Sleep-wake disorders based on a polysomnographic diagnosis. A national cooperative study.
Sleep-wake disorders based on a polysomnographic diagnosis. A national cooperative study.
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DOI：
10.1001/jama.1982.03320320033026
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发表时间：
1982-02
期刊：
影响因子：
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通讯作者：
R. M. Coleman;H. Roffwarg;S. J. Kennedy;C. Guilleminault;J. Cinque;M. Cohn;I. Karacan;D. Kupfer;H. Lemmi;L. Miles;W. Orr;E. R. Phillips;T. Roth;J. Sassin;H. Schmidt;E. Weitzman;W. Dement
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文献类型：
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作者：
R. M. Coleman;H. Roffwarg;S. J. Kennedy;C. Guilleminault;J. Cinque;M. Cohn;I. Karacan;D. Kupfer;H. Lemmi;L. Miles;W. Orr;E. R. Phillips;T. Roth;J. Sassin;H. Schmidt;E. Weitzman;W. Dement
在睡眠项目和睡眠障碍中心协会（ASDC）的组织支持下，在一项合作研究中分析了来自11个睡眠-觉醒障碍诊所的近5,000份患者记录。这些病例代表了这些中心在两年期间的诊断经验。每位患者都接受了多导睡眠图研究，并根据ASDC分类系统（一种新的标准化睡眠障碍医学疾病分类学）对其病情进行诊断。最常见的主要诊断类别是“过度嗜睡症（嗜睡症）”，占42%;其次是“启动和维持睡眠障碍（失眠）”，占26%;“阴茎膨胀评估阳萎”，占17%;“异态睡眠”，占3%;和“睡眠-觉醒时间表障碍”，占2%。如果将睡眠诊所进行的阳痿评估从总数中删除，只留下因睡眠投诉而被研究的人群，则诊断类别的比例为睡眠过度，51%;失眠，31%;睡眠异常，15%;和睡眠-觉醒时间表紊乱，3%。睡眠过度类别中最常见的诊断是睡眠呼吸暂停（43%）和发作性睡病（25%）。精神疾病（35%）是最常见的失眠症诊断，尽管其他各种疾病也很常见。这些结果的执业医师的应用进行了讨论。（JAMA 1982;247：997-1003）
Under the organizational aegis of Project Sleep and the Association of Sleep Disorders Centers (ASDC), nearly 5,000 patient records from 11 sleep-wake disorders clinics were analyzed in a cooperative study. These cases represented the diagnostic experience of each of these centers over a two-year period. Each patient underwent polysomnographic study, and his or her condition was diagnosed according to the ASDC classification system, a new, standardized nosology of sleep disorders medicine. The most common major diagnostic category was "disorders of excessive sleepiness (hypersomnia)," 42%; this was followed by "disorders of initiating and maintaining sleep (insomnia)," 26%; "penile tumescence evaluations for impotency," 17%; "parasomnias," 3%; and "disorders of the sleep-wake schedule," 2%. If the impotency evaluations performed in the sleep clinics are removed from the total, leaving only the population that was studied because of sleep complaints, the proportions of the diagnostic categories are hypersomnia, 51%; insomnia, 31%; parasomnias, 15%; and sleep-wake schedule disturbances, 3%. The most prevalent diagnoses in the hypersomnia category were sleep apnea (43%) and narcolepsy (25%). Psychiatric disorders (35%) comprised the most frequent group of insomnia diagnoses, though a variety of other disorders were common. The applications of these results for the practicing physician are discussed. ( JAMA 1982;247:997-1003)