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【商业翻译】睡眠障碍（医师报约稿）（急，须
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本稿件为《医师报》约稿，署名统一为“丁香”，稿酬按照医师报标准发放。
1. Actigraphy is a useful way to assess and manage sleep disorders
WESTCHESTER, Ill. -- Actigraphy, the use of a portable device that records movement over extended periods of time, and has been used extensively in the study of sleep and circadian rhythms, provides an acceptably accurate estimate of sleep patterns in normal, healthy adult populations and in-patients suspected of certain sleep disorders, according to practice parameters published in the April 1st issue of the journal SLEEP.
The practice parameters, authored by the American Academy of Sleep Medicine抯 (AASM) Standards of Practice Committee, were developed as a guide to the appropriate use of actigraphy, both as a diagnostic tool in the evaluation of sleep disorders and as an outcome measure of treatment efficacy in clinical settings with appropriate patient populations.
Actigraphy is indicated to assist in the evaluation of patients with advanced sleep phase syndrome, delayed sleep phase syndrome, and shift work disorder. Additionally, there is some evidence to support the use of actigraphy in the evaluation of patients suspected of jet lag disorder and non-24 hour sleep/wake syndrome. Further, when polysomnography is not available, actigraphy is indicated to estimate total sleep time in patients with obstructive sleep apnea.
In patients with insomnia and hypersomnia, there is evidence to support the use of actigraphy in the characterization of circadian rhythms and sleep patterns and disturbances. In assessing response to therapy, actigraphy has proven useful as an outcome measure in patients with circadian rhythms and insomnia.
In older adults, actigraphy characterizes sleep and circadian patterns and documents treatment responses. Similarly, in normal infants and children, as well as special pediatric populations, actigraphy has proven useful for delineating sleep patterns and documenting treatment responses.
"This evidence based review and update of the indications for actigraphy use provides sleep clinicians with needed evidence for where actigraphy may be helpful, and where it is unlikely to be helpful," said Timothy Morgenthaler, MD, of the Mayo Clinic in Rochester, Minn., one of the committee members. "Because there is substantial evidence to indicate actigraphy is indicated for evaluation and management of specific common sleep disorders, we are hopeful that clinicians, and insurers, will become more aware of its usefulness and more familiar with its application. We believe that applying these recommendations will result in a higher quality of patient care in certain circumstances."
Those who think they might have a sleep disorder are urged to discuss their problem with their primary care physician, who will issue a referral to a sleep specialist.
2. Updated Guidelines for Use of Actigraphy in Sleep Assessment
April 6, 2007 — The American Academy of Sleep Medicine has developed practice parameters for the use of actigraphy to diagnose and treat sleep disorders. Actigraphy uses a portable device to record movement over extended periods, making it highly useful to study sleep and circadian rhythms. The new guidelines, which update previous practice parameters published in 2003 for the use of actigraphy in the study of sleep and circadian rhythms, are reported in the April issue of Sleep.
"Since the publication of the last American Academy of Sleep Medicine (AASM) practice parameters on the use of actigraphy, there has been an explosion in the number of research articles utilizing actigraphy to estimate sleep and circadian rhythm," write Timothy Morgenthaler, MD, from the Mayo Clinic in Rochester, Minnesota, and colleagues from the AASM Standards of Practice Committee. "Since the last review, additional literature has been published that addresses the use of actigraphy in the evaluation of insomnia, circadian rhythm sleep disorders, sleep related breathing disorders, determination of response to therapy, and in the evaluation of sleep patterns among special populations. This literature, in combination with growing clinical experience with actigraphy, led to the inclusion of actigraphy as a measure of sleep duration and sleep patterns in the diagnostic criteria for several specific sleep disorders in the second edition of the International Classification of Sleep Disorders."
The AASM Standards of Practice Committee, including experts in the use of actigraphy, developed these revised practice parameters based on a systematic grading of evidence. The updated guidelines address the appropriate use of actigraphy as a diagnostic tool for evaluating sleep disorders and as an outcome measure of treatment efficacy in clinical settings with appropriate patient populations.
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作者:admin@医学,生命科学 2010-11-17 09:10
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