{"id":7304,"date":"2025-05-21T10:51:21","date_gmt":"2025-05-21T02:51:21","guid":{"rendered":"https:\/\/www.csclinic.com.tw\/?p=7304"},"modified":"2025-11-27T16:50:22","modified_gmt":"2025-11-27T08:50:22","slug":"%e6%89%93%e5%91%bc%e6%98%af%e8%83%96%e5%ad%90%e7%9a%84%e5%b0%88%e5%88%a9%e5%97%8e%ef%bc%9f%e5%be%9e%e5%91%bc%e5%90%b8%e4%b8%ad%e6%ad%a2%e7%97%87%e9%a2%a8%e9%9a%aa%e8%ab%87%e8%b5%b7","status":"publish","type":"post","link":"https:\/\/www.csclinic.com.tw\/%e6%89%93%e5%91%bc%e6%98%af%e8%83%96%e5%ad%90%e7%9a%84%e5%b0%88%e5%88%a9%e5%97%8e%ef%bc%9f%e5%be%9e%e5%91%bc%e5%90%b8%e4%b8%ad%e6%ad%a2%e7%97%87%e9%a2%a8%e9%9a%aa%e8%ab%87%e8%b5%b7\/","title":{"rendered":"\u6253\u547c\u662f\u80d6\u5b50\u7684\u5c08\u5229\u55ce\uff1f\u5f9e\u547c\u5438\u4e2d\u6b62\u75c7\u98a8\u96aa\u8ac7\u8d77"},"content":{"rendered":"

\"\"<\/p>\n

\u4e00\u3001\u524d\u8a00<\/strong><\/h2>\n

\u5728\u81e8\u5e8a\u4e2d\uff0c\u300c\u6253\u547c\u300d\u5e38\u88ab\u75c5\u60a3\u8996\u70ba\u55ae\u7d14\u7684\u7761\u7720\u8072\u97f3\u554f\u984c\uff0c\u5c24\u5176\u591a\u6578\u4eba\u8a8d\u70ba\u53ea\u6709\u80a5\u80d6\u8005\u624d\u6703\u51fa\u73fe\u6253\u547c\u73fe\u8c61\u3002\u6839\u64da\u570b\u969b\u7814\u7a76\u8207\u81e8\u5e8a\u89c0\u5bdf\uff0c\u7626\u9ad4\u578b\u8005\u540c\u6a23\u53ef\u80fd\u6709\u4e0a\u547c\u5438\u9053\u963b\u585e\u73fe\u8c61\uff0c\u5176\u80cc\u5f8c\u6f5b\u85cf\u7684\u662f\u7761\u7720\u547c\u5438\u969c\u7919\u98a8\u96aa\uff0c\u5c24\u5176\u662f\u963b\u585e\u578b\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\uff08Obstructive Sleep Apnea, OSA\uff09\u3002\u672c\u7bc7\u6587\u7ae0\u5c07\u5f9e\u6253\u547c\u7684\u75c5\u7406\u6a5f\u8f49\u3001\u5e38\u898b\u8a98\u56e0\u53ca\u98a8\u96aa\u7be9\u6aa2\u5de5\u5177\u7b49\u9762\u5411\u9032\u884c\u8aaa\u660e\uff0c\u91d0\u6e05\u300c\u6253\u547c\u4e0d\u5206\u80d6\u7626\u300d\u7684\u91ab\u5b78\u89c0\u9ede\u3002<\/p>\n

 <\/p>\n

\"\"<\/p>\n

\u4e8c\u3001\u6253\u547c\u7684\u53ef\u80fd\u6210\u56e0<\/strong><\/h2>\n

1. \u4e0a\u547c\u5438\u9053\u89e3\u5256\u56e0\u7d20<\/strong>
\n\u7121\u8ad6\u9ad4\u91cd\u9ad8\u4f4e\uff0c\u82e5\u500b\u9ad4\u672c\u8eab\u5b58\u5728\u4ee5\u4e0b\u7d50\u69cb\u6027\u554f\u984c\uff0c\u7686\u53ef\u80fd\u5c0e\u81f4\u6c23\u9053\u72f9\u7a84\uff0c\u9032\u800c\u51fa\u73fe\u547c\u5438\u8072\u97ff\u6216\u547c\u5438\u4e2d\u6b62\uff1a – \u9f3b\u4e2d\u9694\u5f4e\u66f2\u3001\u4e0b\u9f3b\u7532\u80a5\u539a\u7b49\u9f3b\u90e8\u7d50\u69cb\u7570\u5e38 – \u6241\u6843\u817a\u6216\u817a\u6a23\u9ad4\u80a5\u5927 – \u984e\u9aa8\u5f8c\u7e2e\u6216\u820c\u982d\u80a5\u5927 – \u820c\u6839\u584c\u9677\u3002<\/p>\n

2. \u547c\u5438\u808c\u8089\u5f35\u529b\u964d\u4f4e<\/strong><\/p>\n

\u5728\u7761\u7720\u671f\u9593\uff0c\u54bd\u5589\u90e8\u808c\u8089\u672c\u5c31\u6703\u653e\u9b06\u3002\u82e5\u56e0\u5e74\u9f61\u8001\u5316\u3001\u4f7f\u7528\u93ae\u975c\u5291\u6216\u98f2\u9152\u7b49\u56e0\u7d20\u5c0e\u81f4\u808c\u8089\u5f35\u529b\u9032\u4e00\u6b65\u964d\u4f4e\uff0c\u6c23\u9053\u66f4\u5bb9\u6613\u584c\u9677\uff0c\u8a98\u767c\u6253\u547c\u8207\u547c\u5438\u4e2d\u6b62\u3002<\/p>\n

3. \u9ad4\u4f4d\u8207\u7761\u59ff\u5f71\u97ff<\/strong>
\n\u4ef0\u7761\u6642\u91cd\u529b\u4f7f\u820c\u982d\u8207\u8edf\u984e\u5411\u5f8c\u584c\u9677\uff0c\u52a0\u5287\u6c23\u9053\u963b\u585e\uff0c\u9020\u6210\u6253\u547c\u60e1\u5316\u3002\u5373\u4f7f\u975e\u80a5\u80d6\u8005\uff0c\u82e5\u4e0a\u547c\u5438\u9053\u7a7a\u9593\u6709\u9650\uff0c\u4e5f\u53ef\u80fd\u56e0\u4ef0\u7761\u800c\u51fa\u73fe\u660e\u986f\u8072\u97ff\u3002<\/p>\n

 <\/p>\n

\"\u9577\u8005\u7a81\u611f\u80f8\u53e3\u4e0d\u9069\uff0c\u5728\u8b77\u7406\u4eba\u54e1\u5354\u52a9\u4e0b\u5c31\u91ab\uff0c\u986f\u793a\u5fc3\u8840\u7ba1\u75be\u75c5\u9700\u53ca\u65e9\u95dc\u6ce8\u8207\u4ecb\u5165\u3002\"<\/h2>\n

\u4e09\u3001\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u8207\u5176\u81e8\u5e8a\u98a8\u96aa<\/strong><\/h2>\n

\u963b\u585e\u578b\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\uff08OSA\uff09\u70ba\u81e8\u5e8a\u5e38\u898b\u4f46\u7d93\u5e38\u88ab\u4f4e\u4f30\u7684\u75be\u75c5\uff0c\u5176\u7279\u5fb5\u70ba\u7761\u7720\u4e2d\u53cd\u8986\u6027\u547c\u5438\u9053\u584c\u9677\uff0c\u5c0e\u81f4\u547c\u5438\u505c\u6b6210\u79d2\u4ee5\u4e0a\uff0c\u4e14\u6bcf\u665a\u53ef\u51fa\u73fe\u6578\u5341\u6b21\u4ee5\u4e0a\u3002
\n\u6839\u64da\u7814\u7a76\uff0cOSA\u8207\u4ee5\u4e0b\u6162\u6027\u75c5\u6709\u5bc6\u5207\u95dc\u806f\uff1a – \u9ad8\u8840\u58d3\u8207\u591c\u9593\u8840\u58d3\u8b8a\u7570\u7570\u5e38 – \u5fc3\u5f8b\u4e0d\u6574\u8207\u5fc3\u808c\u6897\u585e\u98a8\u96aa\u63d0\u5347 – \u8166\u4e2d\u98a8\u3001\u7cd6\u5c3f\u75c5\u53ca\u4ee3\u8b1d\u75c7\u5019\u7fa4\u98a8\u96aa\u589e\u52a0 – \u8a8d\u77e5\u529f\u80fd\u8870\u9000\u8207\u5931\u667a\u75c7\u65e9\u671f\u8868\u73fe – \u767d\u5929\u55dc\u7761\u5c0e\u81f4\u4ea4\u901a\u8207\u5de5\u5b89\u4e8b\u6545\u98a8\u96aa\u5347\u9ad8\u3002<\/p>\n

 <\/p>\n

\"\u53ef\u5b9a\u671f\u900f\u904e\u8166\u8840\u7ba1\u5065\u6aa2\u7b49\u5065\u6aa2\u9805\u76ee\u4f86\u638c\u63e1\u81ea\u5df1\u7684\u5065\u5eb7\u72c0\u614b\"<\/p>\n

\u56db\u3001STOP-BANG \u91cf\u8868\uff1a\u81e8\u5e8a\u7be9\u6aa2\u5de5\u5177<\/strong><\/h2>\n

\u70ba\u5feb\u901f\u8a55\u4f30OSA\u98a8\u96aa\uff0c\u81e8\u5e8a\u4e0a\u5e38\u4f7f\u7528STOP-BANG\u554f\u5377\uff0c\u5176\u7531Chung\u7b49\u4eba\u65bc2008 \u5e74\u767c\u8868\u65bc\u300aAnesthesiology\u300b\u671f\u520a\u3002\u9069\u7528\u65bc\u624b\u8853\u524d\u8a55\u4f30\u8207\u9580\u8a3a\u521d\u6b65\u7be9\u6aa2\u3002<\/p>\n

STOP-BANG \u91cf\u8868\u5167\u5bb9\u5982\u4e0b\uff0c\u4ee5\u4e0b\u554f\u984c\u662f\u7684\u8a71\u5f97\u4e00\u5206\uff0c\u5426\u5247\u96f6\u5206\uff1a<\/p>\n

1.Snoring\uff08\u6253\u547c\uff09\u4f60\u662f\u5426\u6253\u547c\u5927\u8072\uff08\u8072\u97f3\u5927\u5230\u53ef\u4ee5\u5f9e\u95dc\u9589\u7684\u9580\u5916\u807d\u5230\uff0c\u6216\u6795\u908a\u4eba\u6703\u56e0\u4f60\u665a\u4e0a\u6253\u547c\u800c\u7528\u624b\u8098\u9802\u4f60\uff09\uff1f<\/p>\n

2. Tiredness\uff08\u767d\u5929\u75b2\u5026\uff09\u4f60\u662f\u5426\u5728\u767d\u5929\u7d93\u5e38\u89ba\u5f97\u75b2\u52de\u3001\u75b2\u7d2f\u6216\u60f3\u7761\u89ba\uff08\u4f8b\u5982\u958b\u8eca\u6642\u7761\u8457\uff09\uff1f<\/p>\n

3. Observed\uff08\u7761\u7720\u4e2d\u547c\u5438\u4e2d\u6b62\uff09\u662f\u5426\u6709\u4efb\u4f55\u4eba\u89c0\u5bdf\u5230\u4f60\u5728\u7761\u89ba\u6642\u547c\u5438\u505c\u6b62\u6216\u55c6\u5230\/\u5598\u6c23\uff1f<\/p>\n

4. Pressure\uff08\u9ad8\u8840\u58d3\uff09\u4f60\u662f\u5426\u6709\u9ad8\u8840\u58d3\uff0c\u6216\u6b63\u5728\u63a5\u53d7\u9ad8\u8840\u58d3\u6cbb\u7642<\/p>\n

5. BMI\uff08\u9ad4\u91cd\u6307\u6578 > 35\uff09\u8eab\u9ad8\u9ad4\u91cd\u6307\u6578\u662f\u5426\u8d85\u904e 35 \uff1f<\/p>\n

6. Age\uff08\u5e74\u9f61 > 50\u6b72\uff09\u5e74\u7d00\u8d85\u904e 50 \u6b72\uff1f<\/p>\n

7. Neck size\uff08\u7537\u6027 > 43cm\uff0c\u5973\u6027 > 41cm\uff09\u91dd\u5c0d\u7537\u6027\uff0c\u4f60\u7684\u896f\u886b\u9818\u53e3\u662f\u5426\u70ba 17 \u540b\/43 \u516c\u5206\u6216\u66f4\u5927\u865f\u7684\uff1f\u91dd\u5c0d\u5973\u6027\uff0c\u4f60\u7684\u896f\u886b\u9818\u53e3\u662f\u5426\u70ba 16 \u540b\/41 \u516c\u5206\u6216\u66f4\u5927\u865f\u7684\uff1f<\/p>\n

8. Gender\uff08\u7537\u6027\uff09\u60a8\u662f\u5426\u70ba\u7537\u6027\uff1f<\/p>\n

\u8a55\u5206\u65b9\u5f0f\uff1a 0\u20132\u5206\uff1a\u4f4e\u98a8\u96aa – 3\u20134\u5206\uff1a\u4e2d\u5ea6\u98a8\u96aa – 5\u20138\u5206\uff1a\u9ad8\u5ea6\u98a8\u96aa\uff0c\u5efa\u8b70\u63a5\u53d7\u7761\u7720\u6aa2\u67e5\uff08\u5982\u591a\u9805\u751f\u7406\u53c3\u6578\u7761\u7720\u6aa2\u67e5\uff09<\/p>\n

 <\/p>\n

\u51fa\u8655\uff1aChung, F., Yegneswaran, B., Liao, P., et al. (2008). STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology, 108(5), 812\u2013821. https:\/\/doi.org\/10.1097\/ALN.0b013e31816d83e4<\/p>\n

 <\/p>\n

\"\"<\/p>\n

\u4e94\u3001\u975e\u85e5\u7269\u6027\u6539\u5584\u5efa\u8b70<\/strong><\/h2>\n

\u91dd\u5c0d\u55ae\u7d14\u6027\u6253\u547c\u6216\u8f15\u4e2d\u5ea6OSA\u60a3\u8005\uff0c\u53ef\u5f9e\u4ee5\u4e0b\u975e\u4fb5\u5165\u6027\u65b9\u6cd5\u9032\u884c\u6539\u5584\uff1a
\n1. \u8abf\u6574\u7761\u59ff\uff1a<\/strong>\u5efa\u8b70\u5074\u7761\uff0c\u907f\u514d\u4ef0\u7761\u9020\u6210\u820c\u6839\u584c\u9677\u3002<\/p>\n

2. \u6e1b\u91cd\u8207\u904b\u52d5\uff1a<\/strong>\u91dd\u5c0d\u6709\u9ad4\u91cd\u904e\u91cd\u554f\u984c\u8005\uff0c\u9ad4\u91cd\u63a7\u5236\u6709\u52a9\u65bc\u6e1b\u5c11\u6c23\u9053\u58d3\u529b\u3002<\/p>\n

3. \u907f\u514d\u93ae\u975c\u5291\u8207\u9152\u7cbe\uff1a<\/strong>\u5c24\u5176\u662f\u7761\u524d\u5169\u5c0f\u6642\u5167\uff0c\u907f\u514d\u4f7f\u808c\u8089\u9b06\u5f1b\u7a0b\u5ea6\u60e1\u5316\u3002<\/p>\n

4. \u9f3b\u90e8\u8655\u7406\uff1a<\/strong>\u91dd\u5c0d\u9f3b\u585e\u6216\u9f3b\u8154\u7d50\u69cb\u7570\u5e38\u8005\uff0c\u61c9\u5c0b\u6c42\u8033\u9f3b\u5589\u79d1\u5354\u52a9\u6539\u5584\u9f3b\u9053\u901a\u6c23\u3002<\/p>\n

5. \u53e3\u54bd\u808c\u8a13\u7df4\uff08Oropharyngeal Exercise\uff09\uff1a<\/strong>\u7814\u7a76\u986f\u793a\u7279\u5b9a\u767c\u97f3\u8207\u53e3\u8154\u904b\u52d5\u53ef\u589e
\n\u52a0\u808c\u8089\u5f35\u529b\uff0c\u6e1b\u5c11\u6253\u547c\u8207\u547c\u5438\u4e8b\u4ef6\u767c\u751f\u7387\u3002<\/p>\n

 <\/p>\n

\u7acb\u5373\u8aee\u8a62<\/a><\/p>\n

 <\/p>\n

\"\u7576\u8eab\u9ad4\u7d93\u5e38\u611f\u5230\u4e0d\u9069\u6642\uff0c\u5efa\u8b70\u53ef\u9032\u884c\u9810\u9632\u91ab\u5b78\u6aa2\u6e2c\uff0c\u627e\u51fa\u5f15\u8d77\u72c0\u6cc1\u7684\u4e3b\u56e0\"<\/p>\n

\u516d\u3001\u7d50\u8ad6<\/strong><\/h2>\n

\u6253\u547c\u4e26\u975e\u50c5\u9650\u65bc\u80a5\u80d6\u65cf\u7fa4\uff0c\u5176\u80cc\u5f8c\u53ef\u80fd\u6f5b\u85cf\u7684\u662f\u9ad8\u98a8\u96aa\u7684\u547c\u5438\u75be\u75c5\u3002\u7121\u8ad6\u9ad4\u578b\u70ba\u4f55\uff0c\u53ea\u8981\u6709\u591c\u9593\u6253\u547c\u3001\u547c\u5438\u66ab\u505c\u3001\u767d\u5929\u55dc\u7761\u7b49\u75c7\u72c0\uff0c\u7686\u61c9\u8b66\u89ba\u6f5b\u5728\u7761\u7720\u547c\u5438\u969c\u7919\u7684\u53ef\u80fd\u6027\u3002\u900f\u904eSTOP-BANG\u91cf\u8868\u53ef\u9032\u884c\u521d\u6b65\u98a8\u96aa\u8a55\u4f30\uff0c\u4e26\u9032\u4e00\u6b65\u63a5\u53d7\u6b63\u5f0f\u8a3a\u65b7\u8207\u4ecb\u5165\u6cbb\u7642\u3002\u65e9\u671f\u8fa8\u8b58\u8207\u8655\u7406\uff0c\u80fd\u6709\u6548\u9810\u9632\u9577\u671f\u5fc3\u8840\u7ba1\u4f75\u767c\u75c7\uff0c\u5b88\u8b77\u6574\u9ad4\u5065\u5eb7\u3002<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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