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?????????????????????????????????????????. ??. ???????????????. ?????????????????:????????. Liu X, Buysse DJ. (2006). ???????????. ??. ????. ???. ???????????. ??????. ???????. ??????. ????. ???????(6~12?). ?????: 10~11 ??/?????????:??????:?????????????????????/????: ???????????????????????.
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1. ??????????????????? ????? ???
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2. ???????????
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3. ??????????????? ?????????????????:
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4. ???????????
5. ???????????
6. ???????(6~12?) ?????: 10~11 ??/?
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??/????:
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7. ???????(6~12?) ?????vs.?????
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8. ????????(12~18 ?) ?????
??????:9 ~9 ½ ??/?
??????: 7 ~7 ¼??/?
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??????????:?2??
???????
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9. ???????? ??????
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????vs.????
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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. ???? ???
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????
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?????
??/????
????
14. ????
15. ????
16. ??????? EEG
EOG
Submental EMG
EKG
Leg EMG
Airflow
Respiratory Efforts
O2 saturation
Endtidal CO2
17. ?????????????????
18. ??????????????-???????????
19. ?????????????? ????????????????
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20. ??????????????-???????????
21. ????????
22. ??????? ????:??
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??/????
23. ??????? ????:??
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24. ??????? ????
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??????????(CPAP)
????
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????
25. ??????????????-???????????
26. ???? ??
6~8?????,20%???8??
9~12?????,60%???8??
(2006 National Sleep Foundation)
?????????8??,?????????????
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27. ??????? ????
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28. ????????
29. ?????????? ??????????????????????:
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30. ????????? ????
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31. ???????
32. ????????? ????
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33. ????????? ????
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??2~3?????????(????)??,???????????
35. ??
36. ????? ????
??????
??????
??????
???????: Kleine-Levin syndrome
??(??18~20?????,??????3?),?????????
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????
37. ??? ????
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38. ??? ????
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39. ????????
40. ????????? ??
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41. ????????? ????
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???????????B12
42. ??????????????-???????????
43. ??
44. ?? ????
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45. ?????????
46.
????(Predisposing Factor)
???????????
????(Precipitating Factor)
???????????
????(Perpetuating Factor)
????????????? ?????3P??
47. ?? ????
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48. ?????-?? ????
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49. ???? ?-???????:
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50. ????? ?????/????????
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1. ?????????
2. ??????????
3. ???????????/??
4. ??????
6. ????
51. ???? ???????????????:
1. ????????
2. ??????(??????/????)
3. ???????????????(?????????4.5??)
4. ?5-7?????????????>90%,???15???????;?????<80%,???15???????
53. ????? ????????????????????
1. ????????
2. ????
3. ???
54. ????? ??????/??????????
?????????????????????
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????????????:
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55. ???
56. ??? ????(Arousal Disorders)
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REM????????
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57. ????-?? ????
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?????????1/3
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58. ????-?? ????
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?????????1/3
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59. ??????? ??????
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????1~2???????
60. ?? ????
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61. ?? ????
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62. ??? ????
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?????2???? (3~6 y/o)
?????1???? (>6 y/o)
????
????
????
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??
?????????
63. ??? ????
???15%???????
?????:???vs.???
??????????????
64. ??????? (02) 2939-3091??62412http://www.nccu-sleeplab.com/