家庭睡眠呼吸暂停监测在阻塞性睡眠呼吸暂停诊断中的应用与研究进展

徐淑桦; 朱敏

doi:10.12025/j.issn.1008-6358.2019.20190431

家庭睡眠呼吸暂停监测在阻塞性睡眠呼吸暂停诊断中的应用与研究进展

徐淑桦,
朱敏

200011 上海交通大学医学院附属第九人民医院•口腔医学院口腔颅颌面科，国家口腔疾病临床医学研究中心，上海市口腔医学重点实验室，上海市口腔医学研究所

计量
- 文章访问数: 1923
- HTML全文浏览量: 1
- PDF下载量: 1086
出版历程
- 收稿日期: 2019-03-30
- 修回日期: 2019-05-06
- 刊出日期: 2019-06-24

Application and research progress of home sleep apnea testing in the diagnosis of obstructive sleep apnea

XU SHUHUA,
ZHU MIN

Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology& Shanghai Research Institute of Stomatology 200011

摘要

摘要: 多导睡眠描记（polysomnography , PSG）是诊断阻塞性睡眠呼吸暂停（obstructive sleep apnea , OSA）的金标准，但因导连众多、需要场地及专业医生接入或值守等原因有失方便和经济。家庭睡眠呼吸暂停监测（home sleep apnea testing , HSAT）因其简便、快捷、经济，作为PSG的替代方式，正受到越来越多的关注。本文介绍了HSAT的分类、应用范围、不同种类的可靠性和不同分析方法可能带来的差异，总结了HSAT现存在的问题，和解决问题的研究方向。
- 阻塞性睡眠呼吸暂停 /
- 多导睡眠监测 /
- 家庭睡眠呼吸暂停监测
Abstract: Polysomnography (PSG) is the gold standard test for the diagnosis of obstructive sleep apnea (OSA). However, PSG is inconvenient and uneconomical because of the large number of electrodes and sensors, the need for venues and professional doctors to attend. As a result, home sleep apnea testing (HSAT) is attracting more and more attention as an alternative to PSG, because of its simplicity, rapidness and economy. This review introduces the classification, application scope, reliability of different types of HSAT and possible differences caused by different analysis methods, summarizes the existing problems and puts forward the prospect.
- Sleep Apnea, Obstructive /
- Polysomnography /
- home sleep apnea testing

HTML全文

参考文献(34)

[1]	田勇泉. 耳鼻咽喉头颈外科学. 第8版. 北京：人民卫生出版社，2013：152
[2]	Kapur V K, Auckley D H, Chowdhuri S, et al. Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline.[J]. Journal of Clinical Sleep Medicine, 2017, 13(3).
[3]	Ferber R, Millman R, Coppola M, et al. Portable recording in the assessment of obstructive sleep apnea. ASDA standards of practice.[J]. Sleep, 1994, 17(4):378-92.
[4]	Kim RD, Kapur VK, Redline-Bruch J, et al. An Economic Evaluation of Home Versus Laboratory-Based Diagnosis of Obstructive Sleep Apnea. Sleep. 2015 Jul 1;38(7):1027-37.
[5]	Krishnaswamy U, Aneja A, Kumar RM, et al. Utility of portable monitoring in the diagnosis of obstructive sleep apnea. J Postgrad Med. 2015 Oct-Dec;61(4):223-9.
[6]	Collop NA, Anderson WM, Boehlecke B, et al. Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients. Portable Monitoring Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med. 2007 Dec 15;3(7):737-47.
[7]	Wittine LM, Olson EJ, Morgenthaler TI. Effect of recording duration on the diagnostic accuracy of out-of-center sleep testing for obstructive sleep apnea.Sleep. 2014 May 1;37(5):969-75.
[8]	Vat S, Haba-Rubio J, Tafti M, et al. Scoring criteria for portable monitor recordings: a comparison of four hypopnoea definitions in a population-based cohort. Thorax. 2015 Nov;70(11):1047-53. doi: 10.1136/thoraxjnl-2014-205982.
[9]	Marcus CL, Brooks LJ, Draper KA, et al. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2012 Sep;130(3):e714-55.
[10]	Suzuki M, Furukawa T, Sugimoto A, et al. Comparison of diagnostic reliability of out-of-center sleep tests for obstructive sleep apnea between adults and children. Int J Pediatr Otorhinolaryngol. 2017 Mar;94:54-58.
[11]	Saletu MT, Kotzian ST, Schwarzinger A, et al. Home Sleep Apnea Testing is a Feasible and Accurate Method to Diagnose Obstructive Sleep Apnea in Stroke Patients During In-Hospital Rehabilitation. J Clin Sleep Med. 2018 Sep 15;14(9):1495-1501.
[12]	Patel N, Raissi A, Elias S, et al. A Modified Definition for Obstructive Sleep Apnea in Home Sleep Apnea Testing after Stroke or Transient Ischemic Attack. J Stroke Cerebrovasc Dis. 2018 Jun;27(6):1524-1532.
[13]	Cabezas E, Pérez-Warnisher MT, Troncoso MF, et al. Sleep Disordered Breathing Is Highly Prevalent in Patients with Lung Cancer: Results of the Sleep Apnea in Lung Cancer Study. Respiration. 2018 Sep 27:1-6.
[14]	Gamaldo CE, Gamaldo AA, Hou LT, et al. When a private community neurology practice executes home sleep apnea testing: benefits identified and lessons learned in a retrospective observational study. Sleep Health. 2018 Apr;4(2):217-223..
[15]	Abumuamar AM, Dorian P, Newman D, et al. A Comparison of Two Nights of Ambulatory Sleep Testing in Arrhythmia Patients. Sleep Disord. 2018 Jun 3;2018:2394146.
[16]	Romem A, Koldobskiy D, Scharf SM. Diagnosis of obstructive sleep apnea using pulse oximeter derived photoplethysmographic signals. J Clin Sleep Med. 2014 Mar 15;10(3):285-90.
[17]	Setty AR. Underestimation of Sleep Apnea With Home Sleep Apnea Testing Compared to In-Laboratory Sleep Testing. J Clin Sleep Med. 2017 Apr 15;13(4):531-532.
[18]	Bianchi MT, Goparaju B. Potential Underestimation of Sleep Apnea Severity by At-Home Kits: Rescoring In-Laboratory Polysomnography Without Sleep Staging. J Clin Sleep Med. 2017 Apr 15;13(4):551-555.
[19]	Chen H, Lowe AA, Bai Y, et al. Evaluation of a portable recording device (ApneaLink) for case selection of obstructive sleep apnea. Sleep Breath. 2009;13:213–9.
[20]	Ballester E, Solans M, Vila X, et al. Evaluation of a portable respiratory recording device for detecting apnoeas and hypopnoeas in subjects from a general population.Eur Respir J. 2000 Jul; 16(1):123-7.
[21]	Claman D, Murr A, Trotter K. Clinical validation of the Bedbugg in detection of obstructive sleep apnea.Otolaryngol Head Neck Surg. 2001 Sep;125(3):227-30
[22]	Abrahamyan L, Sahakyan Y, Chung S, et al. Diagnostic accuracy of level IV portable sleep monitors versus polysomnography for obstructive sleep apnea: a systematic review and meta-analysis. Sleep Breath. 2018 Sep;22(3):593-611.
[23]	Light MP, Casimire TN, Chua C, et al. Addition of frontal EEG to adult home sleep apnea testing: does a more accurate determination of sleep time make a difference[J] Sleep Breath. 2018 Dec;22(4):1179-1188.
[24]	Chen K, Zhang C, Ma J, et al. Sleep staging from single-channel EEG with multi-scale feature and contextual information[J]. Sleep Breath. 2019 Mar 12.
[25]	Sabil A, Vanbuis J, Baffet G, et al. Automatic identification of sleep and wakefulness using single-channel EEG and respiratory polygraphy signals for the diagnosis of obstructive sleep apnea[J]. J Sleep Res. 2019 Apr;28(2):e12795.
[26]	Thomas RJ, Mietus JE, Peng CK, et al. An electrocardiogram-based technique to assess cardiopulmonary coupling during sleep[J]. Sleep. 2005 Sep;28(9):1151-61.
[27]	樊蕾.心肺耦合分析技术的临床应用与研究进展[J].世界睡眠医学杂志,2017,4(3):169-174.
[28]	Lee SH, Choi JH, Park IH, et al. Measuring sleep quality after adenotonsillectomy in pediatric sleep apnea[J]. Laryngoscope. 2012 Sep;122(9):2115-21.
[29]	Schramm PJ, Thomas RJ. Assessment of therapeutic options for mild obstructive sleep apnea using cardiopulmonary coupling measures[J]. J Clin Sleep Med. 2012 Jun 15;8(3):315-20.
[30]	谢敏, 雷飞, 郭丹, et al. 心肺耦合分析技术对阻塞性睡眠呼吸暂停的诊断价值[J]. 中华医学杂志, 2018, 98(20):1565.
[31]	冯晶,吴惠涓,王宗文, 等.心肺耦合技术与多导睡眠图对睡眠呼吸事件判读的一致性分析[J].中华神经科杂志,2017,50(8):606-612.
[32]	Aurora RN, Swartz R, Punjabi NM. Misclassification of OSA severity with automated scoring of home sleep recordings. Chest. 2015 Mar;147(3):719-727.
[33]	Labarca G, Dreyse J, Salas C, et al. Sleep Med. Differences between manual and automatic analysis in determining the severity of obstructive sleep apnea using home sleep apnea testing. 2018 Jul;47:66-71.
[34]	Magalang UJ, Johns JN, Wood KA, et al. Home sleep apnea testing: comparison of manual and automated scoring across international sleep centers. Sleep Breath. 2019 Mar;23(1):25-31.

施引文献(11)

期刊类型引用(7)

1.	衣荟洁，廖欣意，皮梦媛，许力月，张驰，董霄松，韩芳. 基于远程医疗的阻塞性睡眠呼吸暂停诊疗新模式的建立：一项非劣效随机对照试验研究方案. 中国全科医学. 2023(03): 380-385 . 百度学术
2.	陈宇洁，韩芳，钱小顺，刘霖，王怡，杨凌麟. 老年睡眠呼吸暂停综合征诊断评估专家共识. 中国全科医学. 2022(11): 1283-1293 . 百度学术
3.	罗小平. 阻塞性睡眠呼吸暂停综合征患者睡眠监测结果及相关因素分析. 世界睡眠医学杂志. 2022(10): 1971-1973+1976 . 百度学术
4.	李英，叶华富，陈晶. 深麻醉下拔管对小儿OSAS术后躁动的作用研究. 浙江创伤外科. 2021(03): 555-556 . 百度学术
5.	董孝彤，曲新亮，魏守水. 用于睡眠呼吸暂停检测的心电特征稳定性分析. 生物医学工程研究. 2020(01): 6-10 . 百度学术
6.	张丽霞. 多导睡眠监测仪监测小儿阻塞性呼吸暂停综合征的护理体会. 世界睡眠医学杂志. 2020(02): 269-270 . 百度学术
7.	葛晓丽，邱召运，索智鹏，樊晓伟，修东铭. 睡眠呼吸暂停时间对血氧饱和度和心率的影响. 生物医学工程与临床. 2020(03): 239-244 . 百度学术