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编号:11327127
Sleep Medicine in Clinical Practice
http://www.100md.com 《新英格兰医药杂志》
     This is a very clearly written book with many illustrations, graphs, case vignettes, and succinct definitions. The authors have constructed an effective didactic tool that would serve well as the first reading material for anyone seeking information on sleep and its disorders. It should be highly recommended to graduate and medical students, residents, fellows, and sleep technologists. Candidates for the sleep medicine board examination will find this book to be a very useful review. It achieves its goal of serving as a practical compendium rather than as an all-inclusive textbook. The contents provide a solid foundation of knowledge regarding sleep medicine, but the book will also be very helpful to anyone who merely needs to understand what the results of various sleep studies mean — it gives physicians a basic understanding of sleep disorders that they can apply in everyday clinical practice. Topics are clearly labeled, and the index efficiently directs the reader to the correct place.

    The book starts with a short section on the physiologic basis of sleep but quickly adopts a more clinical approach, outlining the way to assess a patient for a sleep disorder and to obtain a sleep history. It explains which tests are available, the purpose of each, and the findings one can expect. The chapters progress from general to more specific problems, but they always maintain a simple and pragmatic approach. The various chapter headings (e.g., "Approach to the Sleepy Patient" and "The Patient Who Cannot Sleep") indicate the book's systematic and clinically useful approach.

    Sleep Medicine in Clinical Practice covers not only the basic neuroanatomy and pharmacology of sleep but also polygraphic and other test patterns. It explains clearly the meaning of various findings on sleep studies and covers all the major disorders outlined in the International Classification of Sleep Disorders. (The authors were careful to integrate the 2004 revision of the classification into their book.) They devote an appropriate amount of space to a description of the major conditions, including the disorders of breathing during sleep, narcolepsy, and insomnias. But they delve further and discuss sleepwalking, REM (rapid eye movement) sleep behavior disorders, circadian rhythm disorders, movement disorders (including the restless legs syndrome and Parkinson's disease), and psychiatric disorders. Readers will appreciate the balanced structure of each chapter, with a combination of relevant case vignettes, graphs, illustrations, tables, and medication doses. This is an excellent book from which to learn basic sleep medicine; clinicians are likely to keep it on hand to respond to a wide assortment of sleep-related problems.

    Christian Guilleminault, M.D., Biol.D.

    Allison Chan, M.D.

    Stanford University Sleep Disorders Clinic

    Stanford, CA 94305(Michael H. Silber, Lois E)