Chesson A L, Ferber R A, Fry J M, Grigg-Damberger M, Hartse K M, Hurwitz T D, Johnson S, Kader G A, Littner M, Rosen G, Sangal R B, Schmidt-Nowara W, Sher A
Sleep. 1997 Jun;20(6):423-87. doi: 10.1093/sleep/20.6.423.
This paper is a review of the literature on the use of polysomnography in the diagnosis of sleep disorders in the adult. It is based on a search of MEDLINE from January 1966 through April 1996. It has been reviewed and approved by the Board of Directors of the American Sleep Disorders Association and provides the background for the accompanying ASDA Standards of Practice Committee's Parameters for the Practice of Sleep Medicine in North America. The diagnostic categories reviewed are: sleep-related breathing disorders; other respiratory disorders; narcolepsy; parasomnias and sleep-related epilepsy; restless legs syndrome and periodic limb movement disorders: insomnia; and circadian rhythm sleep disorders. Where appropriate, previously published practice parameters papers are cited and discussed. The relevant published peer-reviewed literature used as the basis for critical decisions was compiled into accompanying evidence tables and is analyzed in the text. In the section on the assessment of sleep apnea syndrome, options for estimating pretest probability to select high risk patients are also reviewed. Sleep-testing procedures other than standard polysomnography are also addressed (daytime polysomnography, split-night studies, oximetry, limited full respiratory recordings, and less-than-full respiratory recording) and treatment-related follow-up studies are discussed.
本文是一篇关于多导睡眠图在成人睡眠障碍诊断中应用的文献综述。它基于对1966年1月至1996年4月期间MEDLINE数据库的检索。该综述已由美国睡眠障碍协会董事会审阅并批准，为随附的美国睡眠障碍协会实践标准委员会的《北美睡眠医学实践参数》提供了背景资料。所综述的诊断类别包括：睡眠相关呼吸障碍；其他呼吸系统疾病；发作性睡病；异态睡眠和睡眠相关癫痫；不宁腿综合征和周期性肢体运动障碍；失眠；以及昼夜节律睡眠障碍。在适当的地方，引用并讨论了先前发表的实践参数论文。作为关键决策依据的相关已发表同行评审文献被编入随附的证据表，并在文中进行了分析。在睡眠呼吸暂停综合征评估部分，还综述了用于估计预测试概率以选择高危患者的方法。此外，还讨论了标准多导睡眠图以外的睡眠测试程序（日间多导睡眠图、分夜研究、血氧测定、有限的全呼吸记录和不完全呼吸记录）以及与治疗相关的随访研究。
