閉塞性睡眠時無呼吸症候群（OSAS）の睡眠ポリグラフ検査

1 1 EC1 OSAS ICSD-3 obstructive sleep apnea OSA out of center sleep testing OCST OSA central sleep apnea CSA 1. OSAS : OSAS 1) 2. : AASM ch EEG EOG EMG PM 1) 6 3.

2 : AASM 2) 30 1 stage W stage N1 stage N2 stage N3 stage REM 2 RERA TST stage N1-3 REM AHI AHI RERA TST Respiratory disturbance index RDI AHI 4. OSA OSA AHI 5 OSA AHI 5 AHI 15 OSA 4) 5. OSA OSA 5 AHI 15 15 AHI 30 AHI 30 5) AHI AHI 30 AHI 30 2 3,6) AHI 5 8) 6.

3 OSA CSAS CSAS OSA portable monitor PM OCST OSA PAP 7. PAP 3 PAP CPAP PAP 5) Split-night 1 AHI 20 CPAP AHI 20 CPAP 8.

4 1 OSA 2 1) Thorpy, M, Chesson A, Ferber R, et al: Practice Parameters for the Use of Portable Recording in the Assessment of Obstructive Sleep Apnea. SLEEP 1994;17:372-377 2) Berry RB, Brooks R, Gamaldo CE, et al: Marcus CL and Vaughn BV for the American Academy of Sleep Medicine. The aasm manual for the scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications, Version Darien, Illinois: American Academy of Sleep Medicine, 2014.

5 3) Balk EM, Moorthy D, Obadan NO, et al: Diagnosis and Treatment of Obstructive Sleep Apnea in Adults. Comparative Effectiveness Review No. 32. (Prepared by Tufts Evidence-based Practice Center under Contract No. 290-2007-10055-1). AHRQ Publication No. 11-EHC052-EF. Rockville, MD: Agency for Healthcare Research and Quality. July 2011. Available at: 4) American Academy of Sleep Medicine. International classification of sleep disorders, 3rd ed. Darien, IL: American Academy of Sleep Medicine, 2014. 4 5) American Academy of Sleep Medicine Task Force. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research.

6 The Report of an American Academy of Sleep Medicine Task Force. Sleep 1999; 22: 667-89. 6) Qaseem A, Dallas P, Owens DK, et al: Clinical Guidelines Committee of the American College of Physicians Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2014; 161(3):210-20. 7) Kushida CA, Littner MR, Morgenthaler T, et al: Practice parameters for the indications for polysomnography and related procedures: An update for 2005. SLEEP 2005; 28(4): 499-521. 8) Young T, Palta M, Dempsey J, et al: The occurrence of sleep-disordered breathing among middle-aged adults.

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