1,2 2 2 2009 20 60.9 16% 20% 50% 29% 1
4% 2% 5 1. 2. 2
OSAS (obstructive sleep apnea syndrome, OSAS) (REM) (postural tone) 1 (OSAS). 3 OSAS 20% 40 60% 4 60 5 3
(AHI) (OSAS) 5 OSAS 5% 2 OSAS 4% 2% OSAS OSAS ( 1) 6,7 8,9 10 (CAD) OSAS 12 CAD OSAS 4
Table 1 (OSAS) 11 (AV) 13 OSAS 14 15 16 OSAS OSAS 17 OSAS OSAS (RTA) 16% (RTA) 20% 50% 29% 20 5
OSAS OSAS OSAS OSAS 18 20 OSAS 40 18 OSAS 18 1.5-6 19 21 Epworth 10 55% 52% 18% OSAS 10% 21 2008 (ACOEM) OSAS 23 1.7 3.3 22 6
OSAS OSAS (PSG) PSG OSAS (BMI) 24 Friedman M Mallampati (MMP) BMI OSA 25 MMP 4 - I (1 ) II (2 ) III (3 ) IV (4 ) ( 1) 5 0 (0 ) I (1 ) II (2 ) III (3 ) 3/4 IV (4 ( 2) 5 0 (0 ) BMI < 20 kg/m 2 I (1 ) BMI 20-25 kg/m 2 II (2 ) BMI 25-30 kg/m 2 III (3 ) BMI 30-40 kg/m 2 IV (4 ) BMI > 40 kg/m 2 BMI + MMP + 8 4 3 OSA 7
Fig. 1 Illustration of modified Mallampati grades: Mallampati I (A), Mallampati II (B), Mallampati 111 (C), and Mallampati IV (D). BMI + MMP + 4 4 OSA OSA 20 (RDI) 90% OSA OSA (RDI 45) 74% OSA RDI < 20 67% Fig. 2 Illustration of tonsil grades A. Grade 0 tonsils B. Grade I tonsils C. Grade II tonsils D. Grade III tonsils E. Grade IV tonsils 8
(PSG) PSG OSAS OSAS (1) (SDB) (2) (3) SDB (4) OSA (5) SDB 27 SDB Epworth (ESS) 8 ( ) 0 = 1 = 2 = 3 = 8 ESS 9
ESS 10 18 ESS SaO2 29 ESS 28 ESS (SDB) SDB SDB OSA OSA (RDI = 15~30) (RDI > 30) OSAS OSA OSAS SDB OSAS 3% (ODI) 3% ODI =5 AHI 5 10
80% 95% 3% ODI =15 AHI 20 85% 100% 30 OSAS OSAS 90% OSAS OSAS ( 2) 11 OSAS Table 2 OSAS 11 (CPAP) (autocpap) (bilevel PAP) 11
31 OSA (sleep architecture) (REM) (nasal CPAP) OSAS (functional residual capacity) 12
CPAP autocpap (bilevel PAP) CPAP OSAS 5 32 OSAS CPAP 33 OSAS OSAS OSAS CPAP (UPPP) UPPP 50% 31% UPPP OSA 34 UPPP 35 2-4% OSAS 13
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