多导睡眠监测huibao.ppt

多导睡眠监测仪 山东青岛中西医结合医院 新技术新项目-神经内科马艳华 睡眠障碍的影响 随着人民生活水平的不断提高，越来越多的人开始重视睡眠方面的疾病，睡眠障碍的病人越来越多，一方面睡眠障碍影响着人们白天的精神状态，同时睡眠障碍可能是呼吸暂停综合症，心脏病，高血压，神经衰弱等相关疾病的发病原因。 多导睡眠监测仪作用 睡眠监测仪是指在患者安静入睡的状态下，连续记录睡眠时6—8小时的脑电图、心电图、血氧饱和度、鼾声、呼吸动度等十多项指标的改变，用于诊断睡眠呼吸暂停综合症、确定其病因、分型、判定预后、提供治疗方案。特别是各种睡眠障碍性疾病（慢性失眠、白日过度嗜睡、多梦、睡惊症、多发性睡病、周期性腿动、不宁腿综合症、帕金森氏病、精神抑郁症等）。对其确定病因，确定诊断，制定行之有效的治疗方法提供可靠依据，并可解除患者入睡难而需长期依赖口服镇静、安眠药之痛苦，从而达到根治的目的，进一步改善患者的睡眠和生活质量。 整理准备好睡眠检测所需物品: 收拾装备，准备给患者安装探头和附件 电极， 传感器， 酒精棉球， 干棉球， 磨砂膏， 导电膏， 胶带， 网状头罩（用于脑电的固定）等。 装备小推车 检查电池和存储容量 报告 患者在整夜睡眠中监测信号良好。 睡眠结构：深睡眠缺失，R期睡眠减少。A + H 总计:事件总数414次 AHI: 75.0 （重度） 呼吸事件：呼吸暂停低通气指数88.3，最长呼吸暂停63.8秒，最长低通气26.9秒。呼吸事件发生时心率减慢，呼吸事件结束后心率增快。仰卧位AHI是侧卧位AHI的两倍以上。 血氧情况：睡眠中平均血氧饱和度91%，最低血氧饱和度59%，为R期一次52.1秒阻塞型呼吸暂停所致。 心电事件：睡眠中最慢心率48次/分，最快心率91次/分。夜间可见室性早搏。 夜尿：1次。 结论： 符合重度阻塞性睡眠呼吸暂停低通气综合症，以阻塞型呼吸暂停为主。 夜间重度低氧血症。 应用情况：我科自应用以来监测病人16例，每次监测450元，为科室增加经济效益达7千余元。 Slide 11 First talk with the person that you suspect has obstructive sleep apnea. Tell them why you think they have sleep apnea; for example, snoring, pauses in breathing during sleep, extreme tiredness, irritability, etc. Show them the Fast Facts handout on obstructive sleep apnea. Tell them that if they have obstructive sleep apnea it is easily diagnosed and treated. Treatment can improve their well being. Encourage them to seek medical advice. - Talk with the person - Explain why you think they have obstructive sleep apnea - Show them the Fast Facts - Encourage them to seek medical advice Slide 11 First talk with the person that you suspect has obstructive sleep apnea. Tell them why you think they have sleep apnea; for example, snoring, pauses in breathing during sleep, extreme tiredness, irritability, etc. Show them the Fast Facts handout on obstructive sleep apnea. Tell them that if they have obstructive sleep apnea it is easily diagnosed and treated. Treatment can improve their well being. Encourage them to seek medical advice. - Talk with the person - Explain why you think they have obstructiv