多导睡眠图评估睡眠时的异常运动
- Authors
- Charlene E Gamaldo, MD, FAASM, FAAN
Charlene E Gamaldo, MD, FAASM, FAAN
- Associate Professor, Department of Neurology, Medicine, Psychiatry, and Nursing
- Johns Hopkins University, School of Medicine
- Associate Professor, Department of Health Policy & Management, Bloomberg School of Public Health
- Rachel Marie E Salas, MD
Rachel Marie E Salas, MD
- Associate Professor of Neurology, Medicine, and Nursing
- Johns Hopkins University, School of Medicine
- Section Editor
- Susan M Harding, MD, FCCP, AGAF
Susan M Harding, MD, FCCP, AGAF
- Section Editor — Diagnostic Testing
- Professor of Medicine
- University of Alabama at Birmingham
- Deputy Editor
- April F Eichler, MD, MPH
April F Eichler, MD, MPH
- Senior Deputy Editor — UpToDate
- Deputy Editor — Neurology and Sleep Medicine
- Assistant Professor of Neurology
- Harvard Medical School
- Translators
- 刘俊艳, 主任医师，教授
刘俊艳, 主任医师，教授
- 河北医科大学第三医院神经内科
引言
在多导睡眠图(polysomnography, PSG)上，常常可观察到睡眠相关的运动，且往往为良性。然而，某些运动会对睡眠质量造成不良影响，导致日间症状或损伤，此时需要对这些运动做进一步评估。
本文将总结实验室内PSG记录简单睡眠相关运动的重要组成部分。睡眠相关运动障碍发病机制、评估、诊断和治疗更为详尽的总结参见其他专题。 (参见“睡眠时异常动作和行为的概述”和“不安腿综合征”和“成人不安腿综合征/Willis-Ekbom病和周期性肢体运动障碍的治疗”)
对于睡行症的异态睡眠，以及快速动眼(rapid eye movement, REM)睡眠行为障碍等更复杂运动的PSG评估也将单独总结。 (参见“多导睡眠监测在异态睡眠和癫痫评估中的应用”)
记录睡眠相关的运动
技术要点 — PSG会在睡眠期间同时记录多个生理变量(图 1)：
●眼电图(electrooculogram, EOG)捕获眼运动。
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To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information or to purchase a personal subscription, click below on the option that best describes you:Literature review current through: 2017-06 . | This topic last updated: 2017-02-20.The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. The use of this website is governed by the UpToDate Terms of Use ©2017 UpToDate, Inc.References- Berry RB, Brooks R, Gamaldo CE, et al for the American Academy of Sleep Medicine. The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications, Version 2.2, www.aasmnet.org, American Academy of Sleep Medicine, Darien, IL 2015.
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