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由于阻塞性睡眠呼吸暂停综合征 (OSAS)患者夜间多导睡眠监测的多参数性 ,以及OSAS患者夜间表现个体间的差异性 ,在诊断及评估患者病情上尚无一个简单可循的原则。为解决这一问题 ,必须首先了解OSAS患者各种呼吸紊乱发生的原因。尽管学者们普遍认为OSAS患者的病因为多因素性 ,诸如肥胖 ,小下颌畸形 ,下颌后缩 ,解剖异常等 ,但不同病因导致夜间呼吸紊乱的病理机制可能具有一致性 ,这表现在不同患者的呼吸紊乱曲线的某些相似性。多导睡眠仪监测在评估OSAS患者病情中有很高的价值 ,现将用多导睡眠仪监测OSAS的研究进展作一综述。
Because of the multi-parametric nature of nocturnal polysomnography in patients with obstructive sleep apnea syndrome (OSAS) and the interobserver variability of nighttime performance in patients with OSAS, there is no easy-to-follow guideline in the diagnosis and assessment of patients’ condition. In order to solve this problem, we must first understand the causes of various respiratory disorders in patients with OSAS. Although scholars generally believe that the cause of OSAS patients is multifactorial, such as obesity, small mandibular deformity, mandibular retrusion, anatomical abnormalities, but the pathological mechanism of different causes leading to nighttime respiratory disorders may be consistent, which showed in different patients Some similarities in respiratory disturbances. Monitor polysomnography in the assessment of OSAS patients with high value, now using polysomnography to monitor the progress of OSAS are reviewed.