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  1. C100 医学部/医学系研究科
  2. C100d 学位論文
  3. 博士論文(医保博・論医保博)

Daytime polysomnography and portable recording device for diagnosis and CPAP therapy in patients with obstructive sleep apnea syndrome

http://hdl.handle.net/2237/11067
http://hdl.handle.net/2237/11067
001748cd-e288-4e9b-b442-00084b29c9fe
名前 / ファイル ライセンス アクション
Figure.pdf Figure.pdf (195.4 kB)
miyata.pdf miyata.pdf (251.7 kB)
Item type 学位論文 / Thesis or Dissertation(1)
公開日 2009-02-09
タイトル
タイトル Daytime polysomnography and portable recording device for diagnosis and CPAP therapy in patients with obstructive sleep apnea syndrome
言語 en
その他のタイトル
その他のタイトル 閉塞性睡眠時無呼吸症候群の診断およびCPAP療法のための検査に関する研究
言語 ja
著者 宮田, 聖子

× 宮田, 聖子

WEKO 26559

ja 宮田, 聖子

Search repository
Miyata, Seiko

× Miyata, Seiko

WEKO 26560

en Miyata, Seiko

Search repository
Noda, Akiko

× Noda, Akiko

WEKO 26561

en Noda, Akiko

Search repository
Nakata, Seiichi

× Nakata, Seiichi

WEKO 26562

en Nakata, Seiichi

Search repository
Yagi, Hidehito

× Yagi, Hidehito

WEKO 26563

en Yagi, Hidehito

Search repository
Yanagi, Eriko

× Yanagi, Eriko

WEKO 26564

en Yanagi, Eriko

Search repository
Honda, Kumiko

× Honda, Kumiko

WEKO 26565

en Honda, Kumiko

Search repository
Sugiura, Tatsuki

× Sugiura, Tatsuki

WEKO 26566

en Sugiura, Tatsuki

Search repository
Nakai, Shigeru

× Nakai, Shigeru

WEKO 26567

en Nakai, Shigeru

Search repository
Nakashima, Tsutomu

× Nakashima, Tsutomu

WEKO 26568

en Nakashima, Tsutomu

Search repository
Koike, Yasuo

× Koike, Yasuo

WEKO 26569

en Koike, Yasuo

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
キーワード
主題Scheme Other
主題 Sleep-disordered breathing
キーワード
主題Scheme Other
主題 Upper airway resistance syndrome
キーワード
主題Scheme Other
主題 Excessive daytime sleepiness
キーワード
主題Scheme Other
主題 Daytime polysomnography
キーワード
主題Scheme Other
主題 Continuous positive airway
キーワード
主題Scheme Other
主題 pressure titration
抄録
内容記述 Excessive daytime sleepiness (EDS) is a common complaint among patients with sleep disordered-breathing (SDB). Population-based studies on traffic and industrial accidents suggest a relationship between EDS and life-threatening events, and adults with EDS have cognitive and memory problems. Nocturnal polysomnography (nPSG) is essential for diagnosing SDB but it is time and energy consuming. We examined the usefulness of daytime polysomnography (dPSG) for the early diagnosis and treatment of patients with suspected SDB. We studied 108 consecutive patients, aged 51.9 。モ 13.5 years (mean 。モ SD). All patients underwent dPSG and nPSG. The number of apnea/hypopnea episodes per hour (apnea/hypopnea index; AHI) and the number of 3% desaturation episodes per hour (desaturation index; DSI) were calculated. All patients were classified into two groups. The REM group consisted of subjects who had an AHI У 25/h, AHIREM/AHINREM > 2, and AHINREM < 15/h. Those who did not satisfy these criteria were placed in the NREM group. Continuous positive airway pressure (CPAP) titration was performed for patients whose AHI was ・ 20/h on dPSG. Using the international classification of sleep disorders, 96 patients were diagnosed as obstructive sleep apnea (including five upper airway resistance syndrome patients), six patients were snoring, four had idiopathic hypersomnia due to a medical condition, and two had circadian rhythm sleep disorders. The sensitivity of dPSG for AHI was 81.0%, specificity was 100%, and accuracy was 83.5%. The sensitivity and accuracy of dPSG for AHI in the REM group were considerably lower than in the NREM group. There was no significant difference for optimal CPAP between dPSG and nPSG. In the five patients with UARS, their AHI, DSI, and arousal index on dPSG were 0.92 ± 1.2/h, 2.9 ± 3.4/h, and 29.3 ± 3.5/h, respectively, and their AHI and DSI on nPSG were 3.2 ± 2.5/h and 2.8 ± 2.4/h, respectively. However, their respiratory effort-related arousals were 37.9 ± 7.4/h and arousal index 33.2 ± 6.3/h. The five patients with UARS were also treated with CPAP, and their daytime sleepiness was improved. Although dPSG has limitations, these results indicate that dPSG recording is clinically useful for the diagnosis of and determination of types of treatment in patients with suspected SDB.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 名古屋大学博士学位論文 学位の種類:博士(医療技術学)(課程) 学位授与年月日:平成19年3月23日
言語 ja
内容記述タイプ Other
内容記述
内容記述 Daytime polysomnography and portable recording device for diagnosis and CPAP therapy in patients with obstructive sleep apnea syndrome Sleep and Breathing, v.11, n.2 (2007) pp.109-115 を、博士論文として提出したもの。
言語 ja
内容記述タイプ Other
出版者
言語 en
出版者 Springer Berlin
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_db06
タイプ doctoral thesis
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1007/s11325-006-0091-9
ISSN
収録物識別子タイプ PISSN
収録物識別子 15209512
書誌情報 en : Sleep and Breathing

巻 11, 号 2, p. 109-115, 発行日 2007-06-13
学位名
言語 ja
学位名 博士(医療技術学)
学位授与機関
学位授与機関識別子Scheme kakenhi
学位授与機関識別子 13901
言語 ja
学位授与機関名 名古屋大学
言語 en
学位授与機関名 NAGOYA University
学位授与年度
学位授与年度 2007
学位授与年月日
学位授与年月日 2007-06-13
学位授与番号
学位授与番号 甲第7290号
フォーマット
application/pdf
フォーマット
application/pdf
著者版フラグ
値 publisher
URI
識別子 http://hdl.handle.net/2237/11067
識別子タイプ HDL
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