Periodic limb movement variability in older DIMS patients across consecutive nights of home monitoring.
Periodic limb movement variability in older DIMS patients across consecutive nights of home monitoring.
复制标题
连续晚上的家庭监测中老年 DIMS 患者的周期性肢体运动变异性。
作者：
J. Edinger;W. McCall;G. Marsh;R. Radtke;C. Erwin;A. Lininger
对符合周期性肢体运动障碍（PLMD）标准的老年难以启动和/或维持睡眠（DIMS）患者在其家中使用动态多导睡眠仪（PSG）连续监测三个晚上。组数据的相关分析表明，该样本的运动指数或与运动相关的唤醒指数夜间变化不大。然而，受试者内部比较表明，这些指标和其他睡眠指标在夜间存在相当大的差异。然而，对于大多数受试者来说，这些指标的可变性似乎对PLMD严重程度分级或psg盲检得出的临床治疗决策影响不大。此外，最初的PSG研究通常导致具有代表性的严重程度分类和临床决策。需要进一步的研究来确定这些结果在年轻受试者、抱怨过度嗜睡的患者和其他家庭PSG监测方法中的普遍性。
Older difficulty initiating and/or maintaining sleep (DIMS) patients who met criteria for periodic limb movement disorder (PLMD) were monitored for three consecutive nights in their homes using ambulatory polysomnography (PSG). Correlational analyses of the group data suggested little night-to-night variability in either movement indices or movement-related arousal indices for this sample. However, within-subjects comparisons suggested considerable variability in these indices and other sleep measures across nights. Nevertheless, for most subjects, the variability noted for these indices appeared to have little effect on PLMD severity classification or clinical treatment decisions derived from blind examinations of PSGs. Further, the initial PSG study generally led to a representative severity classification and clinical decision. Additional research is needed to determine the generalizability of these results to younger subjects, patients with complaints of excessive somnolence and other methods of home PSG monitoring.