Transcription of 睡眠時無呼吸症候群 - hirohata-hp.or.jp
1 Sleep Apnea Syndrome SAS 5 1 5 1 1. 2. 3. 4. 1 5. Sleep Apnea Syndrome SAS SAS OSAS QOL 4 Sleep Apnea
2 Syndrome SAS 10 5 Excessive day>me sleepiness;EDS SAS SAS (AASM) EDS apnea hypopnea index;AHI) 5 Apnea Hypopnea index, AHI 1 2003 H15 2 26 280km 8 ATC SAS , SAS SAS OSAS 30 60 4 2 ( )
3 SDB 24 9 SAS SDB 200 CPAP 10 19 21 SAS 5 1 9 " AHI " OSAS " CSA " OSAS ( ) CO2 ( ) SDB JCS2010 SAS AHI 5 5 15 15 30 30 60 SAS SAS 2 3 4
4 SAS !? Cheyne- Stokes CSR) SDB CSR SAS 30 60 OSAS 5 32 FJ,Young TB,Lind 2000;283:1829-1836 T, Rabben T, Wiklund 1996;109:569-663 C, Aldrich 1999;22:217-223 NM, Shahar E, Redline J Epidemiol 2004;160:521-530 Epworth ESS 1 10 11 14 15 18 19 SpO2 SpO2/ / / /SpO2/ / /
5 Polysomnography PSG " " " EEG O EMG 12 1 2 3 4 5 6 3 7 15 20 30 8 9 10 11 12 13 7 1. 2.
6 10 3. 1 4. 5. 6. 7. OSAS - - - ( CPAP Con>nuous Posi>ve Airway Pressure - - - AHI 20 CPAP CPAP ADL S OSA OSA AI( ) 20 (n=142) AI 20 (n=104))
7 8 AI 20 AI 20 Jiang He,et al;Chest 94 9- 14 , 1988 p< AI 20 (n=142) AI 20 (n=104) !!! 2013 11 SAS
