認識阻塞性睡眠呼吸中止症
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認識阻塞性睡眠呼吸中止症. 中國醫藥大學附設醫院 內科部 胸腔科. 2. 人生百歲，床度五十 : 睡眠與健康 !. 3. 睡眠問題盛行率 之分佈. 4. 睡眠結構. 睡眠分期之分佈. 7. 8. 阻塞性睡眠呼吸中斷症候群 (obstructive sleep apnea hypopnea syndrome, OSAHS ). 主訴. “ 鼾聲如雷 ”. 為什麼會發生 ?. 空氣從鼻子或嘴巴進入，最後到氣管而抵達肺部，過程中力留有任何阻擾，都有機會產生打鼾 !. 發生率有多高 ?. 1/3 成人每週至少有幾次打鼾 25% 有習慣性打鼾. - PowerPoint PPT PresentationTRANSCRIPT
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*(obstructive sleep apnea hypopnea syndrome, OSAHS)
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25%
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*(PolysomnographyPSG)
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(15%)
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*Epworth Sleepiness Scale (ESS) 0 = 1 = 2 = 3 =
(0-3)()()
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*( Polysomnography-PSG )
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Brief HxCAD s/p PTCA before 50 y/oHypertension, dyslipidemiaSever obstructive sleep apnea s/p UPPP (uvulopalatopharyngoplasty)
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*OSAHS4%2%
OSAHS1020
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J. Clin. Invest. 1995. 96:1897-1904J. Clin. Invest. 1995. 96:1897-1904
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Chest131.(2): 453-459.2007 PAC: Plasma aldosterone concentration HI: hypoxic index
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* 120% 4338
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40-60
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Helping patient to sleep easy*Professor Colin Sullivan et al,1981, - first developed the Continous Postive Airway Pressure (CPAP).
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