1、 多导睡眠多导睡眠监测仪监测仪 山东青岛中西医结合医院 新技术新项目-神经内科马艳华睡眠障碍的影响v 随着人民生活水平的不断提高，越来越多的人开始重视睡眠方面的疾病，睡眠障碍的病人越来越多，一方面睡眠障碍影响着人们白天的精神状态，同时睡眠障碍可能是呼吸暂停综合症，心脏病，高血压，神经衰弱等相关疾病的发病原因。多导睡眠监测仪作用多导睡眠监测仪作用 v 睡眠监测仪是指在患者安静入睡的状态下，连续记录睡眠时68小时的脑电图、心电图、血氧饱和度、鼾声、呼吸动度等十多项指标的改变，用于诊断睡眠呼吸暂停综合症、确定其病因、分型、判定预后、提供治疗方案。特别是各种睡眠障碍性疾病（慢性失眠、白日过度嗜睡、多梦
2、、睡惊症、多发性睡病、周期性腿动、不宁腿综合症、帕金森氏病、精神抑郁症等）。对其确定病因，确定诊断，制定行之有效的治疗方法提供可靠依据，并可解除患者入睡难而需长期依赖口服镇静、安眠药之痛苦，从而达到根治的目的，进一步改善患者的睡眠和生活质量。多导睡眠监测系统多导睡眠监测系统 Alice5主机、多导睡眠监测仪电脑、摄像头此三个设备放置处需预留网络及电源接口 房间家具：如果是单间需做隔断，单人床、床头柜、电脑桌椅、推车、展示柜（具体家具按实际情况增减）ConfidentialLaffael,09 14,2008“This document is the confidential and propr
3、ietary information of Philips Respironics and may not be reproduced,disclosed or distributed to any other person or entity without prior permission from Philips Respironics.Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice
4、.Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”如何诊断睡眠呼吸暂停?睡眠呼吸暂停:睡眠呼吸暂停是在睡眠过程中呼吸的中断为特征的一种睡眠紊乱。每次事件称之为呼吸暂停，持续的时间足够长，导致1次或多次呼吸消失，而且类似的事件在整个睡眠中重复出现。呼吸多导描记法:一种医学检查，由记
5、录的呼吸，呼吸努力和血氧等生理信号组成。被用来诊断睡眠呼吸紊乱如睡眠呼吸暂停ConfidentialLaffael,09 14,2008“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced,disclosed or distributed to any other person or entity without prior permission from Philips Respironics.Philips Respiro
6、nics makes no warranty of any kind with regard to this material and it is subject to change without prior notice.Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”除了睡
7、眠分期外，诊断睡眠呼吸暂停所需要的基本的生理参数:气流:鼻压力传感器和/或口鼻热敏探头 呼吸努力:胸腹运动带鼾声:自动检测来自气流信号或麦克风SpO2:脉搏血氧脉率:来自于血氧体位:仰卧，右侧，左侧，（位置探头）患者事件标记:允许患者告知特殊事件(如厕，开灯，关灯等)如何诊断睡眠呼吸暂停?ConfidentialLaffael,09 14,2008“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced,disclosed or
8、distributed to any other person or entity without prior permission from Philips Respironics.Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice.Any medical information is provided as a general information service only and is
9、 not intended as a substitute for advice from a registered physician or other health care professional.”电极、传感器EEG-脑电图EOG-眼电图EMG-肌电图（下颌肌电）ECG-心电图胸腹运动体位脉搏血氧鼾声腿肌电口鼻气流电极分类睡眠监测中主要的探头EEG,EOG,EMG睡眠分期,微觉醒口鼻气流,鼾声,胸腹运动,血氧,体位呼吸事件ECG心脏事件其他腿动,肢体活动,等ConfidentialLaffael,09 14,2008“This document is the confidential
10、 and proprietary information of Philips Respironics and may not be reproduced,disclosed or distributed to any other person or entity without prior permission from Philips Respironics.Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without pr
11、ior notice.Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”如何开始睡眠研究?怀疑有睡眠呼吸暂停的患者会求助于您开始睡眠研究前:初筛睡眠日记问卷调查如果怀疑得到证实，则可安排睡眠研究。研究前准备v至少持续一周的日常睡眠信息-睡眠日志ConfidentialLaffael
12、,09 14,2008“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced,disclosed or distributed to any other person or entity without prior permission from Philips Respironics.Philips Respironics makes no warranty of any kind with regard to this ma
13、terial and it is subject to change without prior notice.Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”研究前准备嗜睡问卷表Epworth嗜睡量表柏林问卷(验证OSA)夜间问卷表或评估表来评估过去的24小时可能对睡眠研究产生
14、影响的因素(特别的情况如特别的压力，太多咖啡，邻居的吵闹等)ConfidentialLaffael,09 14,2008“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced,disclosed or distributed to any other person or entity without prior permission from Philips Respironics.Philips Respironics mak
15、es no warranty of any kind with regard to this material and it is subject to change without prior notice.Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”研究前准备嘱咐受试者在
16、测试前：检查患者的时间表和信息-确保没有意外不要饮酒和吸烟，当天不要睡午觉；不要服用或测试前8小时停用镇静类药物,或服用其他兴奋类饮料，如浓茶、咖啡、可乐等；男患者请刮胡子，做好睡眠前的准备工作（可自带宽松的睡衣睡裤；如有条件，可以请受试者洗头或洗澡）。整理准备好睡眠检测所需物品:收拾装备，准备给患者安装探头和附件电极，传感器，酒精棉球，干棉球，磨砂膏，导电膏，胶带，网状头罩（用于脑电的固定）等。装备小推车检查电池和存储容量研究前准备ConfidentialLaffael,09 14,2008“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced,disclosed or distributed to any other person or entity without prior permission from Philips Respironics.Philips Respironics makes no warra
