专家小组对阻塞性睡眠呼吸暂停的多夜测试的观点:德尔菲研究
Kai Fricke1, Philip Heesen1, Noriane A Sievi1
1Faculty of Medicine, University of Zurich, Switzerland; Department of Pulmonology, University Hospital Zurich, Switzerland.
Sleep medicine
|January 13, 2026
概括
多夜睡眠研究可以改善阻塞性睡眠呼吸暂停 (OSA) 的诊断,当结果不确定时. 专家建议使用三晚的治疗方案,并使用平均呼吸暂停-呼吸暂停指数 (AHI) 来做出治疗决策.
科学领域:
- 睡眠医学 睡眠医学
- 诊断的准确性 诊断的准确性
- 临床实践指南 临床实践指南
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 的诊断依赖于一晚的睡眠研究.
- 在OSA的夜间变化可能导致错误诊断和影响治疗.
- 在OSA中进行多个夜间睡眠测试的价值尚未得到充分确立.
研究的目的:
- 建立专家的共识,在使用多夜睡眠测试的OSA诊断.
- 定义多个夜间OSA测试的指示,时间,进行和解释.
- 为了解决多个夜间测试在OSA管理中的临床作用.
主要方法:
- 一个经过修改的Delphi研究,涉及13名国际睡眠医学专家.
- 两个轮结构化问卷和匿名反.
- 共识定义为至少70%的专家之间的协议.
主要成果:
- 在17个陈述中有12个 (71%) 达成了共识.
- 专家支持对怀疑OSA变异性,边界AHI或不一致的临床发现进行多夜检测.
- 一个为期三晚的协议和治疗决策的平均AHI得到了认可.
结论:
- 对于不确定的OSA病例,支持选择性多夜测试.
- 一个为期三晚的协议和平均AHI值提供了一个实用的方法.
- 为了标准化和将其纳入临床实践,需要进一步的研究.
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