观的方法来测量这种症状，因此转向了多导睡眠图。美国睡眠障碍协会评估了现有数据，并制定了在评估失眠症状时使用多导睡眠图的指南。对于短暂性或慢性失眠的常规评估，不需要进行多导睡眠图检查。然而，在评估疑似睡眠相关呼吸障碍和周期性肢体运动障碍时，多导睡眠图检查是必要的，这些障碍偶尔可能导致失眠主诉，尤其是在中年或老年患者中。此外，当失眠原因不明或行为或药物治疗无效时，多导睡眠图检查可能会有所帮助。
