Polysomnography

**技術員在附註欄提到的事件，例如SIGNIFICANT ARRHYTHMIA，REM SLEEP BEHAVIOR DISORDER (RBD)或是PREMATURELY TERMINATED DUE TO PATIENT INTOLERANCE都要打在報告裡。

Sleep efficiency--OSA--REM(related/specific)--Position--Deficit

THE POLYSOMNOGRAPHY SHOWS ______ OBSTRUCTIVE SLEEP APNEA SYNDROME, REM____, IMPROVED BY ____ POSITIONS, WITH DEFICIT________.
(SLEEP EFFICIENCY: ____%, AHI: ____/HR, REM-AHI: ____/HR)

**如果睡眠檢查中缺乏stage 3的睡眠，報告要加註DEFICIT OF SLOW-WAVE SLEEP.
**如果睡眠檢查中缺乏REM的睡眠，報告要加註DEFICIT OF REM SLEEP.
**如果睡眠結構圖(Hypnogram)顯示病人頻繁醒來，報告要加註SLEEP FRAGMENTATION，通常這樣子的檢查病人的SLEEP EFFICIENCY都不太漂亮(50-70%).

Sleep efficiency
>=50%	判讀
<50%	WITH UNDETERMINED SEVERITY DUE TO POOR SLEEP EFFICIENCY

 

AHI	Severity
<5	Normal
5-15	Mild
15-30	Moderate
>30	Severe

 

	NREM-AHI
REM-AHI/ NREM-AHI	<5	5-15	>15
>2	REM-SPECIFIC	REM-RELATED	-

 

**IMPROVED BY POSITION DEFINITION: 1. AHI減少 >50%; 2. 時間>30 min，如果符合所有的主治醫師都要加註上去。

 

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About REM-related OSA

**REM-RELATED OSA: R/N>2, N<15。除了蘇和蕭外，其他老師報告都要打。

THE POLYSOMNOGRAPHY DID NOT FULLFILL THE DIAGNOSIS OF OBSTRUCTIVE SLEEP APNEA SYNDROME. BUT, REM-RELATED OBSTRUCTIVE SLEEP APNEA AND HYPOPNEA WERE NOTED. (SLEEP EFFICIENCY 74.5%, AHI: 4.9/HR, REM AHI: 20.2/HR)

**林:REN-RELATED OSA的嚴重程度也會予以區分。
THE POLYSOMNOGRAPHY DID NOT FULLFILL THE DIAGNOSIS OF OBSTRUCTIVE SLEEP APNEA SYNDROME. BUT, MILD REM-RELATED OBSTRUCTIVE SLEEP APNEA AND HYPOPNEA WERE NOTED. (SLEEP EFFICIENCY 81.2%, AHI: 4.3/HR, REM AHI: 15.9/HR)

**蕭:也不打REM-RELATED OSA的部分，如果AHI<5，REM-AHI>5，報告要打成：
THE POLYSOMNOGRAPHY SUGGEST OBSTRUCTIVE SLEEP ANPNEA, BUT NOT FULFILLED THE CRITERIA OF OSAS.
(SLEEP EFFICIENCY: 84.9%, AHI: 1.8/HR, REM-AHI: 5.7/HR)

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