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研究生:陳威儒
研究生(外文):Wei-Ju Chen
論文名稱:以可攜式裝置探討睡眠姿勢對於睡眠呼吸中止症的影響
論文名稱(外文):To Explore the Effect of Different Sleep Position on Sleep Apnea with Portable Device
指導教授:楊靜修楊靜修引用關係郭博昭郭博昭引用關係
指導教授(外文):Cheryl C.H. YangTerry B.J. Kuo
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:腦科學研究所
學門:醫藥衛生學門
學類:醫學學類
論文種類:學術論文
論文出版年:2020
畢業學年度:108
語文別:中文
論文頁數:59
中文關鍵詞:可攜式儀器睡姿改善三軸加速計POSA比例睡姿與HRV
外文關鍵詞:portable deviceimprovements of sleep position3-axis acceleratorrate of POSAsleep position and HRV
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目錄
中文摘要 i
Abstract ii
目錄 iii
表目錄 vi
圖目錄 vii
第壹章 研究背景 1
第一節 睡眠呼吸中止症 1
第二節 睡眠呼吸中止症帶來的影響與風險 2
第三節 睡眠呼吸中止症的檢查 3
第四節 睡眠呼吸中止症的治療 4
第五節 自律神經與心率變異性 5
第貳章 研究動機、目的與假說 6
第一節 研究動機 6
第二節 目的與假說 6
第參章 研究材料與方法 7
第一節 受試者納入和排除條件 7
第二節 量測儀器 7
第三節 介入 8
第四節 使用問卷 8
第五節 實驗流程 9
第六節 姿勢判定演算法 10
第七節 血氧訊號分析 11
第八節 心率變異性資料處理與分析 11
第九節 姿勢型阻塞型睡眠呼吸中止症判定 12
第十節 統計分析 12
第肆章 實驗結果 13
第一節 受試者人口學資料 13
第二節 睡眠呼吸中止症與年齡的關係 13
第三節 睡眠呼吸中止症與肥胖的關係 14
第四節 主觀評估夜間睡眠品質與白天嗜睡於組間之差異 14
第五節 睡眠呼吸中止症對於專注力、決策能力及整合能力的影響 15
第六節 姿勢型與非姿勢型阻塞型睡眠呼吸中止症受試者比較 15
第七節 睡姿、血氧去飽和指數與心率變異性間的關係 16
第伍章 討論與結論 17
第一節 重要性 17
第二節 睡眠呼吸中止症的危險因子 17
第三節 主觀睡眠品質與白天嗜睡程度 18
第四節 專注力、決策能力及視覺整合能力 19
第五節 姿勢型與非姿勢型阻塞型睡眠呼吸中止症 19
第六節 睡姿的影響 19
第七節 研究限制 20
第八節 結論 21
參考文獻 22
附表 26
附圖 34
附件 50

表目錄
表一、指尖式低功耗藍牙無線脈搏血氧分析儀AT101C-XB規格 27
表二、貼片型無線心率分析儀規格 28
表三、人口學資料 29
表四、受試者年齡分布與以血氧去飽和指數為嚴重度分界之比例 30
表五、血氧去飽和指數對視覺搜索和專注力的影響 31
表六、比較第二階段受試者在側睡枕介入前後的差別 32
表七、能藉由改變睡姿降低血氧去飽和指數與否之受試者比較 33

圖目錄
圖一、指尖式低功耗藍牙無線脈搏血氧分析儀AT101C-XB (SpO2) 35
圖二、貼片型無線心率分析儀 36
圖三、六甲村3 in 1哺乳機能枕 (側睡枕) 37
圖四、研究流程結構圖 (階段一) 38
圖五、研究流程結構圖 (階段二) 39
圖六、階段二實驗流程圖 40
圖七、血氧去飽和指數與年齡及肥胖間的關係 41
圖八、血氧去飽和指數與專注力、決策能力及視覺整合能力間的關係 42
圖九、比較各組於四種睡姿下的血氧去飽和指數 43
圖十、正常-輕度組之血氧去飽和指數與心率變異性各參數間的關係 45
圖十一、正常-輕度組之仰躺與心率變異性參數間的關係 46
圖十二、正常-輕度組之右側躺與心率變異性參數間的關係 47
圖十三、正常-輕度組之左側躺與心率變異性參數間的關係 48
圖十四、正常-輕度組之趴睡與心率變異性參數間的關係 49
參考文獻
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