630 likes | 766 Vues
?????????????????????????????????????????. ??. ???????????????. ?????????????????:????????. Liu X, Buysse DJ. (2006). ???????????. ??. ????. ???. ???????????. ??????. ???????. ??????. ????. ???????(6~12?). ?????: 10~11 ??/?????????:??????:?????????????????????/????: ???????????????????????.
                
                
                E N D
1. ??????????????????? ?????  ???
??????????
???????? 
2. ???????????
?????????????
????????????????? ?? 
3. ??????????????? ?????????????????:
??
??
???? 
4. ??????????? 
5. ??????????? 
6. ???????(6~12?) ?????: 10~11 ??/?
????????:
??????:
???????
????????????
??/????: 
??????
?????????????
???? 
7. ???????(6~12?) ?????vs.?????
????????????
???????
??????????
??????? 
8. ????????(12~18 ?) ?????
??????:9 ~9 ½ ??/?
??????: 7 ~7 ¼??/?
????????:
??????????:?2??
???????
?????? 
9. ???????? ??????
????????????????
????vs.????
???????
????
????????????????
?????? 
10. ???????? Kowalski & Allen:??????
Yang et al.:??? ?????(?1922?;????18.52± 0.93) 
11. ????????????? 
12. BEARS ???? B = bedtime problems????
E = excessive daytime sleepiness??????
A = awakenings during the night????
R = regularity & duration of sleep??????
S = snoring?? 
13. ???? ???
???
????
????
???
?????
??/????
???? 
14. ???? 
15. ???? 
16. ???????  EEG
EOG
Submental EMG
EKG
Leg EMG
Airflow
Respiratory Efforts
O2 saturation
Endtidal CO2 
17. ????????????????? 
18. ??????????????-??????????? 
19. ?????????????? ????????????????
????????????????????
????????????????
 
20. ??????????????-??????????? 
21. ???????? 
22. ??????? ????:??
????
????
?????????????
????
????
?????????
??/???? 
23. ??????? ????:??
????
????
????????
??????
??
??????? 
24. ??????? ????
????
??????????(CPAP)
????
??????
???? 
25. ??????????????-??????????? 
26. ???? ??
6~8?????,20%???8??
9~12?????,60%???8??
(2006 National Sleep Foundation)
?????????8??,?????????????
????????????????????????? 
27. ??????? ????
?????
 
28. ???????? 
29. ?????????? ??????????????????????:
???????
??????
???????
????????????????????,???????????  
30. ????????? ????
????
????
????,??????
????
??????????
??????
?????
??????? 
31. ??????? 
32. ????????? ????
??????
??????????? + ????
???????
 
33. ????????? ????
?????
??2~3?????????(????)??,???????????
 
35. ?? 
36. ????? ????
??????
??????
??????
???????: Kleine-Levin syndrome
??(??18~20?????,??????3?),?????????
??????
???? 
37. ??? ????
??????
?????????
????
??
???/?????
????
???????????
???? 
38. ??? ????
????????
??????
???????
???? 
39. ???????? 
40. ????????? ??
?????????????
????
????
????
???????/?? 
41. ????????? ????
???????????
??????
??????
??
??
??
?????
????????????????
???????????B12 
42. ??????????????-??????????? 
43. ?? 
44. ?? ????
????
??????
????
????
??????
????? 
45. ????????? 
46. 
????(Predisposing Factor)
  		??????????? 
????(Precipitating Factor)
  		??????????? 
????(Perpetuating Factor)
  		?????????????  ?????3P?? 
47. ?? ????
??????
??????
?????
????
?????
?????
????:???????????????? 
48. ?????-?? ????
????????
????????
????????
???????
???????
???????????
??????
?????????
????????(????) 
49. ???? ?-???????:
????-???
????,?????????
????/??????:
?????????
???????,???????3-4????
???????:
?????????????
???????????????????
??????? 
50. ????? ?????/????????
????????-???
   1.	?????????
   2.	??????????
   3.	???????????/??
   4.	??????
   6. ???? 
51. ???? ???????????????:
   1. ????????
   2. ??????(??????/????)
   3. ???????????????(?????????4.5??)
   4. ?5-7?????????????>90%,???15???????;?????<80%,???15??????? 
53.  ????? ????????????????????
    1.	????????
    2. ????
    3. ???
 
54. ????? ??????/??????????
?????????????????????
?????????????????????? 
????????????:
?????????? 
?????????????
???????
?????????? 
55. ??? 
56. ??? ????(Arousal Disorders)
??
??
REM????????
??
??
??? 
57. ????-?? ????
????????????
?????????1/3
??????????
??????
????
??
????
????
 
58. ????-?? ????
?????????????
????????????
???????
?????????1/3
??????????
?????????
??????
????
??
????
????
 
59. ??????? ??????
????
??????,???????????
????1~2??????? 
60. ?? ????
???????????????????
??????,????????
????
???????
????
????
???????
?????
????
????
 
61. ?? ???? 
????? 
????????????
????????????
??????
???????
????
???????
???????
?????????? 
62. ??? ????
???????????
?????2???? (3~6 y/o)
?????1???? (>6 y/o)
????
????
????
??????
??
????????? 
63. ??? ????
???15%???????
?????:???vs.???
?????????????? 
64. ??????? (02) 2939-3091??62412http://www.nccu-sleeplab.com/