Ferber R, Millman R, Coppola M, Fleetham J, Murray C F, Iber C, McCall W V, Nino-Murcia G, Pressman M, Sanders M
Standards of Practice Committee, American Sleep Disorders Association, Rochester, MN 55901-2200.
Sleep. 1994 Jun;17(4):378-92. doi: 10.1093/sleep/17.4.378.
The objective assessment of patients with a presumptive diagnosis of obstructive sleep apnea (OSA) has primarily used attended polysomnographic study. Recent technologic advances and issues of availability, convenience and cost have led to a rapid increase in the use of portable recording devices. However, limited scientific information has been published regarding the evaluation of the efficacy, accuracy, validity, utility, cost effectiveness and limitations of this portable equipment. Attaining a clear assessment of the role of portable devices is complicated by the multiplicity of recording systems and the variability of clinical settings in which they have been analyzed. This paper reviews the current knowledge base regarding portable recording in the assessment of OSA, including technical considerations, validation studies, potential advantages and disadvantages, issues of safety, current clinical usage and areas most in need of further study.
对疑似阻塞性睡眠呼吸暂停（OSA）患者的客观评估主要采用有医护人员参与的多导睡眠图研究。近期的技术进步以及可用性、便利性和成本等问题，导致便携式记录设备的使用迅速增加。然而，关于这种便携式设备的功效、准确性、有效性、实用性、成本效益及局限性评估的科学信息发表得很少。由于记录系统的多样性以及分析这些系统的临床环境的变异性，要明确评估便携式设备的作用变得很复杂。本文综述了目前关于便携式记录在OSA评估中的知识基础，包括技术考量、验证研究、潜在优缺点、安全性问题、当前临床应用情况以及最需要进一步研究的领域。
