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?????????????????????????????????????????. ??. ???????????????. ?????????????????:????????. Liu X, Buysse DJ. (2006). ???????????. ??. ????. ???. ???????????. ??????. ???????. ??????. ????. ???????(6~12?). ?????: 10~11 ??/?????????:??????:?????????????????????/????: ???????????????????????.

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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??62412 http://www.nccu-sleeplab.com/

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