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題名:阻塞型睡眠呼吸中止症候群主要危險因子探討
書刊名:長庚護理
作者:郭秋香馬素華 引用關係張玉坤林鴻銓
作者(外文):Kuo, Chiu-hsiangMaa, Suh-hwaChang, Yue-cuneLin, Horng-chyuan
出版日期:2011
卷期:22:1=73
頁次:頁26-37
主題關鍵詞:阻塞型睡眠呼吸中止症候群危險因子Obstructive sleep apnea syndromeRisk factors
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:1
  • 點閱點閱:22
背景:阻塞型睡眠呼吸中止症候群是最常見的一種睡眠呼吸障礙,在晚期會合併很多重要器官的功能性損傷,引起心血管疾病、中風、高血壓、心律不整、糖尿病和意外事件。但是多數的患者並無明顯的症狀困擾,醒來時也很少感到呼吸困難。目的:探討阻塞型睡眠呼吸中止症候群的主要危險因子。方法:採次級資料分析研究設計,研究對象為北部某醫學中心,2005年1月-2006年12月間290位接受睡眠多項生理監測儀(polysomnography, PSG)檢查病患的病歷資料。將病患分為兩組:有罹患阻塞型睡眠呼吸中止症候群(194人)或無罹患阻塞型睡眠呼吸中止症候群(96人)。結果:(1)阻塞型睡眠呼吸中止症候群的主要危險因子有性別(p = .002)、年齡(p = .011)、身體質量指數(p < .001)。(2)中度阻塞型睡眠呼吸中止症候群的主要危險因子有性別(p < .001)與年齡(p = .041)。(3)重度阻塞型睡眠呼吸中止症候群的主要危險因子有性別(p < .001)、年齡(p = .012)、身體質量指數(p < .001)。(4)Apnea hypopnea index (AHI)數值的主要危險因子有性別(p < .001)、身體質量指數(p < .001)。結論:本研究結果顯示阻塞型睡眠呼吸中止症候群的主要危險因子包括男性、年齡增加、身體質量指數增加和AHI數值增加。
Obstructive sleep apnea syndrome (OSAS) is the most common category of sleep-disordered breathing. It is associated with an increased risk of cardiovascular disease, stroke, high blood pressure, arrhythmias, diabetes, and accidents. Most patients do not have obvious torment by symptoms and are rarely aware of having difficulty breathing, even upon awakening. This study seeks to verify the essential risk factors related to OSAS. Two hundred ninety medical records of patients who received polysomnography (PSG) examination between January 2005 and December 2005 in one medical center in northern Taiwan were reviewed. Patients were divided into two groups, with OSAS (n = 194) or without OSAS (n = 96). This study showed that (1) essential risk factors related to OSAS were sex, age, and body mass index; (2) essential risk factors related to moderate OSAS were sex and age; (3) essential risk factors related to severe OSAS were sex, age, and body mass index; (4) essential risk factors related to Apnea hypopnea index (AHI) score were sex and body mass index. This study revealed the essential risk factors of OSAS were male, increased age, and increased body mass index and AHI score.
期刊論文
1.吳思堅、陳家勉、王家駿、張敏(19990700)。老年人的白晝過度思睡症。臨床醫學,44(1)=259,45-48。new window  延伸查詢new window
2.陳濘宏(20050500)。阻塞型睡眠呼吸中止症。臺灣醫學,9(3),361-366。  延伸查詢new window
3.Samar, N. N.(1996)。Sleep Apnea: A Challenge in Critical Care。Heart & Lung: Journal of Acute & Critical Care,25(1),37-44。  new window
4.程建祥、黃怡嘉、紀崑山(20030600)。Anthropometric Measurements and Sleep-related Features in Relation to Obstructive Sleep Apnea Syndrome。胸腔醫學,18(3),187-193。  new window
5.蕭光明、陳怡竹、劉勝義、張西川、陳芳祝、彭瑞鵬(19950300)。睡眠呼吸中止症患者之血色素、紅血球生成素、血鐵含量及2,3-DPG研究。胸腔醫學,10(1),1-10。  延伸查詢new window
6.Carney, P. R.、Berry, R. B.、Geyer, J. D.(2005)。Obstructive sleep apnea hypopnea syndromes: definitions, epidemiology, diagnosis, and consequences.。Clinical Sleep Disorders,1,254-344。  new window
其他
1.葉世彬(2005)。睡眠呼吸生理與相關疾病介紹。  延伸查詢new window
2.張高耀、周慧玲、林俊修、馮南雄(1996)。阻塞型睡眠呼吸中止症候群。  延伸查詢new window
3.戴瑞芬(2003)。一位阻塞性睡眠呼吸中斷症候群患者之護理經驗。new window  延伸查詢new window
4.Alchanatis, M., Tourkohoriti, G., Kosmas, E. N., Panoutsopoulos, G., Kakouros, S., Papadima, K., et al.(2002)。Evidence for left ventricular dysfunction in patients with obstructive sleep apnoea syndrome.。  new window
5.American Sleep Association.(200709)。Sleep apnea「information」.。  new window
6.Ancoli-Israel S., & Aayalon L.(2006)。Diagnosis and treatment of sleep disorders in older adults。  new window
7.Aviv J. E., Martin J. H., Jones M. E., Wee TA. Diamond B. Keen MS. et al.(1994)。Agerelated changes in pharyngeal and supraglottic sensation.。  new window
8.Benumof, J. L.(2001)。Obstructive sleep apnea in the adult obese patient: Implications for airway management.。  new window
9.Bixler, E. O., Vgontzas, A. N., Lin, H. M., Have, T. T., Rein, J., Bueno, A.V., et al.(2001)。Prevalence of sleep disorder breathing in women.。  new window
10.Bloom, J. W., Kaltenborn, W. T., & Quan, S. F.(1988)。Risk factors in a general population for snoring.。  new window
11.Caples, S. M., Gami, A. S., & Somers, V. K.(2005)。Obstructive sleep apnea.。  new window
12.Crow, H. C., & Ship, J. A.(1996)。Tongue strength and endurance in different aged individuals.。  new window
13.Eastwood, P. R., Szollosi, I., Platt, P. R., & Hillman, D. R.(2002)。Comparison of upper airway collapse during general anaesthesia and sleep.。  new window
14.Eikermann, M., Jordan, A. s., Chamberlin, N. L., Gautam, S., Wellman, A., Lo, Y. L., et al.(2007)。The influence of aging on pharyngeal collapsibility during sleep.。  new window
15.Gami, A. S., Pressman, G., Caples, S. M., Kanagala, R., Gard, J. J., Davison, D. E., et al.(2004)。Association of atrial fibrillation and obstructive sleep apnea.。  new window
16.Groth, M.(2005)。Sleep apnea in the elderly.。  new window
17.He, J., Kryger, M. H., Zorick, F. J., Conway, W., & Roth, T.(1988)。Mortality and apnea index in obstructive sleep apnea.。  new window
18.Janssens, J. P., Pautex, S., Hilleret, H., & Michel, J. P.(2000)。Sleep disordered breathing in the elderly.。  new window
19.Kales, A., Bixler, E. O., Cadieux, R. J., Schneck, D.W., ShawIII, L. C., & Locke, T. W.(1984)。Sleep aponea in a hypertensive population.。  new window
20.Kiely, J. L., & McNicholas, W. T.(2000)。Cardiovascular risk factors in patients with obstructive sleep apnoea syndrome.。  new window
21.Kohler, M.(2009)。Risk factors and treatment for obstructive sleep apnea amongst obese children and adults.。  new window
22.Kryger, M. H., Roth, T., & Dement, W. C.(2000)。Principles and practice of sleep medicine。  new window
23.Kyzer, S., & Charuzi, I.(1998)。Obstructive sleep apnoea in the obese.。  new window
24.Lavie, P., Lavie, L., & Herer, P.(2005)。All-cause mortality in males with sleep apnoea syndrome: declining mortality rates with age.。  new window
25.Lojander, J., Maasilta, P., Partinen, M., Brander, P. E., Salmi, T., & Lehtonen, H.(1996)。Nasal- CPAP, surgery, and conservative management for treatment of obstructive sleep apnea syndrome.。  new window
26.Malhotra, A., & White, D. P.(2002)。Obstructive sleep apnoea.。  new window
27.Netzer, N. C., Hoegel, J. J., Loube, D., Netzer, C. M., Hay, B., Alvarez-Sala, R., et al.(2003)。Prevalence of symptoms and risk of sleep apnea in primary care.。  new window
28.O’Connor, C., Thornley, K. S., & Hanly, P. J.(2000)。Gender differences in the polysomnographic features of obstructive sleep apnea.。  new window
29.Partinen, M., & Guilleminault, C.(1990)。Daytime sleepiness and vascular morbidity at sevenyear- follow-up in obstructive sleep apnea patients.。  new window
30.Peker, Y., Kraiczi, H., Hedner, J., Loth, S., Johansson, A., & Bende, M.(1999)。An independent association between obstructive sleep apnoea and coronary artery disease.。  new window
31.Peker, Y., Hedner, J., Norum, J., Kraiczi, H., & Carlson, J.(2002)。Increased incidence of cardiovascular disease in middle-aged menwith obstructive sleep apnea: a 7-year follow-up.。  new window
32.Peppard, P. E., & Young, T.(2004)。Exercise and sleep-disordered breathing: an association independent of body habitus.。  new window
33.Peppard, P. E., Young, T., Palta, M., Dempsey, J., & Skatrud, J.(2000)。Longitudinal study of moderate weight change and sleep-disordered breathing.。  new window
34.Peppard, P. E., Young, T., Palta, M., & Skatrud, J.(2000)。Prospective study of the association between sleep-disordered breathing and hypertension.。  new window
35.Punjabi, N. M., Caffo, B. S., Goodwin, J. L., Gottlieb, D. J., Newman, A. B., O’Connor, G. T., et al.(2009)。Sleep-disordered breathing and mortality: a prospective cohort study.。  new window
36.Ronksley, P. E., Hemmelgarn, B. R., Heitman, S. J., Hanly, P.J., Faris, P. D., Quan, H., et al.(2009)。Obstructive sleep apnoea is associated with diabetes in sleepy subjects.。  new window
37.Shamsuzzaman, A. S., Gersh, B. J., & Somers, V. K.(2003)。Obstructive sleep apnea: implications for cardiac and vascular disease.。  new window
38.Smith, P. L., Gold, A. R., Meyers, D. A., Haponik, E. F., & Bleecker, E. R.(1985)。Weight loss in mildly to moderately obese patients with obstructive sleep apnea.。  new window
39.Young, T., Palat, M., Dempsey, J., Skatrud, J., Weber, S., & Badr, S.(1993)。The occurrence of sleep-disordered breathing among middleaged adults.。  new window
40.Young, T., Palta, M., Dempsey, J., Peppard, P. E., Nieto, F. J., & Hla, K. M.(2009)。Burden of sleep apnea: rationale, design, and major findings of the Wisconsin Sleep Cohort study.。  new window
41.Young, T., Peppard, P. E., & Gottlieb, D. J.(2002)。Epidemiology ofobstructive sleep apnea.。  new window
 
 
 
 
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