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Taiwan Society of Sleep Medicine

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Actigraph¬¡°Ê°O¿ý¾¹

´ú¶q¬¡°Ê¶q¤§»ö¾¹¡C¨£actigraphy¡C

 

Actigraphy  (actometry)  ¬¡°Ê°O¿ýÀˬd   

¥Ñ©ó¡uºÎ¯v-²M¿ô¡v¶g´Á (sleep-wakefulness cycle) ©M¡u¥ð®§-¬¡°Ê¡v¶g´Á (rest-activity cycle) ¦³ªñ¥G¤@¹ï¤@ªº¬ÛÃö©Ê¡A¥B¬¡°Ê¶qÅܤƩM¦UºÎ¯v¤À´Á (sleep stage) ¤¤ªº¦Ù¦×±i¤O (muscle tone) ÅܤƤ]¦³¬ÛÃö¡A¬ã¨sªÌ¦]¦Óµo®i¥X¤@¨Ç´ú¶q¬¡°Ê¶qªº¤èªk¥H¶¡±µ´ú¶q¡uºÎ¯v-²M¿ô¡vª¬ºA¡C¨ä¤¤¤§¤@¸û¬°¼sªxÀ³¥Îªº§Þ³N¬°¬¡°Ê°O¿ý¡A¨ä¥H¥[³t«×·P´ú¾¹·PÀ³°Ê§@ÅܤơA¶i¦Ó¶q¤Æ¨ÃÀx¦s¸Ó¶µ¸ê®Æ¡C¨ã·P´ú¡B¶q¤Æ³B²z¡BÀx¦sµ¥¤T³¡¥÷¸Ë¸mªº¬¡°Ê°O¿ý¾¹ (actigraph) Åé¿n¤j¤p¬Û·í©ó¤@¥u¨k¥Î¤â¿ö¡A¨ä°t¸Ë¿ö±a«á¥i¥H°t±a©ó¤âµÃ¡C¬¡°Ê°O¿ý¾¹©Ò°O¿ýÀx¦sªº¸ê®Æ¥i¹F¼Æ¤Ñ¦Ü¼Æ¶g¬Æ¦Ü¼Æ¤ë¡A¦]¦¹¤ñ¥H¸£ªi´ú¶q¬°¥Dªº¦hÀW¹DºÎ¯v°O¿ý»ö (polysomnograph) §ó¾A©yªø´ÁºÊ´ú¡u¥ð®§-¬¡°Ê¡v¶g´Á¤§¥Î¡C

°Ñ¦Ò¤åÄm:

Kripke DF et al.  Wrist actigraph measures of sleep and rhythms.  Electroencephalogr Clin Neurophysiol 1978;44:674-8.

 

Activation-synthesis hypothesis ¡u¬¡¤Æ¢w¾ã¦X¡v°²»¡¡B¡u¬¡¤Æ¢w¦X¦¨¡v°²»¡

¥Ñ¬ü°êºÎ¯v¬ã¨s¾ÇªÌJ. A. Hobson¤Î R. W. McCarley©ó¦è¤¸1977¦~©Ò´£¥X¤§²z½×¡A¥Î¥H¸ÑÄÀ¹Úªº§Î¦¨¡C®Ú¾Ú¡u¬¡¤Æ¢w¾ã¦X¡v°²»¡¡A¹Úªº¥X²{»P¯S¼x¬O§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ª¬ºA®É¥Í²z¹B§@ªº²£ª«¡C·í§Ö³t°Ê²´ºÎ¯v¥Ñ¾ô¸£ (pons) ¬¡¤Æ©Ò±Ò°Ê®É¡A©M·NÃѦ³Ãöªº¤j¸£ºô¸ô±µ¨ü¾ô¸£¨ë¿E°T¸¹¤]§e²{¬¡¤Æª¬ºA¡A¦]¦Ó¤j¸£±N³o¨Ç¥Ñ¤U¦Ó¤Wªº¨ë¿E°T¸¹²V¦X¾ã²z«á§Y¬°¹Úªº®i²{¡C¥Ñ©ó¦¹®É¤j¸£ªº¬¡¤Æ¬O³B©ó³Q°Ê«¬¦¡¥B°T®§¨Ó·½¬°ÀH¾÷¡B«Ê³¬ (¥Ñ¾ô¸£²£¥Í) ¡A¦]¦¹¯Ê¥F²M¿ôª¬ºA®Éªº¦Ûı¤Î¤Ï¬Ù¡A®i²{©ó¹Ú¹Ò¤º®e¤]¦]¦Ó¦³©Ç²§¡B¤£¦XÅ޿誺¯S©Ê¡C

°Ñ¦Ò¤åÄm

Hobson JA, McCarley RW.  The brain as a dream state generator: An activation-synthesis hypothesis of the dream process.  Am J Psychiat 1977;134:1335-48.

 

Active sleep °ÊºAºÎ¯v

¥Ñ©ó­L¨à©M·s¥Í¨àªº¸£ªi¬¡°Ê¤£¦¨¼ô¡A¥B¯Ê¥F¦¨¦~¤H¦b²M¿ô¤ÎºÎ¯vª¬ºAªº¸£ªi¯S¼x¡A¦]¦¹­L¨à©M·s¥Í¨àªº¦ü§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ª¬ºA¡A¥H¦¹ºÙ¤§¡C

 

Adjustment Sleep Disorder ¾AÀ³©ÊºÎ¯v»Ùê

¦]µu´ÁªºÀ£¤O¨Æ¥ó¡B±¡¹Ò½Ä¬ð¡B©ÎªÌÀô¹Ò§ïÅܳy¦¨¼È®É©ÊªººÎ¯v§xÂZ¡A¤SºÙ¬°¼È®É©Ê¥¢¯v (transient insomnia) ¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¥~¦]©ÊºÎ¯v»Ùê (extrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Advanced sleep phase syndromeºÎ¯v¬Û¦ì«e²¾¯g­Ô¸s¡BºÎ¯v®É¶¡«e²¾¯g­Ô¸s¡BºÎ¯v´Á´£«e¯g­Ô¸s¡B´£«eºÎ¯v´Á¯g­Ô¸s

¹ê»Ú¤JºÎ®É¶¡¤Î¿ô¨Ó®É¶¡¤À§O¤ñ´Á±æªº¤W§É®É¶¡¤Î°_§É®É¶¡¬°¦­ªººÎ¯v»Ùê¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤é©]¸`«ßºÎ¯v»Ùê (circadian rhythm sleep disorders) ¶µ¥Ø¤U¡C

 

Alertness ĵı«× 

 (1)      ­ÓÅé¹ï©ó¥~¬É¨ë¿E«ùÄòª`·N¥H«K¥ß§Y¤ÏÀ³ªºµ{«×¡C¦Pvigilance¡C

 (2)      ºû«ù²M¿ôªºµ{«×¡A©M¶ÝºÎ«× (sleepiness) ¦³°ª«×ªº­t¬ÛÃö©Ê¡AµM¦Ó­ÇªÌ¬O§_¬°¦P¤@¦V«×ªº¨âºÝ©Î¬°¨â¤£¦Pªº¦V«×¥Ø«e¨Ã¤£²M·¡¡CºÎ¯v¹êÅç«Ç±`¥H²M¿ô«×ºû«ù´ú¸Õ (maintenance of wakefulness test) ¶i¦æ²M¿ô«×ªº´ú¶q¡C

 

Alpha-delta sleep  alpha-deltaºÎ¯v

Alphaªi«ü¸£ªi¤¤8-13 Hz  (¦¸/¬í) ªºªi°Ê¡A¤@¯ë©ó³¬²´¡B©ñÃPªº²M¿ôª¬ºA¤Îªì¤JºÎ¶¥¬q®Éªº¸£ªi·|§e²{¦³¸û¦hªºalphaªi¡C·í­ÓÅé³B©óDeltaºÎ¯v®É¡A¸£ªi§e²{¸û¦hÀW²v½d³ò¦b0.5-2 Hz¥Bªi´T¶W¹L75mVªºªi°Ê¡A¦¹ºÎ¯v´Á¤SºÙºCªiºÎ¯v (slow wave sleep) ¡A¬O¸û¬°²`¨IªººÎ¯vª¬ºA¡C¤@¯ë¦b²`¨IªººCªiºÎ¯v¤¤¡A¸£ªi§e²{¬Æ¤Öªºalphaªi¡F¦ý¦³¨Ç¤H«o¦b¦¹ºÎ¯v´Á (sleep stage) ¤¤¦P®É§e²{alphaªi©Mdeltaªi¡A³o¨Ç¤H¦b¨ä¥LºÎ¯v´Á¦p§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¤¤¡A¨ä¸£ªi¤]¥i¯à¦P®É§e²{³\¦hªºalphaªi¡C       

 

Alpha rhythm, alpha wave (s)   Alpha¸`«ß¡AAlphaªi

¸£ªi¤¤8-12 Hz ªºªi°Ê¡A¤@¯ë©ó³¬²´¡B©ñÃPªº²M¿ôª¬ºA¤Îªì¤JºÎ¶¥¬q®Éªº¸£ªi·|§e²{¦³¸û¦hªºalphaªi¡C¬Û¹ï©ó¤j¸£ªE¸­ (occipital lobe) ¦ì¸mªºÀY¥Ö¸£ªi°O¿ý¹q·¥¡A¥iÀò±o³Ì±jªºalphaªi¡C

 

Altitute insomnia °ª®ü©Þ¥¢¯v¯g

ªì¦Ü°ª®ü©Þ (Â÷®ü¥­­±4¤d¤½¤Ø¥H¤W) ¦a°Ï¤Þµoªºµu´Á¥¢¯v§xÂZ¡A³q±`¦ñÀHÀYµh¡B¯h­Â¡B­¹¼¤¤U­°µ¥²{¶H¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¥~¦]©ÊºÎ¯v»Ùê (extrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Ambulatory monitoring Äâ±a¦¡ºÊ´ú¡B¥i²¾°Ê¦¡ºÊ´ú

¥iÄâ±aªº¥Í²z©Î¦æ¬°ºÊ´ú¤è¦¡¡A¨Ò¦p¬¡°Ê°O¿ý¾¹ (actigraph) ¡BÄâ±a¦¡24¤p®É¤ß¸õ°O¿ý¾¹ (Holter EKG) ¡BÄâ±a¦¡¦hÀW¹DºÎ¯v°O¿ý»ö (ambulatory polysomnograph) µ¥¡C¬Û¸û©ó¤£¥iÄâ±aªº»ö¾¹¡AÄâ±a¦¡ºÊ´ú¾¹ªºÀuÂI¦b©ó³QºÊ´úªÌªº¦æ¬°¤£¨ü­­¨î¡B°O¿ýªÅ¶¡¤]¤£¨ü­­¡A¨Ò¦p¨ü´úªÌ¥i¥HÄâ±a¸ÓºÊ´ú¾¹¦^®a¶i¦æ´ú¶q¡C

 

Apnea ©I§l¤¤¤î¡B©I§l¼È¤î

«ü©I§l¼È®É°±¤î¾ú®É10¬í©Î10¬í¥H¤W¡C®Ú¾Ú©I§l¹D®ð¬y (airflow) »P©I§l¦Ù¦¬ÁY¤§¦³µL¡A¥i¤ÀÃþ¬°¡G (1) ªý¶ë©Ê (obstructive) ¡A (2) ¤¤¼Ï©Ê (central) ¡A (3) ²V¦X©Ê (mixed) ¤TºØ¡C

 

Arousalı¿ô¡BÂZ¿ô

ªx«ü¥Í²z©Î¤ß²zªº¤®¾Äµ{«×¡C¦bºÎ¯v¤¤¤]¯S§O¥Î¥H«üºÙ¥Íª«Åé¥ÑºÎ¯vªº²`¼hª¬ºA (deep sleep) ÂàÅܬ°²L¼hºÎ¯v (light sleep) ©Î²M¿ôª¬ºA (waking) ¡C

 

Arousal disorders ı¿ô»Ùê¡BÂZ¿ô»Ùê

ºÎ¯v¤¤§e²{ı¿ôª¬ºA¡A¬°°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤²§ºÎ¯g (parasomnias) Ãþªº¶µ¥Ø¤§¤@¡C

 

Automatic behavior ¦Û°Ê¤Æ¦æ¬°

­ÓÅé°õ¦æ²ßºD©Î¨Ò¦æ©Ê°Ê§@®É¡A¦p¶}¨®¡B¥´¦r¡A«oµL¦Ûı©ó¤]¤£°O±o¥¿¦b±q¨Æªº¦æ¬°¡C·í­ÓÅé³B©óºÎ¯v¤£¨¬¾É­Pªº¤é¶¡¶ÝºÎ (daytime sleepiness) ®É¡A±`©ö¦³¦Û°Ê¤Æ¦æ¬°ªº²{¶Hµo¥Í¡A¤]¦]¦Ó©ö¦³·N¥~¨Æ¬Gªºµo¥Í¡A¦p°¾Â÷¨®¹D«o¤£¦Ûı¦Ó¾É­Pªº¨®º×¡C

 

Barbiturates ¤Ú¤ñ§´ÆQÃþ

¤G¤Q¥@¬öªì¶}©l²±¦æªº¦w¯v¡B§ÜµjÅˤγ¾KÃĪ«¡C¤Ú¤ñ§´ÆQÃþÃĪ«·|«P¶i¸£ªi¤¤¯¼Áèªi (spindle wave) ªº§e²{¦ý§í¨î§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¡C¥Ñ©ó¤Ú¤ñ§´ÆQÃþÃĪ«¨Ï¥Î¤£·í©ö¹L¶q­P©ü°g¬Æ¦Ü¦º¤`¡A¯S§O¬O»P°sºë¤@°_ªA¥Î®É§ó©ö¹L¶q¡A¥BªA¥Î¤Ú¤ñ§´ÆQÃþÃĪ«©ö²£¥Í­@¨ü©Ê (tolerance)  ¤Î¨Ì¿à©Ê (dependence) °ÝÃD¡A¦Û1960s¦~¥N­f¤G´á¥­ÃþÃĪ«  (benzodiazepines) µo®i«á¡A¤w¤Ö°µ¬°ÂíÀR¦w¯vªº¥Î³~¡C

 

Basic rest-activity cycle  (BRAC)  °ò¥»¡u¥ð®§-¬¡°Ê¡v¶g´Á

¦¨¦~¤H²M¿ô®Éªº°ò¥»¡u¥ð®§¢w¬¡°Ê¡v¶g´Á¬ù¬°90¤ÀÄÁ¡AºÎ¯v®É¡u«D§Ö³t°Ê²´¢w§Ö³t°Ê²´¡vºÎ¯v¶g´Á  (NREM-REM sleep cycle) ¤]¬ù¬°90¤ÀÄÁ¡C                          

 

Bedtime ¤W§É®É¶¡

ºÎ¯v°O¿ý¤¤«üÃö¿O½ö§É¡A¶}©l¸Õ¹Ï¤JºÎªº®É¶¡¡C

 

Behavioral sleep ¦æ¬°©w¸q¤§ºÎ¯v

²Å¦XºÎ¯v¦æ¬°¯S¼xªºª¬ºA¡CºÎ¯v¦æ¬°¯S¼x¥]¬A¤£°Ê©Î°Ê§@Åܽw¡B¤ÏÀ³¤OÅÜ®t¡B´M¨D¯S©wªº´Ï®§³B¡Bªø®É¶¡ºÎ¯v­é¹Ü«áºÎ¯v®É¶¡©µªøµ¥¡C

 

Behavioral Sleep Medicine¦æ¬°ºÎ¯vÂå¾Ç

ºÎ¯vÂå¾Çªº¤@­Ó¤ÀªK¡A¥D­n¦b©ó¥H¦æ¬°¬ì¾Çªº²z½×¤Î¤èªk¨ÓÁA¸Ñ¡B¹w¨¾¡B¶EÂ_¥H¤ÎªvÀøºÎ¯v»Ùê¡C

 

Bell-and-pad method ¡uĵ¹a¢w§¿¹Ôªk¡v

À³¥Î©ó§ïµ½§¿§É (bedwetting) ªº¦æ¬°¨î¬ù (conditioning) ¤èªk¡C¨C·í§¿²G¤@±Æ¥XÀH§Y¤Þµo¹aÅT§n¿ô§¿§ÉªÌ°_§É¡F¸g¥Ñ¦h¦¸½m²ß«á¡A§¿§ÉÀW²v±NÅãµÛ¤U­°¡C

 

Benzodiazepines ­f¤G´á¥­ÃþÃĪ«¡B¦w®§­»­«´áÃþ¦w¯vÃÄ¡B ­f¤G´áÌñÃþ¡B ­f¤G´á¡B­f¤G×ô

¨Ï¥Î©óÂíÀR¦w¯v¡B§ÜµJ¼{¡B§ÜµjÅË¡B¤Î¦Ù¦×©ñÃPªºÃĪ«¡C¦¹ÃĪ«§@¥Î©óÅ餺ªºbenzodiazepine±µ¨ü¾¹ (receptor) ¡A«P¶iGABA±µ¨ü¾¹ªº¯«¸g§í¨î§@¥Î¡C

 

Biofeedback ¥Í²z°jõX

¬°¦æ¬°ªvÀøªº¤@ºØ¡A§Q¥Î»ö¾¹°O¿ý­ÓÅéµLªkª½±µª¾Ä±ªº¥Í²z¬¡°Êª¬ºA (¦p¤ß¸õ³t²v¡B¦åÀ£¡BÅé·Å¡B¦Ù¦×±i¤Oµ¥) ¡A¦A¥HÁn­µ©ÎµøÄ±µ¥¤è¦¡°jõXµ¹­ÓÅé¡A¥H°V½m­ÓÅé±±¨î¥»¨­¥Í²z¬¡°Êª¬ºAªº¯à¤O¡C

 

Biological Rhythms ¥Íª«¸`«ß

¥Íª«Å骺¥Í²z©Î¦æ¬°¹B§@§e²{»P®É¶¡¬ÛÃö¶g¦Ó´_©lªºÅܤơA¨C¤@¦¸¶g¦Ó´_©l©Ò»Ýªº®É¶¡ªø«×ºÙ¬°¶g´Á (period) ¡C¶g´Áªø«×µu¦Ü¼Æ¬í¦p©I§l¡B¤ß¸õ¼Æ©Îªø¦Ü¤@¤Ñ¦pºÎ¯v¬Æ¦Ü¤@¦~¦p­Ô³¾«n­¸µ¥²{¶H¬Ò¬°¥Íª«¸`«ßªºªº®i²{¡C

 

Biparietal hump Æ`³»¦yªi

¨£vertex sharp¡C

 

Cataplexy Ö`­Ë

·í¦³±j¯P±¡ºü¨ë¿E¡A¦p¼É¯º©Î¥Í®ð®É¡A·|¬ðµM³à¥¢¦Ù¦×±i¤O¡A©ÎÀY¦V«e««¸¨¡AÂù½¥¸÷¦a©Î¶^¸¨¦a¤Wµ¥¡A¦ý±wªÌ¯«´¼²M¿ô¡Cµo§@®É¶¡¤¶©ó¼Æ¬í¨ì2¤ÀÄÁ¤§¶¡¡C¥i¨£©óÖ`ºÎ¯g (narcolepsy) ¤§¯f±w¡C

 

Central alveolar hypoventilation syndrome¤¤¼Ï©ÊªÍªw³q®ð¤£¨¬¯g­Ô¸s¡B¤¤¼Ï©ÊªÍªw´«®ð¤£¨¬¯g­Ô¸s

¬°¤@ºØ¤¤¼Ï©ÊºÎ¯v©I§l»Ùê¡A¦]ºÎ¯v®ÉªÍªw³q®ð¶q (alveolar ventilation) ¤£¨¬¾É­P°Ê¯ß¦å¤G®ñ¤ÆºÒ¤ÀÀ£ (PaCO2) ¼W¥[¤Î®ñ®ð¹¡©M«×¤U­° (oxygen desaturation) ¡CºÎ®É¤ñ²M¿ô½ö«º®ÉªºPaCO2¶W¹L10²@¦Ì¨E¬W¡C©M¤¤¼Ï©ÊºÎ¯v©I§l¤¤¤î¯g (central sleep apnea) ¤£¦Pªº¬O¡A³q®ð¤£¨¬µo¥Í®É±`«ùÄò¼Æ¤ÀÄÁ¥B®ñ®ð¹¡©M«×¤U­°¤]«ùÄò¸ûªøªº®É¶¡¡A¯S§O¬O¦b§Ö³t°Ê²´ºÎ¯v´Á (Stage REM) ¡CºÎ¯v®Éªº³q®ð¤£¨¬¤]±`¦ñÀHµu¼Èı¿ô (arousal) ¦Ó¨Ï±wªÌ¦³¥¢¯v©Î¥Õ¤ÑµtºÎªº©ê«è¡CÁ{§É¯gª¬¥]¬AµLªk¸ÑÄÀªº¥Õ¤Ñ©ü©ü±ýºÎ¡BªÍ°ªÀ£¯g (pulmonary hypertension) ¡BªÍ¤ß¯g (core pulmonale) ¡B¬õ¦å²y¼W¦h¯g (erythremia) ¡B°ªºÒ»Ä¦å¯g (hypercapnia) ¡A¬Æ¦Ü©I§l°IºÜ¡CÁ{§ÉªÍ¥\¯àÀˬdÅã¥Ü¥¿±`¡AµM¦Ó±wªÌµL½×¦b²M¿ô©ÎºÎ¯v®É¹ï°ªºÒ»Ä¦å¤Î¯Ê®ñ (hypoxia) ªº¤ÏÀ³¸û®t¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤º¦]©ÊºÎ¯v»Ùê (intrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Central sleep apnea syndrome ¤¤¼Ï©ÊºÎ¯v©I§l¤¤¤î¯g­Ô¸s¡B¤¤¼Ï©ÊºÎ¯v©I§l¼È¤î¯g­Ô¸s

¬°¤@ºØ¤¤¼Ï©ÊºÎ¯v©I§l»Ùê¡A±wªÌ©óºÎ¯v¤¤¥X²{©I§l¹B§@ (respiratory effort)  °±¤î©Î´î®z¡A¥H­P®ñ®ð¹¡©M«×¤U­° (oxygen desaturation) ¡C¤¤¼Ï©ÊºÎ¯v©I§l¤¤¤î¯g­Ô¸s¥i¯à¬O¥Ñ©ó·s³¯¥NÁ©ί«¸g¨t²Î©Î¦Ù¦×¨t²Î¥\¯à»Ùê¦Ó¤Þ°_¡C¨ä¯S¦â¬°ºÎ®É¦bµL¤W©I§l¹Dªý¶ëªº±¡§Î¤U¡A«o¤ÏÂеo¥Í©I§l¤¤¤î¡A¨Ã¤Þ°_®ñ®ð¹¡©M«×¤U­°¡B¤ÏÂÐı¿ô (arousal) ¤Î¥Õ¤Ñ©ü©ü±ýºÎªº¯gª¬¡C±wªÌ²M¿ô®É¡A¥i¥H§e²{°ªºÒ»Ä¦å¯g (hypercapnia) ©Î¥¿±`ºÒ»Ä¦å¯g (eucapnia) ¡C°ªºÒ»Ä¦åªÌ¬O³q®ð¶q (ventilation) ¤£¨¬ªºªí²{¡A°£¤F¤¤¼Ï¯fÅܤ§¥~¡A¨ä¯f¦]¥i¯à¬O¥Ñ©ó¥NÁ©ί«¸g¦Ù¦×»Ùê©Ò­P¡C¦¹ºØ¯fÅÜ¥]¬A (1) ¯S²§©Ê¤¤¼Ï©ÊºÎ¯v©I§l¤¤¤î¯g­Ô¸s (idiopathic central hypoventilation syndrome)  (2) ³¯¥v¤ó©I§l (Cheyne-Stokes respiration)  (3) °ª®ü©Þ©ÊºÎ¯v©I§l¤¤¤î¯g (high altitude sleep apnea) ¤Î (4) ¨ä¥L­ì¦]¤Þ°_¸£·F¯fÅÜ¡C±wªÌ¥Ñ©óµLªkºû«ùºÎ¯v¦Ó®É±`©]±ßı¿ô¡A¥Õ¤Ñ©ü©ü±ýºÎ¡C¥¦»Pªý¶ë©ÊºÎ¯v©I§l¤¤¤î¯g­Ô¸s (obstructive sleep apnea syndrome) ¤§¤£¦P³B¡A¦b©óµo§@®É©I§l¹B§@ (respiratory effort) §¹¥þ°±¤î¡C¯S²§©Ê¤¤¼Ï©ÊºÎ¯v©I§l¤¤¤î¯g¨Ã¤£±`¨£¡A¤@¯ë»{¬°³o¨Ç±wªÌ©I§l¤¤¼Ï¹ï¤G®ñ¤ÆºÒ½Õ±±²§±`¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤º¦]©ÊºÎ¯v»Ùê (intrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Cheyne-Stokes respiration ³¯¥v¤ó©I§l

¬°²§±`©I§l«¬ºA¤§¤@¡A±wªÌ¤§©I§l³t²v»P¼é®ð®e¿n (tidal volume) ¥Ñ©I§l¼È°±ª¬ºA¡A³vº¥¼W§Ö¥[²`¡A¦A³vº¥ÅܺC¦Ó²L¡C©I§l¼È°±ªº®É¶¡¥i«ùÄò5¨ì30¬í¡A¶g´Á¬°45¬í¨ì3¤ÀÄÁ¡C ³oºØ©I§l«¬ºA¥æ´Àµo¥Í¡A¶g¦Ó´_©l¡C¨ä­P¯f¾÷Âà¤D¦]©I§l¤¤¼Ï¹ï¤G®ñ¤ÆºÒ¤ÏÀ³²§±`©Ò¤Þ°_¡A±`¨£©ó¸£³¡¤¤¼Ï¯«¸g¯fÅÜ¡B¤ßŦ¥\¯à°IºÜµ¥¡C³¯¥v¤ó©I§l¤@¯ë¦bºÎ¯v®Éµo¥Í¡A¦ý³ÌÄY­«ªº­Ó®×¤]¥i¨£©ó²M¿ô¤§®É¡C

 

Childhood-onset insomnia ¨àµ£´Áªìµo«¬¥¢¯v¯g

¨£Idiopathic Insomnia¡C

 

Chronic obstructive pulmonary disease  (COPD)  ºC©Êªý¶ë©ÊªÍ¯e

ºC©Êªý¶ë©ÊªÍ¯e¬O¤@ºØ¶i¦æ©ÊªººC©Ê¤£¥i°f®ð¹Dªý¶ë¡A¥D­n¥]§tªÍ®ð¸~ (emphysema) ¤ÎºC©Ê¤ä®ðºÞª¢ (chronic bronchitis) ¡CÁ{§É¯gª¬¬°ºC©Ê«y¹Â¡B¦³·ð¤Î©I§l§xÃø¡AªÍ¥\¯àÀˬd§e²{ªý¶ë©Ê³q®ð»Ùê¡CCOPD±wªÌ¥i¯à¦]¤ßªÍ¥\¯à¤£¨Î¦Ó¦³¤£©ö¤JºÎªº°ÝÃD¡A¨Ã¥B±`¦]«y¹Â¡B©I§l§xÃø¦Ó©óºÎ¯v¤¤Ä±¿ô (arousal) ¡C¦¹¥~¡A±wªÌ©ÒªA¥ÎªºCOPDªvÀøÃĪ«¡A±`¨ã¤¤¼Ï¯«¸g¿³¾Ä§@¥Î¡A¤]¥i¯à¤Þµo¥¢¯v°ÝÃD¡CÄY­«COPD±wªÌºÎ¯v®É¥i¯à§e²{¼é®ð®e¿n (tidal volume) ´î¤Ö¡B°Ê¯ß¦å®ñ¤ÀÀ£´î¤Ö¤Î¤G®ñ¤ÆºÒª@°ª¡A¥½´Á¤]¥i¯à¦X¨ÖªÍ°ªÀ£¯g (pulmonary hypertension) ¤Î¥k¤ß°IºÜ¡C

 

Chronobiology ®É¶¡¥Íª«¾Ç

¬ã¨s´x±±¥Íª«¸`«ßªº¥Í²z®ÉÄÁ (biological clock) ¹B§@ªº¾Çªù¡C

 

Chronotherapy ®É¶¡ªvÀøªk

¥Î¥HªvÀøºÎ¯v¬Û¦ì«á²¾¯g­Ô¸s (delayed sleep phase syndrome) ªº¦æ¬°ªvÀøªk¡C¦¹ªvÀøªk­n¨D±wªÌ¨C¤Ñ¤ñ«e¤@¤Ñ©µ¿ðºÎ¯v®É¶¡¼Æ¤p®É¡Aª½¨ì¤W§É¤Î°_§É®É¶¡¹F¨ì¹w³]ªº¥Ø¼Ð®É¶¡¡A¤§«á«h«O«ù©T©wªº¤W§É¤Î°_§É®É¶¡¡C

 

Circadian rhythm¤é©]¸`«ß

¶g´Á§e²{ªñ24¤p®Éªº¥Íª«¸`«ß¡C¤é©]¸`«ß¦p¦P¨ä¥L¥Íª«¸`«ß¬O¥Íª«Åé¦Û¤v²£¥Íªº¡A¨Ã¤£¦]¥~¬É®É¶¡½u¯Áªº¯Ê¥F¦Ó®ø¥¢¡C                                                 

 

Circadian rhythm sleep disorders ¤é©]¸`«ßºÎ¯v»Ùê

¦]¬°¿ï¾ÜªººÎ¯v®É¶¡»P¤º¦b¤é©]¸`«ßªº®É¶¡¬Û½Ä¬ð¦Ó¦³ªººÎ¯v§xÂZ¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤ºÎ¯v²§±` (dyssomnias) Ãþªº¶µ¥Ø¤§¤@¡C

 

Cognitive dream theory  ¹Ú¹Òªº»{ª¾²z½×

¦¹²z½×¥D±i¥H±´¯Á²M¿ôª¬ºAªº»{ª¾¬ã¨sÆ[©ÀÀ³¥Î©ó¹Ú¹Òªº±´°Q¡A¦]¦¹¨äÃöª`ªº¬O¹Ú¹Ò²£¥Íªº»{ª¾¤ß²z¾úµ{¡C 

°Ñ¦Ò¤åÄm

Antrobus J.  Dreaming: cognitive process during cortical activation and high afferent thresholds.  Psychological Rev 1991;98:96-121

Foulkes D.  Dreaming and consciousness.  Eur J Cognitive Psychol 1990;2:39-55.

 

Confusional arousalsı¿ô²V²c¡BÂZ¿ô²V²c

¥ÑºÎ¯v¤¤¯S§O¬O²`¨IºÎ¯v¿ô¨Ó«o³B©ó¥bºÎ¥b¿ôªº·NÃѤ£²M¡B¤ÏÀ³¤£©úªºª¬ºA¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦b²§ºÎ¯g (parasomnias) Ãþ¢wı¿ô»Ùê (arousal disorders) ¶µ¥Ø¤U¡C

 

Congenital central hypoventilation syndrome ¥ý¤Ñ©Ê¤¤¼Ï©Ê³q®ð¤£¨¬¯g­Ô¸s¡B¥ý¤Ñ©Ê¤¤¼Ï©Ê´«®ð¤£¨¬¯g­Ô¸s                          

¥X¥Í®É§Y¦s¦bªº¤¤¼Ï©Ê³q®ð¤£¨¬¯g­Ô¸s¡C±wªÌ¨ÃµL¯«¸g¦Ù¦×©ÎªÍ³¡¯e¯f¡A¦ýºÎ®É¹ï°ª¤G®ñ¤ÆºÒ¤Î§C¦å®ñ¤ÏÀ³³vº¥³à¥¢¦Ó¾É­P³q®ð¶q (ventilation) ¤£¨¬¡C±wªÌ¦b²M¿ô®É¥i¯à³q®ð¥¿±`¡A¦ýºÎ®É©I§lÅܲL (hypopnea¡A¼é®ð®e¿n (tidal volume) ´î¤Ö) ¡A©I§lÀW¼Æ¤]³\¥¿±`¡C³q®ð¶qªº´î¤Öµ{«×¡A¨Ì¯f±¡ÄY­««×¦Ó¤£¦P¡G»´ªÌ¥u¦b²Ä¤T´Á (Stage 3) ¤Î²Ä¥|´Á (Stage 4) ºÎ¯v®Éµo¥Í³q®ð´î¤Ö¡F¤¤µ¥ªÌ«h¦b§Ö³t°Ê²´ºÎ¯v´Á (Stage REM) ¤Î«D§Ö³t°Ê²´ºÎ¯v´Á (Stage NREM) ¬Ò·|µo¥Í¡FÄY­«ªÌ¤£½×²M¿ô©ÎºÎ¯v¡A¬Ò·|§e²{³q®ð¶q¤£¨¬ªº²{¶H¡C±wªÌ¦b²M¿ô®É§Y¨Ï³q®ð¶q¤´¥¿±`¡A¦ý¹ï°ª¤G®ñ¤ÆºÒ¤Î§C¦å®ñ¤ÏÀ³¤´¬O²§±`¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦b²§ºÎ¯g (parasomnias) Ãþ¢w¨ä¥L²§ºÎ¯g¶µ¥Ø¤U¡C

 

Constant routine ©T©w§@®§ªk

À³¥Î·Ó©ú«×©T©w¡B¶¼­¹©w®É©w¶q¡B«ùÄòª×§É¦ý«O«ù²M¿ôµ¥±±¨î±¹¬Iªº°õ¦æ¡A¦p¦¹«ùÄò20¤p®É¥H¤W¥H´ú¶q¤º¦b¤é©]¸`«ß¦pÅé·Å¸`«ßªº¹B§@¡C

 

Continuous positive airway pressure  (CPAP)  «ùÄò©Ê©I§l¹D¥¿À£ªvÀø¡B«ùÄò©Ê©I§l¹D¶§À£ªvÀø

¬°¤@ºØ«ùÄò©Êµ¹¤©©I§l¹D¥¿À£ªº©I§lªvÀøªk¡A¥iÀ³¥Î©ó¦Ûµo©I§l©Î¨Ï¥Î©I§l¾¹±wªÌ¡C¸g¥Ñ©I®ð³q¸ôªý§Ü©Ê®ð»Ö (resistive valve) ªº§@¥Î¡A¨Ï±wªÌ©I§l¹D©ó¾ã­Ó©I§l¶g´Á¤¤³£ºû«ùµÛ¤j©ó¤j®ðÀ£ªºÀ£¤O¡AÂÇ¥Hºû«ùºÎ¯v®É©I§l¹DªººZ³q¡C

 

Continuous positive airway pressure apparatus «ùÄò©Ê¥¿À£©I§l¾¹¡B«ùÄò©Ê¶§À£©I§l¾¹

À³¥Î©ó«ùÄò©Ê©I§l¹D¥¿À£ªvÀøªº¸Ë¸m¡C©I§l¾¹¥D¾÷¤º§t¤@ªÅ®ð®Aµ©¡A¸m©ó±wªÌ§ÉÃä¡A¥~±µ¥H¤º®|¬ù¤@­^¦TªººÞ¸ô¡AºÞ¸ô¥½ºÝ³s±µ­±¸n¥H¸n¦í±wªÌªº¤f»ó¡C

 

Core sleep ®Ö¤ßºÎ¯v

­^°ê¤ß²z¾Ç®aJames Horne»{¬°ºÎ¯v¦³°ò¥»¥B¥²­nº¡¨¬ªº»Ý¨D¶q¡AºÙ¤§¬°®Ö¤ßºÎ¯v¡F¦Ó¬ÛÀ³ªº¿ï¾Ü©ÊºÎ¯v (optional sleep) «h¬O¦bº¡¨¬°ò¥»»Ý¨D«á¦Û¥D·NÃÑ¿ï¾Ü¤UªººÎ¯v¶q¡C

 

Corneo-retinal potential ¨¤½¤-µøºô½¤¹q¦ì

¨¤½¤»Pµøºô½¤¶¡¦]©¼¦¹¹q²ü¤À¥¬¤£¦P (¨¤½¤°¾¦V¥¿¹q²ü) ¡A¦]¦¹¨âªÌ¶¡§Î¦¨¹q¦ì®t¡C·í²´²yÂà°Ê®É¡A©ñ¸m©ó²´²µ®Çªº¹q·¥©Ò°O¿ý±oªº¡u¨¤½¤-µøºô½¤¹q¦ì¡v¤]ÀH¤§§ïÅÜ¡C¦]¦¹ÂǥѲ´²µ®Çªº¹q·¥°O¿ý±oªº¡u¨¤½¤-µøºô½¤¹q¦ì¡v¡A´N¥i¥H±oª¾²´²yÂà°Ê±¡§Î¡C

                                          

Daytime sleepiness ¤é¶¡¶ÝºÎ«×¡B¤é¶¡µtºÎ«×

¤é¶¡²M¿ô®É¶ÝºÎªºµ{«×¡C

 

Deep sleep ²`«×ºÎ¯v

¤@¯ë«ü²Ä¤T¡B¥|´Á (Stage 3, Stage 4) ªººÎ¯v¡CºÎ¯vªº²`«× (depth of sleep) ¥i¥Ñ¤Þ°_ı¿ô (arousal) ¤ÏÀ³©Ò»Ý¨ë¿Eªº±j«×¨Ó¬É©w¡A¤Þ°_ı¿ôªº³Ì¤p¨ë¿E±j«×ÀH¤JºÎªº¶}©l¦Ó§Ö³t¼W¥[¡A¦ýÀH«á³v¨B¤U­°¡C¬ã¨sªÌ±`¥HÁn­µ¬°¨ë¿E¨Ó¬É©w¦UºÎ¯v¤À´Á (sleep stage) ªº²`«×¡F¬ã¨sµ²ªGµo²{·í¸£ªi¥X²{deltaªi®É¡A¤Þ°_ı¿ô©Ò»ÝªºÁn­µ±j«×¨³³t´£¤É¡C¦]¦¹¡A¸£ªi§e²{³\¦hdeltaªiªººCªiºÎ¯v (slow wave sleep) ¦³®É¤]³QºÙ¬°²`ºÎ¡C

 

Delayed sleep phase syndrome ºÎ¯v¬Û¦ì«á²¾¯g­Ô¸s¡BºÎ¯v¶g´Á©µ¿ð¯g­Ô¸s

¹ê»Ú¤JºÎ®É¶¡¤Î¿ô¨Ó®É¶¡¤À§O¤ñ´Á±æªº¤W§É®É¶¡¤Î°_§É®É¶¡¬°¿ðªººÎ¯v»Ùê¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±`Ãþ¢w¤é©]¸`«ßºÎ¯v»Ùê (circadian rhythm sleep disorders) ¶µ¥Ø¤U¡C

 

Delta sleep  deltaºÎ¯v

§e²{¸û¦h§CÀW°ª´TªºdeltaªiªººÎ¯v¤À´Á (sleep stage) ¡A¤@¯ë«ü²Ä¤T¡B¥|´Á (Stage 3, Stage 4) ªººÎ¯v¡A¦XºÙºCªiºÎ¯v (slow wave sleep) ¡A¬O¸û¬°²`¨IªººÎ¯vª¬ºA¡C

 

Delta waves  deltaªi

¸£ªi¤¤§C©ó4 Hz ªººC³tªi°Ê¡C

 

Depth of sleep ºÎ¯v²`«×

¬ã¨sªÌ¥H¯à¤Þ°_ı¿ô (arousal) ¤ÏÀ³ªº·Pı¨ë¿E³Ì¤p±j«×¨Ó¿Å¶qºÎ¯vªº²`«×¡A¨ä¤¤Án­µ¬O³Ì±`¨Ï¥Îªº¨ë¿E¡C

 

Desynchronized sleep ¤£¦P¨BºÎ¯v¡B¥h¦P¨BºÎ¯v

§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ®É¸£ªi§e²{¦³¦p²M¿ô®É¦hºØÀW¬q (¸û°ªÀW¦ýªi´T¤p²VÂø¡B¤£¦P¨Bªºªi°Ê¡A¦]¦Ó¤SºÙ¬°¤£¦P¨BºÎ¯v¡C

 

Diurnal rhythms ¤é¶¡¸`«ß

¦P¤é©]¸`«ß (circadian rhythms) ¡C¬ã¨sªÌ¦³®É¥H¤é¶¡¸`«ß¯S«ü¤é¶¡¬¡°Ê«¬°Êª«ªº¤é©]¸`«ß¡C

 

Drowsiness µt­Â·QºÎ

¬°¶i¤JºÎ¯v«e©ü©ü±ýºÎ¦ý©|¥¼ºÎµÛªºª¬ºA¡A¦¹®ÉµtºÎ«× (sleepiness) Áö°ª¦ý¤´ÄݲM¿ô (waking) ª¬ºA¡C

 

Dyssomnia ºÎ¯v²§±`

¾É­P¤JºÎ¡Bºû«ùºÎ¯v§xÃø©Î¹L«×¶ÝºÎ (excessive sleepiness) ªººÎ¯v»Ùê¡A¬°°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤U¤§¤@Ãþ¤ÎDSM-IVªººÎ¯v»Ùꤤªº¶µ¥Ø¤§¤@¡C

 

Early morning awakening ¦­¿ô«¬¥¢¯v

¤ñ¹w©w¿ô¨Ó®É¶¡§ó¦­¿ô¨ÓªººÎ¯v§xÂZ¡C±`µo¥Í©ó¼~Æ{¯g±wªÌ¤ÎºÎ¯v¬Û¦ì«e²¾¯g­Ô¸s (advanced sleep phase syndrome) ±wªÌ¡C¦Ñ¦~¤H¤]¸û±`¦³¦­¿ôªº§xÂZ¡C

 

Electrical status epilepticus of sleep ºÎ¯v¤¤Åöíw­«¿nª¬ºA

ºÎ¯v¤¤¥X²{ªºÅöíw¯gª¬¡A¸û¦nµo©ó¨àµ£¡C

 

Electroencephalogram ¸£¹q¹Ï¡A²ºÙEEG

¤j¸£µo¥Xªº¹q¦ì°T¸¹¡A¸g¥ÑÀY¥Ö°O¿ý¹q·¥Â^¨ú¨Ã¥Ñ¶Ç¾É¹q½u¶Ç¿é¦Ü°T¸¹©ñ¤j¾¹¡A¦Ó©ñ¤j«áªº¤j¸£¹q¦ì°T¸¹¥i¸g¯Èµ§°O¿ý¾¹Åã²{©ó¯È¤W©Î¸g¼Æ¦ì¤ÆÂà´«§e²{©ó¿Ã¹õ¤W¡A§Y¬°¸£¹q¹Ï¡C¤j¸£¬¡°Êª¬ºAªº¤£¦P¥i¤ÏÀ³©ó¨ä¹q¦ì°T¸¹ÅܤơA¦]¦¹¸£¹q¹Ï¥iÅã¥Ü¤j¸£¬¡°Êª¬ºA¡CºÎ¯v¬ã¨sªÌÀ³¥Î¸£¹q¹Ï°Ï¤À¦U­ÓºÎ¯v¤À´Á (sleep stage) ¡A¦p²Ä¤@¦Ü²Ä¥|´Á«D§Ö³t°Ê²´ºÎ¯v (non-rapid-eye-movement sleep, NREM sleep) ¡C

 

Electromyogram ¦Ù¹q¹Ï¡A²ºÙEMG

¦Ù¦×¦¬ÁY¹Lµ{¤¤ªº¹q¦ìÅܤưT¸¹¡A¸g¥Ñ¦Ù¦×ªí¥Ö¸g¥Ñ¦Ù¦×¥~¤§¥Ö½§¹q·¥©Î´¡¤J¦Ù¦×¼hªº¹q·¥Â^¨ú¡A¨Ã¥Ñ¶Ç¾É¹q½u¶Ç¿é¦Ü°T¸¹©ñ¤j¾¹¡A¦Ó©ñ¤j«áªº¦Ù¦×¹q¦ì°T¸¹¥i¸g¯Èµ§°O¿ý¾¹Åã²{©ó¯È¤W©Î¸g¼Æ¦ì¤ÆÂà´«§e²{©ó¿Ã¹õ¤W¡A§Y¬°¦Ù¹q¹Ï¡CºÎ¯v¬ã¨sªÌÀ³¥Î¦Ù¹q¹Ï°Ï¤À¦U­ÓºÎ¯v¤À´Á (sleep stage) ¡A¦p§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ®É¦Ù¹q¹Ï§e²{´X¬°¹s¹q¦ì¡A¦]¦¹®É¦Ù¦×³B©ó·¥«×ÃP¦¢¡BµL±i¤O (atonia) ª¬ºA¡C

 

Electrooculogram ²´°Ê¹Ï¡A²ºÙEOG

©ñ¸m©ó²´²µ®Çªº¹q·¥©Ò°O¿ý±oªº¡u¨¤½¤-µøºô½¤¹q¦ì¡v (Corneo-retinal potential) ¡A¥Ñ¶Ç¾É¹q½u¶Ç¿é¦Ü°T¸¹©ñ¤j¾¹¡A¦Ó©ñ¤j«áªº¹q¦ì°T¸¹¥i¸g¯Èµ§°O¿ý¾¹Åã²{©ó¯È¤W©Î¸g¼Æ¦ì¤ÆÂà´«§e²{©ó¿Ã¹õ¤W¡A§Y¬°²´°Ê¹Ï¡C²´°Ê¹ÏÀ³¥Î©ó¦U­ÓºÎ¯v¤À´Á (sleep stage) ªº°Ï¤À¡A¦pµo¥Í©ó²Ä¤@´ÁºÎ¯v (Stage 1 sleep) ªººC³t²´²yÂà°Ê (eye rolling) ¤Î§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ®É¶¡Â_¥X²{ªº§Ö³t²´²yÂà°Ê¡C

                                         

Electrophysiological sleep¹q¥Í²z©w¸q¤§ºÎ¯v

²Å¦XºÎ¯v¹q¥Í²z¯S¼xªºª¬ºA¡CºÎ¯v¹q¥Í²z¯S¼x¥i¥Ñ¸£¹q¹Ï (EEG) ¡B¦Ù¹q¹Ï (EMG) ¡B¤ß¹q¹Ï (EKG) ¡B²´°Ê¹Ï (EOG) ¤Î¨ä¥L¥i°O¿ýªº¥Í²z¹q¦ì°T¸¹µ¥¬É©w¡C²Å¦XºÎ¯v¹q¥Í²z¯S¼xªºª¬ºA¨Ã¤£¤@©w¤]¬O¦æ¬°¤W©w¸q¤§ºÎ¯v (behavioral sleep) ª¬ºA¡A¨Ò¦pª`®g§Ü¤AñQÁxÆP (acetylcholine) ÃĪ«atropine¤J°Êª«Å餺¡A«h¦¹°Êª«¸£ªi§e²{¦üºÎ¯vªº§CÀW°ª´T¯S¼x¡A¦æ¬°¤W«o¤´¥i¹ï¥~¬É¨ë¿E¤ÏÀ³¨Ã¥|³B¨«°Ê¡C

 

Electrosleep therapy ¹q¨ë¿E«PºÎªvÀø  

¥H·L®z¹q¬y¨ë¿EÀY³¡ªvÀøºÎ¯v»Ùê¡C

 

Entrainment ®Õ·Ç¹BÂà¡B·Ç®É¹BÂà

¤º¦bªº¤é©]¸`«ß (circadian rhythm) ¨Ì´`¥~¬É®É¶¡¹BÂà¡C·í¾A©yªº¥~¬É®É¶¡½u¯Á (time cue) ¦s¦b®É¡A¤j¦h¼Æ¤H³£¬O¥H24¤p®É¬°¶g´Áªø«×§e²{¥Í²z©Î¦æ¬°ªº¸`«ß¡C

 

Environmental sleep disorder Àô¹Ò¦]¯ÀºÎ¯v»Ùê¡BÀô¹ÒºÎ¯v»Ùê¡BÀô¹ÒºÎ¯v¯e±w

¦]Àô¹Ò¦]¯À¤zÂZ (¦p¾¸­µ¡B«G¥úµ¥) ¦Ó¾É­PªººÎ¯v»Ùê¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¥~¦]©ÊºÎ¯v»Ùê (extrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Excessive sleepiness, Excessive daytime sleepiness  (EDS)  ¹L«×¶ÝºÎ¡B¤é¶¡¹L«×¶ÝºÎ

»Phypersomnia¦P¸q¡C­ÓÅéµLªkºû«ù²M¿ô¡A·¥©ö¶i¤JºÎ¯vª¬ºA¡A¬°ºÎ¯v²§±`±wªÌ±`¨£ªº¯gª¬¡C

 

Extrinsic sleep disorders ¥~¦]©ÊºÎ¯v»Ùê

¥»Åé¥H¥~ªº­ì¦]©Ò³y¦¨ªººÎ¯v»Ùê¡A¬°°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤ºÎ¯v²§±` (dyssomnia) Ãþªº¶µ¥Ø¤§¤@¡C

 

Food allergy insomnia ­¹ª«¹L±Ó¥¢¯v¯g

¦]­¹ª«¹L±Ó¤ÏÀ³¤Þµoªº¤JºÎ§xÃø¤ÎºÎ¯v¤¤Â_µ¥¥¢¯v°ÝÃD¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¥~¦]©ÊºÎ¯v»Ùê (extrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Free running ¦Û¥Ñ¹BÂà

·í¯Ê¥F¥~¬É®É¶¡½u¯Á®É¡A¥Íª«Åé·|¨Ì´`¨ä¤º¦b¤é©]®ÉÄÁ (circadian clock) ¹B§@¡A§e²{¤é©]¸`«ß (circadian rhytm) ¡A¥u¬O¦¹¸`«ßªº¶g´Áªø«×¥i¯à«D24¤p®É¡A¦Ó¬Oµyªø©Îµyµu¡C

 

Homeostasis ¥Í²z«í©w

ºû«ùÅ餺Àô¹Ò©ó¬Û¹ïí©wª¬ºAªº¥Í²z½Õ¸`¾÷¨î¡CÅ餺Àô¹Ò¬O«ü¦h²Ó­M¥Íª«Åé¨ä²Ó­M¥~²G (extracellular fluid) ªºª«²z¤Î¤Æ¾Ç©Ê½è¡A¦p·Å«×¡B»ÄÆP«×¡BÂ÷¤l¿@«×µ¥¡C·íÅ餺Àô¹Ò¶É¦V¬Y¤@¤è¥B¶W¹L³]©w½d³ò (set point) ®É¡A¨­Åé½Õ¸`¾÷¨îÀH¤§¹B§@¥H«K±NÅ餺Àô¹Òª¬ªp¤Ï¦V½Õ¦^¦Ü³]©w½d³ò¤º¡C¦¹·§©ÀÀ³¥Î©óºÎ¯v¾÷¨îªº²z½×»¡©ú¡A¨£two-process model¡C

 

Human leukocyte antigen  (HLA)  ¤HÃþ¥Õ¦å²y§Ü­ì

«ü¤HÃþ²Ó­M½¤¤Wªº¥D­n²Õ´¬Û®e½Æ¦XÅé (major histocompatibility complex, MHC) §Ü­ì¡C¤HÃþªºMHC§Ü­ì¥D­n¦³¨âÃþ¡A²Ä¤@Ãþ (class I) ¦ì©ó©Ò¦³²Ó­M (¬õ¦å²y¨Ò¥~) ªº²Ó­M½¤¤W¡A²Ä¤GÃþ (class II) ¦ì©ó¯S©wªº§K¬Ì²Ó­M½¤¤W¡F¦¹¨âÃþMHC¤À¤l°Ñ»P²Ó­M¤º³J¥Õ½è¤À¤l (§Ü­ì)

§e²{©ó²Ó­M½¤¤Wªº¾÷¨î¡A¨Ï±oT«¬²O¤Ú²y¯à¿ë»{§e²{°ÝÃD§Ü­ìªº²Ó­M¦Ó¤Þµo«áÄòªº§K¬Ì¤ÏÀ³¡C¥Ñ©ó¤HÃþ¥Õ¦å²y§Ü­ì¥Nªí¨C­Ó¤Hªº³¡¥÷°ò¦]²Õ¦¨¥B¦³¨Ç¯f¯g¨ã¿ò¶Ç©Ê¡A¥Ø«e¤wª¾¦³¨Ç¯e¯f©M¬Y¨Ç¤HÃþ¥Õ¦å²y§Ü­ì¨ã°ª«×¬ÛÃö©Ê¡A¨Ò¦p¡AÖ`ºÎ¯g (narcolepsy) »PHLA-DRw15¦³±K¤ÁÃö«Y¡C

 

Hyperpnea¹L«×²`©I§l¡B©I§l¹L«×

¶W¹L¥¿±`¼é®ð®e¿n (tidal volume) ªº©I§l¡C

 

Hypersomnia ¹L¯v¡B¦h¯v

¨£excessive sleepiness¡C

 

Hypersomnolence¹L«×¶ÝºÎ

¨£excessive sleepiness¡C

 

Hypnagogic hallucinations Á{ºÎ¤Ûı¡B¤JºÎ¤Ûı

¦b§Ö¤JºÎ®É©Ò¸g¾ú¨ìªº¤Ûı¡A¬OÖ`ºÎ¯g (Narcolepsy) ªºÁ{§É¯S¼x¤§¤@¡C

 

Hypnic jerks ¤JºÎ©â°Ê

¤JºÎ¹Lµ{¤¤¬ðµo¦ý«ùÄò®É¶¡·¥µu¼Èªº»L³¡©Î¤â³¡©ÎÀY³¡ªº¼@¯P©â°Ê²{¶H¡C¨£sleep starts¡C

 

Hypnopompic hallucinations ªì¿ô¤Ûı

¦b­è¿ô¨Ó®É©Ò¸g¾ú¨ìªº¤Ûı¡A¬OÖ`ºÎ¯g (Narcolepsy) ªºÁ{§É¯S¼x¤§¤@¡C

 

Hypnogram ºÎ¯vµ²ºc¹Ï

¥H¾î¶b¬°®É¶¡¼Ð¥Ü¡AÁa¶b¬°¦UºÎ¯v¤À´Á (sleep stage) ©Òø¥XªººÎ¯v¤À´Á¬ÛÀ³©ó®É¶¡ªºµ²ºc¹Ï¡CÀ³¥ÎºÎ¯vµ²ºc¹Ï¥i²M·¡§e²{¾ã±ßºÎ¯vªºªø«×¤Î¦UºÎ¯v¤À´Áªº¤À¥¬¡C

 

Hypocretin ¤Uµø¥C¤Àªc¯À¡B¤Uµø¥Cªc¯À

»s³y¤ÎÄÀ©ñ¦¹peptideÃþ¯«¸g¶Ç¾É¯À (neurotransmitter) ªº¯«¸g²Ó­M¥D­n¦ì©ó¤Uµø¥Cªº°¼°Ï (lateral hypothalamus) ¦ÓºÙ¤§¡C¸Ô¨£orexin¡C

 

Hypopnea²L©I§l¡B©I§l¤£¨¬

ºÎ¯v®Éµo¥Í©I§lÅܲL¡B®ðÅé¬y¶q´î¤Ö¡A¥i¯à¦P®É¦X¨Ö¦³®ñ®ð¹¡©M«×¤U­° (oxygen desaturation) ©Îµu¼Èı¿ô (arousal) ¡A¨ä®É¶¡ªø¹F¤Q¬í©Î¥H¤Wªº²{¶H¡C

 

 

Hyposomnolence ¥¢¯v

­ÓÅé¥DÆ[³ø§iÃø¤JºÎ¡BºÎ¯v¤¤Â_¡B¦­¿ôµ¥ºÎ¯v§xÂZ¡A¦PInsomnia¡C

 

Idiopathic insomnia¯S²§©Ê¥¢¯v¯g¡B¦Ûµo©Ê¥¢¯v¯g

¦Û¨àµ£´Á´N¶}©lµo¥Íªº¥¢¯v¡A¤@¯ë»{¬°»P±±¨îºÎ¯v»P²M¿ôªº¯«¸g¨t²Îªº²§±`¦³Ãö¡A¤SºÙ¬°¨àµ£´Áªìµo«¬¥¢¯v (Childhood-onset Insomnia) ¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤º¦]©ÊºÎ¯v»Ùê (intrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Idiopathic hypersomnia¯S²§©Ê¹L¯v¯g¡B¯S²§©Ê¦h¯v¯g

¥i¯à°_¦]©ó¤¤¼Ï¯«¸g¨t²Î (central nervous system) ²§±`¦Ó¾É­PºÎ¯v®É¶¡¹Lªø©Î¹L«×¶ÝºÎ (excessive sleepiness) ©Î¹L¦hªº²`ºÎ¶q¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤º¦]©ÊºÎ¯v»Ùê (intrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Inadequate sleep hygiene ºÎ¯v½Ã¥Í¤£¨}

¦]¬°¤é±`¥Í¬¡²ßºD¼vÅT¨ìºÎ¯v«~½è¥H¤Î¥Õ¤Ñ²M¿ôµ{«×©Ò¾É­PªººÎ¯v»Ùê¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¥~¦]©ÊºÎ¯v»Ùê (extrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Infradian rhythm ªø¤é¸`«ß

¶g´Áªø«×»·ªø©ó24¤p®Éªº¸`«ß¡A¦p¤ë¸g¶g´Á (menstrual cycle) ¡C

 

Insomnia ¥¢¯v

­ÓÅé¥DÆ[³ø§iÃø¤JºÎ¡BºÎ¯v¤¤Â_¡B¦­¿ôµ¥ºÎ¯v§xÂZ¡C

 

Insufficient sleep syndrome ºÎ¯v¤£¨¬¯g­Ô¸s

ºÎ¯v¶q«ùÄò¤Ö©óºû«ù¥¿±`²M¿ô«×ªººÎ¯v»Ý¨D¶q¡A¦]¦Ó¤Þ°_ªº¹L«×¶ÝºÎ (excessive sleepiness) §xÂZ¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤¥~¦]©ÊºÎ¯v»Ùê (extrinsic sleep disorders) ¤§¤@¡C

 

Internal clocks ¤º¦b®ÉÄÁ

±±¨î¥Íª«Åé¸`«ßªº¤º¦b¥Í²z¾÷¨î¡A¦¹¤º¦b®ÉÄÁ¦b¯Ê¥F®É¶¡½u¯Á (time cue) ¤U¤´¯à§e²{¦Û¥Ñ¹BÂà (free running) ¡C±±¨î­÷¨Å°Êª«¤é©]¸`«ßªº¥D­n¤º¦b®ÉÄÁ¬°¦ì©ó¤j¸£©³³¡ªºµø¥æ¤e¤W®Ö (suprachiasmatic nuclei¡A²ºÙSCN) ¡C          

 

Internal desynchronization¤º¦b¸`«ß¥¢§Ç

¥Íª«Å餺ªº¥Í²z©Î¦æ¬°¸`«ß©¼¦¹§e²{®É¶¡¬Û¦ì (phase) ®t¡B¤£¨ó½Õªº²{¶H¡C¨Ò¦p¥¿±`±¡ªp¤U¡AÅé·Å¸`«ß©MºÎ¯v¸`«ß¬Û¦ì¨ó½Õ¡A¦]¦¹Åé·Å¤U­°¦Ü§C¨¦ªº´Á¶¡¥¿¬O©]±ßºÎ¯v®É¶¡¡F·í¨âªÌ§e²{¬Û¦ì¤£¨ó½Õ®É¡A©]±ß¤JºÎ®É¶¡¥i¯à³B©óÅé·Å¤W¤É¶¥¬q¡A¦p¦¹©ö¦³¤JºÎ§xÃø©Î¦­¿ôªº§xÂZ¡C

 

International classification of sleep disorders  (ICSD)  °ê»ÚºÎ¯v»Ùê¤ÀÃþ

°ê»ÚºÎ¯v±M®a¨Ì±M®a¦@Ãѩҭq©wªººÎ¯v»Ùê¶EÂ_¤Î¤ÀÃþ¼Ð·Ç¡A¬ü°êºÎ¯vÂå¾Ç¾Ç·|  (American Academy of Sleep Medicine, ­ìAmerican Sleep Disorders Association) ¬°¥D¾É¹ÎÅé¡C

 

Intrinsic sleep disorders ¤º¦]©ÊºÎ¯v»Ùê

¦]­ÓÅ餺¦b­ì¦]¾É­PªººÎ¯v»Ùê¡A¬°°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤ºÎ¯v²§±` (dyssomnia) Ãþªº¶µ¥Ø¤§¤@¡C

 

Irregular sleep-wake pattern ¤£³W«ßªººÎ¿ô«¬ºA

¤£³W«ßªººÎ¯v¤Î²M¿ô®É¶¡¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤é©]¸`«ßºÎ¯v»Ùê (circadian rhythm sleep disorders)  ¶µ¥Ø¤U¡C

 

Jet lag ®É®t

¦]¬°§Ö³t¾î¶V¼Æ­Ó®É°Ï (¦p­¸¦æ) ©Ò¤Þ°_ªº¤º¦b¤é©]¸`«ß (circadian rhythm) »P¥~¦b®É¶¡½u¯Á (time cue) ¤£¦P¨B (desynchronized) ªº²{¶H¡C®É®t¥i¯à¾É­P¥¢¯v¡B¸z­G¤£¾A¡BÀYµh¡BµtºÎ¡BµLªk±M¤ß¡B¤u§@¤£¤Oµ¥§xÂZ¡C

 

K-complex  K½Æ¦Xªi

¸£ªi¤¤§e²{¦y¯U«¬¡B­t¹q¦ìªiÀH§YÂର¥¿¹q¦ì¡B°ª´T«×¡BºCªi¯S¼xªÌ§Y¬°K½Æ¦Xªi¡CK½Æ¦Xªi¬°²Ä¤G´ÁºÎ¯v (Stage 2 sleep) ªº¸£ªi¯S¼x¤§¤@¡A¥i¯à¨ü¨­Å餺³¡¨ë¿E©Î¥~¦b¨ë¿E©Ò¿Eµo¡C

 

Kleine-Levin syndrome §JµÜ§õ¤å¯g­Ô¸s

¦Aµo©Ê¹L¯v (recurrent hypersomnia) ªº¤@ºØ¡A³q±`µo¥Í¦b«C¤Ö¦~¡A­Ó®×·|­«½Æ¦a¥X²{¹L«×¶ÝºÎ (excessive sleepiness) ªº²{¶H¡A¦³®É¦ñÀH¼É­¹©Î©Ê¼¤¹L±jªº²{¶H¡C¨C¦¸¯gª¬¥X²{®É¥iºû«ù´X¤Ñ¨ì´X­Ó¬P´Á¤§¤[¡A¨â¦¸µo§@¤§¶¡«h¥i¯à¶¡¹j´X¶g¨ì´X­Ó¤ë¡C

 

Larks  (morning people)  ¶³³¶«¬ (¦­±á«¬ªº¤H)

¦Ûı¤@¤Ñ¤¤ÄµÄ±«×³Ì°ª¥B¤u§@ªí²{³Ì¦n¬O¦b©ó¦­±á®É¬qªº¤H¡C

 

Light-dark cycles ¡u«G¢w·t¡v¶g´Á

¦]µÛ¦a²y¦ÛÂà¡A¦a²y¤W¬Y¤@©wÂIªº¤Ó¶§¥ú·Ó«G«×¤]§e²{¸`«ßÅܤơA¦Ó¦¹¡u«G¢w·t¡v¶g´Áªø«×µ¥©ó¦a²y¦ÛÂà¶g´Á¡A§Y¬ù¬°24¤p®É¡C¡u«G¢w·t¡v¶g´Á¬O¤@­«­nªº¥~¬É®É¶¡½u¯Á (time cue) ¡A³\¦h¥Íª«Å骺¤º¦b¤é©]¸`«ß (circadian rhythm) ¨ÌµÛ¡u«G¢w·t¡v¶g´Á¦Ó¶i¦æ®Õ·Ç¹BÂà (entrained, entrainment) ¡C

 

Light box ·Ó¥ú²°

¥ú·ÓªvÀø©Ò¨Ï¥Îªº¤H¤u¥ú½u¨Ó·½¡A³q±`¥ú½u±j«×³£¦b2500·Ó«× (lux) ¥H¤W¡C

 

Light sleep ²LºÎ

¤Þ°_ı¿ô¤ÏÀ³ªº¨ë¿EìH­È (threshold) ¸û§CªººÎ¯v¤À´Á (sleep stage) ¡A³q±`«ü²Ä¤@´ÁºÎ¯v (Stage 1 sleep) ¡C

 

Light therapy ¥ú·ÓÀøªk

¨Ï¥Î±j¥ú·Ó®g¥HªvÀøºÎ¯v»Ùê©Îºë¯«¯e±wªº¤èªk¡C¥ú·Ó¬°¤@­«­nªº®É¶¡½u¯Á (time cue) ¡Aí©wªº¡u«G¢w·t¡v¶g´Á¥i¥H®Õ·Ç¤é©]¸`«ß (circadian rhythm) ¡A¦Ó¯S©wªº¥ú·Ó®É¶¡¬Æ¦Ü¥i¥H¦ì²¾ (shift) ¤é©]¸`«ßªº¶g´Á¬Û¦ì (phase) ¡C¦¹¥~¹ï©ó¤HÃþ¡A¥ú½u¨ã¦³«P¶iı¿ô (arousal) ªº§@¥Î¡AÁöµM¦¹§@¥Î¥i¯à»·¸û¨ä®É¶¡½u¯Á§@¥Î¬°®z¡C¯S©w®É¶¡¬I»P¥ú·Óªº§Þ³N¤wÀ³¥Î©ó©u¸`©Ê±¡·P¯e±w (seasonal affective disorder) ©M¤é©]¸`«ßºÎ¯v»Ùê (circadian rhythm sleep disorders) ªºªvÀø¡C

 

Limit-setting sleep disorder ºÎ¯v¬ö«ß¤£¨}¤§ºÎ¯v»Ùê¡B­­¨î³]©wºÎ¯v»Ùê

¬°¨àµ£´ÁªººÎ¯v»Ùê¡A¦]¬°·ÓÅUªÌ¥¼¯à¦³®Ä¦a­­¨î¤W§É®É¶¡¡A¦Ó³y¦¨¤p«Ä¦b¸Ó¤W§Éªº®É¶¡©ì©µ©Î¬O©Úµ´¤W§É¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¥~¦]©ÊºÎ¯v»Ùê (extrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Long sleeper ªøºÎªÌ

ºÎ¯v»Ý¨D®É¶¡¦V¨Ó©úÅãªø©ó¦P¦~ÄÖ¼h¥­§¡­Èªº¤H¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤±NªøºÎ¦C¬°¼ÈÀÀºÎ¯v»Ùê (proposed sleep disorders) ¶µ¥Ø¤§¤@¡A¦]¬°ªøºÎªÌ¦ü¥G°£¤F©]±ßºÎ¯v®É¶¡µyªø¥~¡A¨ÃµL¨ä¥LºÎ¯v§xÂZ¡C

 

Lucid dream  ²M©ú¹Ú¡B²M´·¹Ú¹Ò

¹Ú¹Ò¤¤§@¹ÚªÌ¦Ûı¥¿¦b§@¹Ú¡A¦¹Ãþ¹Ú¹Ò¥uµo¥Í©ó§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¤¤¡C

 

Maintenance of wakefulness test  (MWT)  ²M¿ô«×ºû«ù´ú¸Õ¡B²M¿ôºû«ù´ú¶q

´ú¶q­ÓÅé²M¿ôµ{«×ªº¤èªk¡C´ú¸Õµ{§Ç¬°¥Õ¤Ñ¨C¹j2¤p®É¥O¨ü´úªÌ¥bª×§¤©ó¶Â·t¤¤¦ý»Ý¾¨¶q«O«ù²M¿ô¡AÂǥѸ£¹q¹Ï (EEG) ¡B¦Ù¹q¹Ï (EMG) ¡B¤Î²´°Ê¹Ï (EOG) ªº¦P¨B°O¿ý¥i´úª¾¨ü´úªÌ©ó´ú¸Õ®É¬q¤¤¬O§_ºÎµÛ¨Ã¦h§ÖºÎµÛ¡C¨ü´úªÌ¶V§ÖºÎµÛ¥Nªí²M¿ô«×¶V§C¡C

 

Menstrual-associated sleep disorder ¦ñÀH¤ë¸g¶g´ÁªººÎ¯v»Ùê

¦ñÀH¤ë¸g©Î°±¸g«e«á®É¨èªº¥¢¯v©ÎµtºÎ§xÂZ¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê¦C¬°¼ÈÀÀºÎ¯v»Ùê (proposed sleep disorders) ¶µ¥Ø¤§¤@

 

Microsleep·LºÎ¡B·L¤JºÎ

²M¿ôª¬ºA¤¤¥X²{µu¼È¼Æ¬í¡BµL¹wĵªººÎ¯vª¬ºA¡A¤@¯ë±`µo¥Í©óºÎ¯v¤£¨¬ªÌ¡C

 

Mixed apnea ²V¦X«¬ºÎ¯v©I§l¤¤¤î¡B²V¦X«¬ºÎ¯v©I§l¼È¤î                         

¦bºÎ¯v¹Lµ{¤¤¡Aªý¶ë«¬ºÎ¯v©I§l¤¤¤î (obstructive sleep apnea) »P¤¤¼Ï«¬ºÎ¯v©I§l¤¤¤î (central sleep apnea) ¥æ´À²VÂø¦s¦b¤§²{¶H¡C

 

Nap ¤pºÎ

µu®É¶¡ªººÎ¯v¡C

 

Narcolepsy Ö`ºÎ¯g¡Bµo§@©Ê¶ÝºÎ¯g¡Bµo§@©ÊºÎ¯f

¤@ºØ¥D­n¯S¼x¬°¹L«×¶ÝºÎ (excessive sleepiness) ªººÎ¯v»Ùê¡A¸g±`¦ñÀH¦³Ö`­Ë¯g (cataplexy) ¡BºÎ¯v·ò·ô¯g (sleep paralysis) ©MÁ{ºÎ¤Ûı (hypnagogic hallucinations) µ¥»P§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ²{¶H¬ÛÃöªº¯gª¬¡C¨ä¦hÀW¹DºÎ¯v°O¿ý (polysomnogram) Åã¥Ü¶i¤JºÎ¯v®É¡A±`ª½±µ¥Ñ²M¿ôª¬ºA¶i¤J§Ö³t°Ê²´ºÎ¯v¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤º¦]©ÊºÎ¯v»Ùê (intrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Nasal continuous positive airway pressure apparatus»óµÄ¥¿À£©I§l¾¹¡B¸g»ó³sÄò¥¿À£©I§l¾¹¡B¸g»ó¥¿À£©I§l¾¹

¸g»óµÄ«ùÄò©Êµ¹¤©©I§l¹D¥¿À£ªº©I§lªvÀø¸Ë¸m¡A±`¥Î©óªvÀøºÎ¯v©I§l¤¤¤î¯g (sleep apnea) ¡C©I§l¾¹ºÞ¸ô¥½ºÝ³s±µ¤@»ó¸n¥Î¥H¸n¦í±wªÌªº»ó¤l¡A¸g©I§l¾¹ªº³q®ð°j¸ô¥[À£§@¥Î¡A¨Ï±wªÌ©I§l¹D©ó¾ã­Ó©I§l¶g´Á¤¤³£ºû«ùµÛ¤j©ó¤j®ðÀ£ªºÀ£¤O¡AÂÇ¥Hºû«ùºÎ¯v®É©I§l¹DªººZ³q¡C°Ñ¦Òcontinuous positive airway pressure apparatus¡C

 

Nightcap ºÎ¯vÀY¸n

²©öªººÎ¯v´ú¶q¸Ë¸m¡A¥ÑAdam Mamelak©MJ. Allan Hobson©Ò³]­p¡CºÎ¯vÀY¸n°O¿ý²´²yÂà°Ê¤Î¨­Å鬡°Ê°T¸¹¨Ã¨Ì³o¨â°T¸¹¯S¼x°Ï¤À²M¿ô¡B«D§Ö³t°Ê²´ºÎ¯v (non-rapid-eye-movement sleep, NREM sleep) ¡B©M§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¤T­ÓºÎ¿ôª¬ºA¡C

 

Nightmares, Nightmare disorder ¹ÚÆL

¦]¬°¥O¤HÅåÀ~ªº¹Ú¹Ò¦Ó¥Ñ§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¤¤Åå¿ô¡A¬O°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¥H¤ÎDSM-IVºÎ¯v»Ùꤤ²§ºÎ¯g (parasomnias) ªº¤@ºØ¡C

 

Night terrors ©]Åå

¨£Sleep terrors¡C

 

Nocturnal cardiac ischemia ©]¶¡¤ßŦ¯Ê¦å

ºÎ¯v®Éµo¥Í¤ß¦Ù¯Ê¦åªº²{¶H¡C±wªÌ¦bºÎ®É­Yµo¥Í¤ßŦ¯Ê¦å¨Ã¤Þ°_©úÅã¤ßµ±µh¡A¦¹®ÉºÙ¬°©]¶¡¤ßµ±µh¡C©]¶¡¤ßŦ¯Ê¦åªº±wªÌ¤]±`¦b¥Õ¤Ñµo¥Í¤ß¦Ù¯Ê¦å¡CµM¦Ó¡A¬Y¨ÇºÎ¯v©I§l»Ùꪺ±wªÌ (¦pªý¶ë«¬ºÎ¯v©I§l¤¤¤î¯g (obstructive sleep apnea) ) ¥u¦bºÎ¯v®Éµo¥Í¤ß¦Ù¯Ê¦å²{¶H¡C©]¶¡¤ßŦ¯Ê¦åªº¨ä¥L¦MÀI¦]¤l (risk factor) ¥]¬AªÎ­D¡B°ª¦å¯×ªÕ¡B©âµÒ¡B¤ßŦ¯f®a±Ú¥vµ¥¡C

 

Nocturnal eating  (drinking)  syndrome ©]¶¡¶¼­¹¯g­Ô¸s

¤ÏÂХѺίv¤¤¿ô¨Ó¡A¨S¦³¦Y©Î³ÜªF¦è§YµLªk¦A¤JºÎªººÎ¯v§xÂZ¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¥~¦]©ÊºÎ¯v»Ùê (extrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Nocturnal enuresis ©]§¿¯g¡B§¿§É

©]¶¡©ÎºÎ¯v®É«D·N§Ó©Êªº±Æ§¿¡C§¿§É³Ì±`µo¥Í©óºÎ¯vªº«e¤T¤À¤§¤@¬q²×¤F®É¡C

©]§¿¯g¥iµo¥Í©ó¦¨¤H¤Î¤p«Ä¡A¦ý¬O¸û±`µo¥Í©ó¤p«Ä¡C­ìµo©Ê§¿§É¥D­nµo¥Í©óÀ¦¥®¨à®É´Á¡A¥i¯à°_¦]©ó±Æ§¿±±¨î¨t²Î©|¥¼¦¨¼ô©Î»H¯Ö²§±`¦p»H¯Ö¤Ó¤p©Î¬A¬ù¦Ù¾÷¯à²§±`¡C¤­·³¥H«eªº¤p«Ä¦bºÎ®É¤ÏÂÐ¥B¤£ÀH·Nªº±Æ§¿¬O¥¿±`ªº¡C¤@¯ë¦ô­p6·³¤p«Ä¬ù¦³ 10% ¦³§¿§Éªº²{¶H¡A¨ä¤¤¨kµ£¦h©ó¤kµ£¡CÄòµo©Ê§¿§É±wªÌªº±Æ§¿±±¨î¨t²Î¤w¦¨¼ô¡A¦ý¦b¬Y¨Ç¦]¯À (¦p§¿¸ô·P¬V¡B»H¯Ö©ÎÄáÅ@¸¢¸~½F¤Þ°_ªº§¿¸ô¬A¬ù¦Ù¾÷¯à»Ùê¡Bªý¶ë©ÊºÎ¯v©I§l¤¤¤î¯g (obstructive sleep apnea) µ¥) ¼vÅT¤Uµo¥Í©]¶¡±Æ§¿±±¨î²§±`¦Ó¦³§¿§É²{¶H¡C

 

Nocturnal gastroesophageal reflux©]¶¡­G­¹¹D°f¬y¡B©]¶¡µo§@ªº­¹¹D°f¬y¡B©]¶¡­G»Ä°f¬y

ºÎ®É­G»Ä°f¬y¨ì­¹¹Dªº²{¶H¡CºÎ®É­G»Ä°f¬y¨ì­¹¹D¦Ó¤Þ°_¯Ýµh¡B¿N¨`·P¡A¦P®É¼L¤Ú¦³»Ä¨ý¡A±wªÌ¥i¯à¦]¦¹¦Ó¿ô¨Ó¡C¬Y¨ÇºÎ¯v»Ùê (¦pªý¶ë«¬ºÎ¯v©I§l¼È¤î¯g (obstructive sleep apnea) ) ©Î©I§l¨t²Îªº¯e¯f  (¦p­ý³Ý) ±`¦X¨Ö¦¹¯f¡C©]¶¡µo§@ªº­¹¹D°f¬y¥i¤Þ°_«|ÀYª¢¡A³ïÀYµjÅˤέG»Ä¨ë¿E¤Þ°_ªº§]Ã`§xÃø¡F¨ä¨Öµo¯g¥]¬A­¹¹Dª¢¡B¼ìºÅ¡B­¹¹D¤Þ°_½I²ª¡B¬Æ¦Ü§ôºò¡B­¹¹DÀù«e´Á¯f¨_¡B¶i¦Ó¤Þ°_­¹¹DÀù¡C±wªÌ¤]¥i¦]­¹¹D°f¬y¦Ó¤Þ°_³Ý»ïµo§@¡B¦ü¤ßµ±µhªº¯Ýµh¡B§l¤J©ÊªÍª¢¬Æ¦ÜªÍÁw¯f¡C

 

Nocturnal myoclonus ©]¶¡¦Ù¦×©â°Ê¡B©]¶¡¦Ù©âÅD¡B©]¶¡¦Ù¦×°}Å˯f

¤S¦W¶g´Á©ÊªÏÅé©â°Ê¯g (periodic limb movement) ¡A¦nµo©ó¦Ñ¦~¤H¡A¦bºÎ¯v®É¨ä³æ°¼©ÎÂù°¼ªº¤j©æ³k¤Î¸}½ï·|¥H¥­§¡20¦Ü40¬í¤§¶¡¹j¦¬ÁY¤@¦¸¡A¦³®É½¥»\©M¤j»L¤]·|Ås¦±¤@¤U¡A¦¬ÁY®É¶¡¬ù«ùÄò0.5¦Ü4¬íÄÁ¡C¦¹°Ê§@·|Åý¯f¤H¿ô¹L¨Ó¡A¦ý¥ç¦³±wªÌ©l²×¤£ª¾¦Û¤v¦³³oºØ¤£ÀH·N°Ê§@¡C­Y¤@©]¤¤±wªÌ¦]¦¹¿ô¨Ó¼Æ¦¸¡A«h¥i¥H¾É­P¥¢¯v©ê«è¡C

 

Nocturnal penile tumescence ©]¶¡³±²ô«k°_

©Ê¥\¯à¥¿±`ªº¨k©Ê©óºÎ¯v¤¤¶¡Â_¥X²{³±²ô«k°_¡A¦Ó¦¹¥D­n¬Oµo¥Í©ó§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¤¤¡C

 

Nocturnal rhythms ©]¶¡¸`«ß

¦P¤é©]¸`«ß (circadian rhythms) ¡C¬ã¨sªÌ¦³®É¥H©]¶¡¸`«ß¯S«ü©]¶¡¬¡°Ê«¬°Êª«ªº¤é©]¸`«ß¡C

 

Nocturnal seizures ©]¶¡Åöíwµo§@

©]¶¡ºÎı®Éµo§@ªºÅöíw¡A¥iµo¥Í¦bºÎ¯vªº¥ô¦ó®É´Á¡A¦ý¥D­nµo¥Í¦b«D§Ö³t°Ê²´ºÎ¯v (non-rapid-eye-movement sleep, NREM sleep) ªº²Ä¥|´Á (Stage 4) ¤Î§Ö³t°Ê²´ºÎ¯v´Á (Stage REM) ¡C

 

Non-24-hour sleep-wake disorder«D24¤p®ÉºÎ¿ô¶g´Á»Ùê

ªø´Á¨C¤Ñ¤W§É¤JºÎ¤Î°_§É®É¶¡³W«ß¦a¤ñ«e¤@¤é©µ«á1-2¤p®É¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤é©]¸`«ßºÎ¯v»Ùê (circadian rhythm sleep disorders) ¶µ¥Ø¤U¡C

 

Non-rapid-eye-movement sleep, NREM sleep «D§Ö³t°Ê²´ºÎ¯v¡B«D§Ö³t²´°ÊºÎ¯v¡B«D³t²´°ÊºÎ¯v

¤@¯ë¤H¥Ñ²M¿ô¶i¤JºÎ¯v®É³Ì¥ý¥X²{ªººÎ¯v´Á¬°«D§Ö³t°Ê²´ºÎ¯v¡A¦¹®É¸£ªiÀHºÎ¯v²`«×¥[²`¦Ó¥X²{¸û¦hªº°ª´T«×ºCªi¡A¦Ó¤ß¸õ¤Î©I§lÅܺC¦ý³W«ß¡C·s¥Í¨à¡Bªø´ÁºÎ¯v­é¹ÜªÌ¡BÖ`ºÎ¯g (narcolepsy) ±wªÌ¤Î¦]ÃĪ«©Î¨ä¥L¯e¯f¤Þ°_¤~·|¤@¤JºÎ§Y¥X²{§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¡C

 

Nonrestorative sleep µL«ì´_ºë¯«®ÄªG¤§ºÎ¯v¡BµLºë¯«¹¡¨¬´_¤¸¤§ºÎ¯v¡B«D´_µdºÎ¯v

®É±`¤¤Â_©Î¤@ª½³B©ó²LºÎªººÎ¯v¡A¿ô¨Ó«á¨­¤ß¤´¥¼¥þµMı¿ô¡Bı±o¥¼ºÎ¹¡¨¬¡C

 

Obstructive sleep apnea syndrome ªý¶ë©ÊºÎ¯v©I§l¤¤¤î¯g­Ô¸s¡Bªý¶ë©ÊºÎ¯v©I§l¼È¤î¯g­Ô¸s

¦bºÎ¯v¹Lµ{¤¤¡A¥Ñ©ó¤W©I§l¹D¦Ù¦×¸s¤£¨ó½Õ¡B«|³¡³n²Õ´¹L©óÃP«p¡B«ó®ç¸¢¼W¥Í©ÎªÎ¤jµ¥¦Ó³y¦¨ºÎ®É¤ÏÂеo§@¤W©I§l¹D³¡¥÷©Î¥þ³¡ªý¶ë¡A©I§l¹Dªºªý¶ë¥i¯à¦ñÀHµu¼Èı¿ô (arousal) ¡C±wªÌºÎ®É±`¦³²¿®§©Î³z¤£¹L®ðªº·Pı¡B¤ÏÂбqºÎ¤¤¿ô¨Ó¡BºÎ¯v¤£¨¬¡B¥Õ¤Ñ­Â«å©Î©ü©ü±ýºÎ¡BµLªk¶°¤¤ª`·N¤Oµ¥¯gª¬¡C±wªÌ±`¦X¨Ö¦³ªÎ­D¡B¥´ÂM¡B°ª¦åÀ£¡BªÍ°ªÀ£¯g¡B©]¶¡¤ßµ±µh¡B­G­¹¹D°f¬y¡B¥Í¬¡«~½è¤£¦n¤Î¥¢¯v¡C»¤µo¦]¤l¥]¬AªÎ­D¡B¨k©Ê¡BÆ`ÃCÀV³¡µ²ºc²§±`¡q¥]¬A¤WÃE»P¤UÃEµo¨|¤£¦n¡B«|ÀY³n²Õ´©Î²O¤Ú²Õ´¼W¥[¡B»óªý¶ë¡r¬Y¨Ç¤º¤Àªc¯e¯f¡q¦p¥Òª¬¸¢¾÷¯à§C¤U¡AªÏºÝªÎ¤j¯g¡r¤Î®a±Ú¯f¥v¡C

 

Ondine's curse ¶ø¤B¤§¶A©G

ºÎ®É¥¢¥h¦Û¥D©I§l¯à¤O¦Óµo¥Í¤¤¼Ï©Ê©I§l¤¤¤î (central sleep apnea) ªº²{¶H¡C1962¦~ John Seneringhouse ¤Î Robert Mitchell ´y­z¤T¦ì±wªÌ¦bºÎı®Éµo¥Í©I§l°±¤î²{¶H¡A¦ý¥iÂÇ©I§l¾¹À°§U©I§l¡C¤¤¼Ï©ÊºÎ¯v©I§l¤¤¤î¥i¬°­ìµo©Ê©I§l¤¤¼Ï¯«¸g¨t²Î¾÷¯à»Ùê©Î¦ñÀH¯«¸g¾Ç»Ùê¦p¸£·F¯fÅܩίáÅ観¯fÅÜ¡BÆ{¦å©Ê¤ßŦ°IºÜ¡BÃĪ«¨Ï¥Îµ¥¡C±wªÌ¥Ñ©óµLªkºû«ù©]±ßºÎ¯v¦Ó§e²{¥Õ¤ÑµtºÎ¡C

 

Optional sleep  ¿ï¾Ü©ÊºÎ¯v

­^°ê¤ß²z¾Ç®aJames Horne»{¬°¿ï¾Ü©ÊºÎ¯v¬O¦bº¡¨¬°ò¥»»Ý¨D«á¦Û¥D·NÃÑ¿ï¾Ü¤UªººÎ¯v¶q¡A§Y¥u­n¦b°ò¥»ºÎ¯v¶qº¡¨¬±¡ªp¤U¡A¿ï¾Ü©ÊºÎ¯vªº¼W¦h©Î´î¤Ö¨Ã¤£¼vÅTºÎ¯v¥\¯à¡C

 

Oral appliances¤f¤º¸Ë¸m¡B¾¦¬ìÁB¥¿¸Ë¸m

¸Ë¸m©ó¤fµÄ¤ºÃþ¦ü¾¦¬ìÁB¥¿¤ú®M¥H±N¤UÃE³¡ªº¦ì¸m©T©w©ó¤WÃE³¡«e¤è©ÎªÌ±N¦ÞÀY©Ô¦V¸û«e¤èªº¦ì¸m¡A¦¹¸Ë¸m¥i¨ó§Uºû«ù½öºÎ®É©I§l¹Dªº¶¶ºZ¡C

 

Orexin «P­¹¯À

¦Phypocretine¡C¦]¨ä¦³«P¶i¶i­¹¦æ¬°§@¥Î¦ÓºÙ¤§¡C¯Ê¥F¦¹¯«¸g¶Ç¾É¯À©Î¨ä±µ¨ü¾¹ (receptor) ªº¹êÅç°Êª«³£§e²{Ö`ºÎ¯g (narcolepsy) ªºÃþ¦ü¯gª¬¡A¦p²M¿ôª¬ºA®ÉÖ`­Ë (cataplexy) ¡BºÎ¯vµo§@ (sleep attack) ¡Bª½±µ¥Ñ²M¿ôª¬ºA¶i¤J§Ö³t°Ê²´ºÎ¯v (sleep-onset REM periods) ¡C¦³¨ÇÖ`ºÎ¯g±wªÌ¨ä¸£¯áÅè²Gªºªº«P­¹¯À¿@«×¤ñ¤@¯ë¤H§C¡A¦³¨Ç±wªÌ¦º«áªº¤j¸£²Õ´Åã¥Ü¤Àªc¦¹¯«¸g¶Ç¾É¯Àªº¤Uµø¥C²Ó­M¤]¤ñ¤@¯ë¤Hµ}¤Ö¡C

 

Oximeter ¦å®ñ­p

¨£oximetry¡C

 

Oximetry¦å®ñ´ú¶q

¦]®ñ¦X¦å¬õ¯À (oxyhemoglobin) »PÁÙ­ì¦å¬õ¯À (reduced hemoglobin) ªº§l¦¬¥úÃФ£¦P¡A¦]¦¹À³¥Î¥úÃФÀªR­ì²z (spectrophotometry) ¥i´ú¶q¦å²G¤¤¬õ¦å²y¦å¬õ¯ÀªºÄâ®ñ¶q¡A§Y¦å®ñ¹¡©M¿@«× (degree of blood oxygen saturation) ¡C¦hÀW¹DºÎ¯v°O¿ý (polysomnography) ¤]¥]§t¦¹¶µ´ú¶q¡C

 

Oxygen saturation®ñ®ð¹¡©M«× blood oxygen saturation¦å®ñ¹¡©M¿@«×

¦å²G¤¤¬õ¦å²y¦å¬õ¯ÀªºÄâ®ñ¶q¡C¦å®ñ­p (oximeter) ´ú¶q®ñ¦X¦å¦â¯À»P (®ñ¦X¦å¦â¯À+ÁÙ­ì¦å¦â¯À) ªº¦Ê¤À¤ñ­È¡C¦å®ñ¹¡©M¿@«×ªº¥¿±`­È¦b90-100%¤§¶¡¡C

 

Oxygen desaturation ®ñ®ð¹¡©M«×¤U­°¡B®ñ®ð¤£¹¡©M blood oxygen desaturation¦å®ñ¹¡©M«×¤U­°¡B¦å®ñ¤£¹¡©M

¦å®ñ¹¡©M«×µu¼È¤U­°¡A³q±`¤£¶W¹L¤@¤ÀÄÁ§Y¦^´_¥¿±`©Î°ò¦­È¡C

 

Panic disorder®£·W¯g

¬O¤@ºØ¦ÛµM¦ÓµLªk¹w´úªº¬ðµo±j¯P®£Äßµo§@¡A¦¹ºØµo§@¬O¶¡·²©Êªº¡A¨äµo§@ÀW²v¥i¥H

¤@¤Ñ¤§¤º¦³¦n´X¦¸, ¥ç¥i¦b¤@¦~¤§¤º¶È¦³¼Æ¦¸¡Cµo§@¯gª¬°£¤F®`©È¤§¥~¡A¦³¤U¦C¯gª¬¤¤ªº¥|ºØ¥H¤W§Y¥i°µ¦¹¶EÂ_¡G¤ß®¯¡B¬y¦½¡Bµo§Ý¡B©I§l«æ«P¡B¯Ýµh¡B¤£µÎªA¡B±ð¼O·P¡Bäú¤ß¡BÀY·w¡B¥¢¯u·P¡B©È¥¢¥h±±¨î¡B©ÈµoºÆ¡B±N¦º¤§·Pı¡B¥þ¨­³Â¤ì¡B¤Î§N¼ö¼é¬õ¡C¥t±wªÌ·|«ùÄò¾á¤ß¦Aµo§@¡A¤Îµo§@®É¥i¯à¾É­P¤§¥¢±±¤Î¤ßŦ¯fµo¥Í¡C¦¹¯f±`·|¦ñÀHÄßÃm¯g (agoraphobia) ¡A§Y®`©È¦Ü¤½¦@³õ©Ò¸¨³æ¡A©Èµo§@®É°k¤£¥X¥h¡A¦p¦Ü¥«³õ¦a°Ï¡CºÎ¯v¤¤®£·Wµo§@¥i¯à¦ñÀHı¿ô¦Ó¨Ï±wªÌ¦³¥¢¯vªº©ê«è¡C

 

Paradoxical intention ¥Ù¬ÞÀøªk¡B¥Ù¬Þ·N¦Vªk

»{ª¾¦æ¬°ªvÀøªº¤@ºØ§Þ¥©¡A³z¹L±Ð¾É­Ó®×µ¹¤©¦Û¤v»P±ý¹F¦¨¥Øªº¬Û¤¬¥Ù¬Þªº«ü¥Ü¡A¥Î¥H­°§C­Ó®×ªºªí²{µJ¼{ (performance anxiety) ¡C³o­Ó¤èªk¤]³Q¥Î¨ÓªvÀø¥¢¯v¡A±Ð¾É­Ó®×¸ÕµÛÅý¦Û¤vºû«ù²M¿ô¡A¥Î¥H­°§CÃø¥H¤JºÎªºµJ¼{¡A¶i¦ÓÀ°§U¤JºÎ¡C

 

Paradoxical sleep ²§«¬ºÎ¯v¡B¥Ù¬ÞºÎ¯v¡B°f²zºÎ¯v¡B¦Q¸ÞºÎ¯v

¥Î¥H«üºÙ°Êª«ªº§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¡Cªk°êºÎ¯v¾ÇªÌMichel Jouvet©ó¦è¤¸1959¦~µoªíªº½×¤å¤¤¡A¥H¡u²§«¬ºÎ¯v ¡v¤@µü«üºÙ¨ä¬ã¨s¹ï¶H¢w¿ß³B©ó¸£¹q¹Ï§e²{Ãþ¦ü²M¿ô®Éªºªi°Ê¡AµM¦Ó¦æ¬°¤W«o§e²{ºÎ¯v¯S¼xªºª¬ºA¡AÀH«áªº¬ã¨sµ²ªGµo²{¿ß¦b°f²zºÎ¯v¤¤¨ä²´²y¤]·|¥X²{¶¡Â_ªº§Ö³tÂà°Ê²{¶H¡B¦Ù¦×±i¤O¥þµMÃP¦¢ (atonia) ¡B¶¡·²¥X²{µu¼Èªº©âÝz¡B©I§l¤Î¤ß¸õ¸û¤£Ã­©wµ¥§Ö³t°Ê²´ºÎ¯vªº¯S¼x¡C

 

Parasomnias ²§ºÎ¯g¡BÃþºÎ¯g

ºÎ¯v¤¤¥X²{²M¿ô®É³¡¥÷¯S¼xªº²§±`¯gª¬¡C²§ºÎ¯g¬°°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤¤§²Ä¤G¤jÃþ¡C

 

Parkinsonism¤Úª÷´µ¯g¡B¤Úª÷´Ë¤ó¯g­Ô¸s

¥Ñ©ó¯«¸g¶Ç¾É¯À¦h¤ÚÓi (dopamine) ¯Ê¥F¤Þ­P¸£°ò©³®Ö (basal ganglia) ªºÅܤơA¥]¬A²Ó­M°h¤Æ¡A¦åºÞµoª¢¤ÏÀ³¡A¥ç¥i¦]§Üºë¯«¯fÃĪ«¤Þµo¡A¬O¤@ºØÁ{§É¯g­Ô¸s¡C¥X²{¤U¦C¤¤ªº¥ô¦ó¨â¶µ§Y²Å¦X¦¹©w¸q¡G¥ð®§©Ê¤â§Ý¡B»øµw¡B°Ê§@¿ð½w¡B¨­Åé«e¶É¡B«º¶Õ¤Ï®g®ø¥¢¤Î¬ðµMµLªk°Ê§@ (freezing phenomenon) ¡A¦ý¨â¶µ¤¤¦Ü¤Ö­n¦³¤@¶µ¬O¥ð®§©Ê¤â§Ý©Î°Ê§@½wºC¡C¦¹¯g±`¦ñÀH¦UºØºÎ¯v»Ùê¡C¤Úª÷´Ë¤ó¯g­Ô¸s¥]¬A­ìµo©Ê¤Úª÷´Ë¤ó¯g (Parkinson¡¦s disease) ¤ÎÄòµo©Ê¤Úª÷´Ë¤ó¯g (secondary parkinsonism) µ¥¡C

 

Peptic ulcer disease ®ø¤Æ©Ê¼ìºÅ

®ø¤Æ©Ê¼ìºÅ¥D­nµo¥Í©ó­G©M¤Q¤G«ü¸z²y³¡ªº¼ìºÅ¡A¦]¦¹¥çºÙ¬°­G¡B¤Q¤G«ü¸z¼ìºÅ¡C¼ìºÅ¥ç¥iµo¥Í©ó­¹¹D¤UºÝ¡C¨äµo¥Í»P­G»Ä©M­G³J¥Õ×Qªº®ø¤Æ§@¥Î¦³Ãö¡C¥Ø«e»{¬°«Õªù±ìµß¤]¬O­P¯fªº­ì¦]¤§¤@¡CºÎ¯v¤¤®ø¤Æ©Ê¼ìºÅ¤Þµoªº¸¡³¡¯kµh©Î¤£¾A¥i¯à¾É­Pı¿ô (arousal) ¡BºÎ¯v¤¤Â_¡C

 

Periodic breathing ¸`«ß©Ê©I§l¡B¶g´Á©Ê©I§l

¥Ñ©ó©I§l¤¤¼Ïªº±Ó·P©Ê§ïÅܦӧe²{³q®ð¶q (ventilation) ³vº¥´î¤Ö¦Ü°±¤î¡BÀH«á³q®ð¶q³vº¥¼W¥[¦Ü¹L«×«á¤S¦^¨ì³q®ð¶qº¥´îª¬ºA¡A¦p¦¹¶g¦Ó´_©l¡C·í³q®ð¶q³vº¥´î¤Ö¦Ü¼È¤î®É¡A°Ê¯ß¦åªº®ñ®ð¤ÀÀ£¤U­°¦Ó¤G®ñ¤ÆºÒ¤ÀÀ£¤Wª@¡A³o¨âºØÅܤƦP®É¿Eµo¥»¤w¨ü¨ì§í¨îªº©I§l¤¤¼Ï¦Ó²£¥Í³q®ð¶q³vº¥¼W¥[¡FÀH«á¦]³q®ð¶q¼W¥[¦Ü¹L«× (hyperventilation) ¦Ó¤Þ°_¦å¤¤¤G®ñ¤ÆºÒ¹L¤Ö (hypocapnia) ¾É­P©I§l¤¤¼Ï¬¡°Ê¤U­°¤Þµo©I§l¤¤¤î (sleep apnea) ²{¶H¡C¸`«ß©Ê©I§l±`µo¥Í©ó¤JºÎªì´Á¡A·í­ÓÅé¶i¤J¥­Ã­ªººÎ¯vª¬ºA®É¡A¸`«ß©Ê©I§l²{¶HÀH§Y®ø¥¢¡A«ì´_¥­Ã­ªº©I§l³t²v»P¼é®ð®e¿n (tidal volume) ¡CCheyne¤ÎStokeµo²{¤ßŦ¯f±wªÌ§e²{¸`«ß©Ê©I§l«¬¦¡¡A»{¬°¨ä¥i¯à»P´`Àô®É¶¡©µªø©Î¸£¤º¯e¯f¦³Ãö¡C¸`«ß©Ê©I§l¥iµo¥Í©ó¥ô¦ó¦~ÄÖ¦ý±`¨£©ó¨ã¦³©I§l»ÙꪺÀ¦«Ä¡C¸`«ß©Ê©I§l¦P®É¤]¬OºÎ¯v¬ÛÃö©I§l»Ùê  (¦pªý¶ë©ÊºÎ¯v©I§l¤¤¤î¯g (obstructive sleep apnea) ©Î¤¤¼Ï©ÊºÎ¯v©I§l¤¤¤î¯g (central sleep apnea) )  ªº¨å«¬©I§l«¬¦¡¡C

 

Periodic leg movements ¶g´Á©Ê¤UªÏ©â°Ê¡B°}µo©Ê¤UªÏ¹B°Ê¡B¶g´Á©Ê»L°Ê    

¤S¦W©]¶¡¦Ù¦×©â°Ê (nocturnal myoclonus) ¡A¦bºÎ¯v¤¤³¡¥÷ªÏÅé§e²{¶g´Á©Ê©â°Êªº²{¶H¡C±`¨£ªººÎ¯v¤¤ªÏÅé°Ê§@¬°¨¬½ï³¡ªº§Ö³t­IÁYÅs (dorsiflexion) ¡B¸}ªº¤j©i³k¥~®i¡B½¥»\©MÆb°©¤]¦P®É¤ºÅs¡C¦¹°Ê§@¨C20¦Ü 60¬í¶g´Á©Ê§e²{¡A¨C¦¸«ùÄò¬ù0.5¦Ü5¬í¡C¨£periodic limb movement disorder¡C

 

Periodic limb movement disorder ¶g´Á©ÊªÏÅé©â°Ê»Ùê¡B¶g´Á©ÊªÏÅé¹B°Ê»Ùê¡B¶g´Á©ÊªÏÅ鬡°Ê»Ùê

ºÎ¯v¤¤°}µo¶g´Á©ÊªºªÏÅé°Ê§@¡A¥i¯à³y¦¨±wªÌı¿ô (arousal) ¦Ó¤£¦Ûª¾¡A±wªÌ¥i¯à©ê«è¥¢¯v¡BºÎ¯v«~½è¤£¨Î¡B¥Õ¤ÑµtºÎ¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤º¦]©ÊºÎ¯v»Ùê (intrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Phase advance ¬Û¦ì«e²¾¡B¬Û¦ì´£«e

¨£phase shift¡C

 

Phase delay ¬Û¦ì«á²¾¡B¬Û¦ì«á©µ¡B¬Û¦ì©µ¿ð

¨£phase shift¡C

 

Phase response curve ¬Û¦ì¤ÏÀ³¦±½u

¥~¬É®É¶¡½u¯Á (time cue) ¨ë¿EÅý¤º¦b¤é©]¸`«ß (circadian rhythm) ¦ì²¾ªº¤j¤p¤Î¤è¦V·|ÀHµÛ®É¶¡½u¯Á¥X²{ªº®É¶¡¦Ó¦³¤£¦P¡C±N¤é©]¸`«ß¤ÏÀ³ªº¬Û¦ì¾E²¾ (phase shift) ¤j¤p¤Î¤è¦V¬Û¹ï©ó®É¶¡½u¯Á¥X²{ªº®É¶¡¬Û¦ì§@¹Ï¡A§Y¥iø¥X¬Û¦ì¤ÏÀ³¦±½u¡C

 

Phase shift ¬Û¦ì¾E²¾

¤é©]¸`«ß (circadian rhythm) ¦b®É¶¡¶b¤Wªº¦ì²¾²{¶H¡F·í¤é©]¸`«ß¬Û¦ì©¹¸û¦­®É¶¡¾E²¾®É¬°¬Û¦ì«e²¾ (phase advance) ¡A©¹¸û±ß®É¶¡¾E²¾®É«h¬°¬Û¦ì«á²¾ (phase delay) ¡C

 

Phasic state  (in REM sleep) , Phasic REM sleep °ÊºA§Ö³t°Ê²´ºÎ¯v

§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ªº¬Y¨Ç¯S¼x·|¶¡Â_¦b§Ö³t°Ê²´ºÎ¯v¥X²{¡A¥X²{³oÃþ¯S¼x®É§Y¬°°ÊºA§Ö³t°Ê²´ºÎ¯v¡F³oÃþ¯S¼x¥]¬A§Ö³t²´²yÂà°Ê (rapid eye movement) ¡B¦Ù¦×©âÝz (muscle twitches) ¡B¤ß¸õ¤Î©I§l¼@¯PÅܰʵ¥¡C

 

Pickwickian syndrome  Pickwickian¤ó¯g­Ô¸s

¦³¨Ç·¥«×ªÎ­Dªº±wªÌ·|¥X²{´«®ð¤£¨¬ªº²{¶H¡A¦Ó¦X¨Ö¥X²{ªÎ­D¡B¶Ý¯v¡B¬õ¦å²y¹L¦h¯g¡BªÍ°ªÀ£¯g¡B¥k¤ß°IºÜ¥H¤Î­¹¼¤¹L«×®ÉºÙPickwickian¤ó¯g­Ô¸s¡A¤]ºÙªÎ­DªÍªw³q®ð¤£¨¬¯g­Ô¸s (obesity hypoventilation syndrome) ¡C¦è¤¸1836¦~Charles DickeusªºPickwick Papers¤å³¹¤¤´y­z¤@¦ìªÎ­D¤p«ÄJoe Pickwickian¡A¨ä¸g±`§e²{¥´ÂM¥B¶ÝºÎ¡CPickwickian¯g­Ô¸s­ì¥»«ü¨ãªÎ­D¡B¶ÝºÎ¤Î¥k¤ß°IºÜ¯S¼xªº±wªÌ¡C

 

Polysomnograph ¦hÀW¹DºÎ¯v°O¿ý»ö

°O¿ýºÎ¯v¥Í²zª¬ºAªº»ö¾¹¡C¨£polysomnography¡C

 

Polysomnography ¦hÀW¹DºÎ¯v°O¿ý ¡B¦hÀW¹DºÎ¯vÀˬd

¦hÀW¹DºÎ¯v°O¿ý¥]¬A¸£¹q¹Ï (EEG) ¡B¦Ù¹q¹Ï (EMG) ¤Î²´¹q¹Ï (EOG) ªº°O¿ý¥H°Ï¿ëºÎ¯v¤À´Á (sleep stage) ¡A¦P®É¤]¥]¬A¤ß¸õ¡B©I§l¡B¦å®ñ¡BÅ髺¡B»L³¡¦Ù¹q¹Ïµ¥°T¸¹ªº°O¿ý¥H°»´ú¦ñÀHºÎ¯vªº©I§l¡BªÏÅé©â°Ê©Î¨ä¥L»Ùê¡C

 

Ponto-geniculo-occipital  (PGO)  waves ¡u¾ô¸£¢w½¥ª¬Åé¢wªE¸­¡vªi (PGOªi)

¥Ñ«D§Ö³t°Ê²´ºÎ¯v (non-rapid-eye-movement sleep, NREM sleep) ¶i¤J§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ªºÂà´«´Á¶}©l¦Ü§Ö³t°Ê²´ºÎ¯vµ²§ô¡A¦b³o¬q®É¶¡ùØ­Y±N°O¿ý¹q·¥´Ó¤J¤j¸£¤º¥i¦b³\¦h°Ï¦ì°O¿ý±o¯S®íªº¹q¦ìÅܤƪi°Ê¡C¡u¾ô¸£¢w½¥ª¬Åé¢wªE¸­¡vªiªº¦WºÙ§Y·½¦Û³Ì¦­°O¿ý±o¦¹ªiªº¤T­Ó¤j¸£°Ï¦ì¡G¾ô¸£ºôª¬µ²ºc°Ï (pontine reticular formation) ¡Bµø¥C (thalamus) ªº°¼½¥ª¬Å鯫¸g®Ö (lateral geniculate nucleus) ¡B¤ÎªE¸­¥Ö½è°Ï (occipital cortex) ¡C

 

Posttraumatic hypersomnia ³Ð¶Ë«á¹L¯v¯g¡B³Ð¶Ë«á¦h¯v¯g

ÀY¶Ë«á¦ñÀHªººÎ¯v¶q¼W¦hªººÎ¯v»Ùê¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤º¦]©ÊºÎ¯v»Ùê (intrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Prader-Willi syndrome ¤p­D«Â§Q¯g­Ô¸s

¥ý¤Ñ©Ê¤£©ú­ì¦]¤§¯e¯f¡A¨ä¯SÂI¬°¨­§÷µu¤p¡B´¼¯à¤£¨¬¡B¦h­¹¡B·¥«×ªÎ­D¡BÀ¦¨à´Á¤§©Ê

¼xµo¨|¡BÄY­«¦Ù¦×¥¢±i¡B¹ï¥~¬É¨ë¿EÀH¦~ÄÖ¼Wªø¦Ó¤ÏÀ³ÅÜ®t¡B¬V¦âÅé15¦³¤pµu¯Ê

 (deletion) ¡C

 

Pregnancy-associated sleep disorderÃh¥¥´ÁºÎ¯v»Ùê

¦ñÀHÃh¥¥´Á¶¡ªº¥¢¯v©ÎµtºÎ§xÂZ¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤±N¦ñÀHÃh¥¥¶¥¬qªººÎ¯v»Ùê¦C¬°¼ÈÀÀºÎ¯v»Ùê (proposed sleep disorders) ¤U¤§¤@¶µ¡C

 

Primary insomnia ­ìµo©Ê¥¢¯v

¨Ã«D¦]¬°¨ä¥L¨­Åé¡Bºë¯«»Ùê©Î¥~¦b¦]¯À¤Þ°_ªº¥¢¯v¡A¬ODSM-IVºÎ¯v»Ùꪺ¶EÂ_¤§¤@¡C

                                   

Primary snoring ³æ¯Â¥´ÂM              

ºÎ¯v¤¤¨Ó¦Û¤W©I§l¹Dªº©I§lÁnÅT¹L¤j¡A¦ý¨Ã¥¼¦ñÀH©I§l¤¤¤î (apnea) ©Î§C³q®ð¶q (hypoventilation) ¯fÅÜ¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦b²§ºÎ¯g (parasomnias) Ãþ¢w¨ä¥L²§ºÎ¯g¶µ¥Ø¤U¡C

 

Progressive muscle relaxation º¥¶i¦¡¦Ù¦×©ñÃPªk

¦æ¬°ªvÀø¤¤©ñÃP°V½m§Þ¥©ªº¤@ºØ¡A³z¹L³v¨BÁYºò»P©ñÃP¨­Åé¦U­Ó³¡¥÷ªº¦Ù¦×¡A¥H¾Ç²ßÅé·|ºò±i»P©ñÃPªº®t²§¡A¶i¦Ó¾Ç·|¦Û§Ú©ñÃP¡A¸g±`³Q¥Î¨ÓªvÀø¥¢¯v¡C

 

Psychophysiological insomnia¨­¤ß©Ê¥¢¯v¡B¤ß²z¥Í²z©Ê¥¢¯v

¦]¨­Åéºò±iµLªk©ñÃP©Î¦³ÃªºÎ¯vªº¦æ¬°Ápµ²¦Ó¾É­Pªº¥¢¯v¯gª¬¡A±wªÌ¦P®É©ê«è²M¿ô®É¹B§@¤£¨Î¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤º¦]©ÊºÎ¯v»Ùê (intrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Psychosis  ºë¯«¯f

¤@ºØºë¯«©M¦æ°Êªº»Ùê¡A¤Þ°_¤@­Ó¤Hºë¯«¯à¤O¡B±¡·P¤ÏÀ³¡B²{¹ê·P¡B»P¤H·¾³q¯à¤Oµ¥¤§§á¦±©M¸ÑÅé¡C¦¹ºØ»Ùê¥i¥HÄY­«¨ì¼vÅT¤@­Ó¤H¾AÀ³¥Í¬¡©Ò»Ý¤§¯à¤O¡C®Ú¾Ú¯f¦]¨Ó·½¥i¥H°Ï¤À¬°¾¹½è©Ê¸£¯fÅܤޭPªº¤Î©Ò¿×¥\¯à©Êºë¯«¯f¡A§Yºë¯«¤Àµõ¯g (schizophrenia) ¡A¦k·Q¯g (paranoid) µ¥¡C¥¢¯v¤Î¹L«×¶ÝºÎ (excessive sleepiness) ¬Oºë¯«¯f±wªÌ±`¦³ªººÎ¯v°ÝÃD¡C

 

Pupillometry Àû¤Õ´ú¶qªk

´ú¶qÀû¤Õ¤j¤pªº¤èªk¡CÀû¤Õ¤j¤p¥Ñ¦Û¥D¯«¸g¨t²Î (autonomic nervous system) ½Õ±±¡F¥æ·P¯«¸g¬¡¤Æ«P¨ÏÀû¤Õ©ñ¤j¡A°Æ¥æ·P¯«¸g¬¡¤Æ«h«P¨ÏÀû¤ÕÁY¤p¡C¥Ñ©ó¥æ·P©M°Æ¥æ·P¯«¸g©óºÎ¿ôª¬ºA¦³¤£¦Pªº¹B§@±j«×¡A¦]¦ÓÀû¤Õª½®|·|ÀHºÎ¿ôª¬ºA¦Ó§ïÅÜ¡C¤@¯ëºÎ¯v®ÉÀû¤Õ¸û²M¿ô®É¬°¤p¡Cĵı«×°ª®É¡AÀû¤Õ¸û¤j¥BÀû¤Õ¤j¤pÅܤƸûí©w¡A¦ÓµtºÎ®ÉÀû¤Õ¸û¤p¥BÀû¤Õ¤j¤pÅܤƸû¤£Ã­©w¡A¦]¦ÓºÎ¯v¬ã¨sªÌ¥¿¹Á¸ÕÀ³¥ÎÀû¤Õ´ú¶q§@¬°ÄµÄ±«×/²M¿ô«×/µtºÎ«×ªº¥t¤@Ų©w¤èªk¡C

                                

Quiet sleep ÀRºAºÎ¯v

¥Ñ©ó­L¨à©M·s¥Í¨àªº¸£ªi¬¡°Ê¤£¦¨¼ô¡A¥B¯Ê¥F¦¨¦~¤H¦b²M¿ô¤ÎºÎ¯vª¬ºAªº¸£ªi¯S¼x¡A¦]¦¹­L¨à©M·s¥Í¨àªº¦ü«D§Ö³t°Ê²´ºÎ¯v (non-rapid-eye-movement sleep, NREM sleep) ª¬ºA¥H¦¹ºÙ¤§¡C¦³¨Ç°Êª«¬ã¨s¤]¥HÀRºAºÎ¯vºÙ©I°Êª«ªº«D§Ö³t°Ê²´ºÎ¯vª¬ºA¡C

 

Rapid eye movements  (REM)  ²´²y§Ö³tÂà°Ê¡B²´²y§Ö³t¹B°Ê

²´²y§Ö³tÂà°Ê¥D­nµo¥Í©ó²M¿ô®É¦³·NÃѦa§Ö³t·j´M¥Ø¼Ðª«©Î¾\Ū¥H¤Î§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¤¤¡CµtºÎ¤Î­è¶i¤J«D§Ö³t°Ê²´ºÎ¯v (non-rapid-eye-movement sleep, NREM sleep) ®É²´²yªºÂà°Ê¥HºC³t (slow eye movement) ¬°¥D¡C

 

Rapid-eye-movement sleep, REM sleep §Ö³t°Ê²´ºÎ¯v¡B§Ö³t°Ê²´ºÎ¯v¡B³t²´°ÊºÎ¯v

·í¸£¹q¹Ï (EEG) §e²{¦ü²M¿ô©Î²Ä¤@´ÁºÎ¯v (Stage 1 sleep) ªº²VÂøÀW²v¡B§C´Tªi°Ê¯S¼x¡A¦Ù¹q¹Ï (EMG) §e²{ªñ¥GµLªi°Ê°¸¦Ó§¨Âø·¥µu¼Èªi°Êªº¯S¼x¡A²´°Ê¹Ï (EOG) ¶¡Â_¥X²{²´²y§Ö³tÂà°Êªi°Ê§Y¬É©w¬°§Ö³t°Ê²´ºÎ¯v¡C

 

Reciprocal interaction theory ¥æ¤¬§@¥Î²z½×

¬ü°êºÎ¯v¬ã¨s¾ÇªÌR. W. McCarley¤ÎJ. A. Hobson©ó¦è¤¸1975¦~´£¥X¥æ¤¬§@¥Î²z½×¥H¸ÑÄÀ§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¦p¦ó¸g¥Ñ¡u§Ö³t°Ê²´®É¬¡¤Æ¡v (REM-on) ²Ó­M¤Î¡u§Ö³t°Ê²´®ÉÀR¤î¡v (REM-off)  ²Ó­M¨âªÌ¶¡ªº¥æ¤¬§@¥Î¦Ó§e²{¤Îµ²§ô¡CMcCarley¤ÎHobson¦P®Éµo®i¥X¼Æ¾Ç¤èµ{¦¡¥H¼ÒÀÀ§t¤AñQÁxÆP (acetylcholine) ªº¡u§Ö³t°Ê²´®É¬¡¤Æ¡v²Ó­M¤Î§t³æÓiÃþ (monoamines) ªº¡u§Ö³t°Ê²´®ÉÀR¤î¡v²Ó­Mªº¹B§@¡C

 

Recurrent hypersomnia ¦Aµo©Ê¹L¯v¡B¦Aµo©Ê¦h¯v¡B¤Ï´_¦¡¦h¯v

ªð´_¥X²{ºÎ¯v¶q¼W¥[ªº²{¶H¡A¦Ó¨â¦¸µo¥Íªº¶¡¹j¬ù¼Æ¶g¨ì¼Æ¤ë¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤º¦]©ÊºÎ¯v»Ùê (intrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Relaxation therapy ©ñÃPÀøªk

¦æ¬°ªvÀøªº§Þ¥©¤§¤@¡A¸g±`¥Î¨ÓÀ°§U¥¢¯v¡A¸g¥Ñ©ñÃP§Þ³Nªº±Ð¾ÉÀ°§U¥¢¯v±wªÌ©ó¤JºÎ«e¯à¹F¨ì¨­Åé¡B¤ß´¼¡B±¡ºüªº©ñÃP¡AÄ~¦Ó»´ÃP¤J¯v¡C©ñÃP§Þ³N¥]§t¦hºØ¤èªk¡A¨Ò¦p­ß·Q (meditation) ¡B º¥¶i¦¡¦Ù¦×©ñÃPªk  (progressive muscle relaxation) ¡B¦Û§Ú·t¥Ü°V½m (autogenic training) µ¥¡C

 

Relaxation training ©ñÃP°V½m

¨£relaxation therapy¡C

 

REM latency  REM¼ç®É¡B§Ö³t°Ê²´ºÎ¯v¼ç®É¡B§Ö³t°Ê²´ºÎ¯v®É¶Z

¥Ñ¶}©l¤JºÎ¦Ü²Ä¤@¦¸§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¥X²{©Ò»Ý®É¶¡¡A¬O¤@­«­nªººÎ¯v°O¿ý¼Æ­È¡CREM¼ç®É©M¦~ÄÖ¦³Ãö¡A¨Ò¦p·s¥Í¨à±`±`¤@ºÎµÛ§Y¥X²{§Ö³t°Ê²´ºÎ¯v¡A¦Ó¦¨¦~¤H¤@¯ë¥ý¶i¤J«D§Ö³t°Ê²´ºÎ¯v¡A¸g¹L¤@¤p®É©Î§óªø®É¶¡«á¤~¥X²{§Ö³t°Ê²´ºÎ¯v¡C

 

REM sleep behavior disorder §Ö³t°Ê²´ºÎ¯v¦æ¬°»Ùê

§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ®ÉÀ£§í¦Ù¦×±i¤O (muscle tone) ªº¾÷¨î¥¢±`¡A¦]¦Ó¥X²{©M¹Ú¹Ò¤º®e¬ÛÃöªºªÏÅé°Ê§@¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦b²§ºÎ¯g (dyssomnias) Ãþ¢w©M§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¬ÛÃöªº²§ºÎ¯g¶µ¥Ø¤U¡C

 

REM sleep-related sinus arrest ¦ñÀH§Ö³t°Ê²´ºÎ¯vªºÄu©Ðµ²¸`«ß°±¤î

§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¥X²{Äu©Ðµ² (sinoatrial node) ¸`«ß°±¤î²{¶H¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦b²§ºÎ¯g (parasomnias) Ãþ¢w©M§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¬ÛÃöªº²§ºÎ¯g¶µ¥Ø¤U¡C

 

Restless Legs Syndrome »L³¡¤£¹ç¯g­Ô¸s¡B¤£¹ç»L¯g­Ô¸s¡B»L³¡¤£¦w¯g­Ô¸s

µo§@®É¯f¤H·|ı±oÂù»L²`³¡¦³Ãø¥H´y­zªº¤£µÎªA¡B©Ç²§·Pı¡A«D±o¯¸°_¨Ó¨«°Ê©Î¼¯À¿Âù»L§_«h´N«D±`¤£µÎªA¡C¦³®É¤@­Ó±ß¤W¥²¶·°_§É¨«°Ê¼Æ¦¸¦Ó¾É­P¥¢¯v¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤º¦]©ÊºÎ¯v»Ùê (intrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Reticular activating system  (RAS)  ºôª¬¬¡¤Æ¨t²Î

¸£·F (brainstem) ¤¤ªººôª¬µ²ºc (reticular formation) °Ï°ì¤º§t¦³³\¦h¤W¦æ¤Î¤U¦æªº¯«¸g§ô¥æ¿ù§Î¦¨ªº¯«¸gºô¸ô¡A¯«¸g¤¸«h´²§G¦b¯«¸gºô¸ô¤¤¡C¦ì©ó¤¤¸£ (midbrain) ¤Î¾ô¸£ (pons) «eºÝªººôª¬µ²ºc©Mı¿ô (arousal) ªº±±¨î¦³Ãö¡AºÙ¬°ºôª¬¬¡¤Æ¨t²Î¡C

 

Sawtooth waves ¿÷¾¦ª¬ªi

§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ®Éªº¸£ªi¯S¼x¡A¬°thetaªi¤§¤@ºØ¡A¨äªi°ÊÀW²v½d³ò¬°4-8Hz¡A§e²{¦³¦p¿÷¾¦¯ë½wºC¤W¤ÉÀH«á§Ö³t¤U­°ªºªi§Î¡C

 

Scanning hypothesis ±½´y°²»¡

±½´y°²»¡¹w´Á§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¤¤²´²yÂà°Êªº¤è¦V§Y¬°¹Ú¹Ò¤¤²´·úª`µøªº¤è¦V¡C¦¹°²»¡»{¬°¤j¸£¤¤±±¨î²´²yÂà°Êªº°Ï°ì¦b±½´yµøÄ±¥Ö¼h°Ïªº¹Ú¹Ò·N¶H (dream image) ®É¡Aµo¥X²´²yÂà°Êªº°T¸¹¡C

 

Secondary insomniaÄòµo©Ê¥¢¯v¡B¦¸µo©Ê¥¢¯v

¦]¨ä¥L¨­Åé¯e±w¡Bºë¯«¯e±w©Î¨ä¥L¥~¦b¦]¯À©Ò¾É­Pªº¥¢¯v¡C

 

Self-soothing ¦Û§Ú¦w¼¾

À¦¨àÂǥѧm«ü©Î§l¥¤¼L¹F¨ì¦Û§Ú¦w¼¾ªº¥Øªº¡C¿W¦ÛºÎ¯v®É¬O§_¯à¶¶§Q¤JºÎ¤Î¤¤³~¿ô¨Ó¬O§_¯à¶¶§Q¦A¤JºÎ©M¦Û§Ú¦w¼¾ªº¯à¤O¦³Ãö¡C

 

Short sleeper µuºÎªÌ

ºÎ¯v»Ý¨D®É¶¡¦V¨Ó©úÅãµu©ó¦P¦~ÄÖ¼h¥­§¡­Èªº¤H¥B¥Õ¤ÑµLµtºÎ°ÝÃD¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤±NµuºÎ¦C¬°¼ÈÀÀºÎ¯v»Ùê (proposed sleep disorders) ¤U¤§¤@¶µ¡A¦]¬°µuºÎªÌ¦ü¥G°£¤F©]±ßºÎ¯v®É¶¡µyµu¥~¡A¨ÃµL¨ä¥LºÎ¯v§xÂZ¡C                       

 

Siesta ¤È«á¤pºÎ

¦¹¦r·½¦Û¦è¯Z¤ú¤å¡A­ì·N¬°¦­¤W¿ô«áªº²Ä¤»¤p®É¡A¤Þ¥Î·N«ä¬°¥Õ¤Ñ¤¤³~ªº¤pºÎ©Î¥ð®§¡C¤È«á¤pºÎ¦b¼ö±a¦a°Ï¬O±`¨£ªº¤å¤Æ¯S¦â¡A³q±`¦b¤ÈÀ\«á¶i¦æ 1-2¤p®Éªº¤pºÎ¡C

 

Sleep architecture ºÎ¯vµ²ºc

¨£sleep structure¡C

 

Sleep attacksºÎ¯vµo§@

µLªk§Ü©ÚªººÎ·N¡CºÎ¯vµo§@ª¬ºA¤U¡A­ÓÅé·P¨ì·¥«×µtºÎ¡B²´¥Ö¨I­«¡BµLªkºû«ùª`·N¤O¤Îª½¥ß«º¶Õµ¥¡C

 

Sleep bruxism©]¶¡¿i¤ú¯g¡BºÎ¤¤¿i¤ú¯g

ºÎ¯v¤¤¥X²{¿i¤ú©Î«rºò¤úÃöªº²{¶H¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦b²§ºÎ¯g (dyssomnias) Ãþ¢w¨ä¥L²§ºÎ¯g¶µ¥Ø¤U¡C

 

Sleep choking syndrome ºÎ¤¤®C¶ë¯g­Ô¸s

ºÎ¯v¤¤¸g±`¿ô¨Ó¥B¦ñÀH®C¶ë²{¶H¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤±NºÎ¤¤®C¶ë¯g­Ô¸s¦C¬°¼ÈÀÀºÎ¯v»Ùê (proposed sleep disorders) ¤U¤§¤@¶µ¡C

 

Sleep cycles ºÎ¯v¶g´Á

¾ã±ßºÎ¯v¤¤«D§Ö³t°Ê²´ºÎ¯v (non-rapid-eye-movement sleep, NREM sleep) »P§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¥æ´À¥X²{¡A¦Ó¬Û¹j¨â¦¸§Ö³t°Ê²´ºÎ¯v¶}©l®É¶¡ªº¶¡¶Z«Üí©w¡A¦]¦¹±N«D§Ö³t°Ê²´ºÎ¯v»P§Ö³t°Ê²´ºÎ¯vªº¥æ´À¥X²{ºÙ¬°¡u«D§Ö³t°Ê²´¢w§Ö³t°Ê²´¡vºÎ¯v¶g´Á©Î²ºÙºÎ¯v¶g´Á¡CºÎ¯v¶g´Áªºªøµu©Mµo®i¦~ÄÖ¦³Ãö¡A¦pÀ¦¨àªººÎ¯v¶g´Á¬ù¬°60¤ÀÄÁ¦Ó¦¨¦~¤H¬ù¬°90¤ÀÄÁ¡C

 

Sleep debt ºÎ¯v¶Å¡BºÎ¯v¶Å°È

ºÎ¯v»Ý¨Dªº¦P¸qµü¡A«ùÄò²M¿ôª¬ºAªº®É¶¡¶Vªø¡AºÎ¯v»Ý¨D (sleep need) ¶V°ª¡CºÎ¯v¶Å²Ö­p·U¦hµtºÎ«×·U°ª¡A©Ò»ÝÀvÁÙªººÎ¯v®É¶¡¤]·U¦h¡C

 

Sleep deprivation ºÎ¯v­é¹Ü                                  

­ÓÅé§ÓÄ@©Î«D§ÓÄ@¥þµM¤£ºÎ©Î­é¹Ü¯S©wªººÎ¯v¤À´Á (sleep stage) ¡CÀHµÛ¥þ³¡ºÎ¯v­é¹Ü¶qªº²Ö¿n¡AºÎ¯v¶Å¤]³vº¥¤É°ª¡C

 

Sleep diaries ºÎ¯v¤é»x

­Ó¤H°O¿ý¨C¤ÑºÎ¯vª¬ªpªºªí³æ¡C°O¿ý¤º®e¥]¬A¤W§É¤Î°_§É®É¶¡¡B¦h¤[ºÎµÛ¡BºÎ¯v¬O§_¤¤Â_¿ô¨Ó¡B¾ã±ßºÎ¦h¤[¡B¦­¤W¦ó®É¿ô¨Ó¡B¥Õ¤Ñ¤pºÎªø«×¡BÃĪ«¤Î¨ë¿E©Ê­¹«~¨Ï¥Î°O¿ýµ¥¡C

 

Sleep drunkenness ºÎ¾K

¨£confusional arousals¡C

 

Sleep efficiency ºÎ¯v®Ä²v

­pºâºÎ¯v¹Lµ{¤¤¹ê»ÚºÎµÛ®É¶¡¬Û¹ï©ó½ö¦b§É¤W®É¶¡ªº¦Ê¤À¤ñ¡C

 

Sleep enuresis©]§¿¯g

ºÎ¯v¤¤¤£¦Ûı¦a±Æ¥X§¿²G¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦b²§ºÎ¯g (dyssomnias) Ãþ¢w¨ä¥L²§ºÎ¯g¶µ¥Ø¤U¡C¨£Nocturnal enuresis¡C

 

Sleep fragmentation ºÎ¯v¤ùÂ_¤Æ¡BÂ_µõ©ÊºÎ¯v

ºÎ¯v¤¤¶¡Â_ı¿ô¨Ï±oºÎ¯vµLªk«ùÄò¡C

 

Sleep hygiene ºÎ¯v½Ã¥Í

¬ÛÃö©óÀu½èºÎ¯v©Ò»Ýªº¥Í¬¡¤è¦¡©Î²ßºD¡C

 

Sleep hyperhidrosisºÎ¤¤µs¦½¡B©]¶¡µs¦½

ºÎ¯v¤¤¤j¶q¬y¦½¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤±NºÎ¤¤µs¦½¦C¬°¼ÈÀÀºÎ¯v»Ùê (proposed sleep disorders) ¤U¤§¤@¶µ¡C

 

Sleep inertia ºÎ¯vºD©Ê¡BºÎ¯v¿ð´k

¥ÑºÎ¯v¤¤¿ô¨Ó«á¤´¦³©ü©ü±ýºÎªº·P¨ü¡C

 

Sleep latency¤J¯v®É¶¡¡B¤JºÎ¼ç®É¡B¤JºÎ®É¶Z¡B¤JºÎ¼ç´Á

¶}©l¹Á¸Õ¤JºÎ¦Ü¥ô¦óºÎ¯v¤À´Á (sleep stage) ¥X²{©Ò»Ýªº®É¶¡ªø«×¡C

 

Sleep logs ºÎ¯v¤é»x

¨£sleep diaries¡C

 

Sleep mentation ºÎ¯v·N¹³

ºÎ¯v¤¤©Ò¸gÅç¨ìªº¼v¹³©Î·Qªk¡C

 

Sleep onset ¤JºÎ¶}©l

¥Ñ¹Á¸Õ¤JºÎ¦ÜºÎµÛªº¿ô¢wºÎÂà´«¹Lµ{¡C

 

Sleep-onset association disorder ¤JºÎÁpµ²»Ùê¡B¤JºÎ¬ÛÃö»Ùê

»P¤JºÎ¹Lµ{¬ÛÁpµ²ªº¯S©w¥~¦b¨ë¿E¯Ê¥F®É¾É­PªºÃø¥H¤JºÎºÎ¯v»Ùê¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤º¦]©ÊºÎ¯v»Ùê (intrinsic sleep disorders) ¶µ¥Ø¤U¡C

 

Sleep onset latency ¤J¯v®É¶¡¡B¤JºÎ¼ç®É¡B¤JºÎ®É¶Z¡B¤JºÎ¼ç´Á

¥Ñ¹Á¸Õ¤JºÎ¦ÜºÎµÛ©Ò»Ý­nªº®É¶¡¡C¨£sleep latency¡C

 

Sleep-onset REM periods  (SOREMP)  ¤JºÎ¥X²{¤§§Ö³t°Ê²´ºÎ¯v¡B¤JºÎ¥X²{¤§³t²´°ÊºÎ¯v

¹Á¸Õ¤JºÎ«á²Ä¤@­ÓºÎ¯v¤À´Á (sleep stage) ¥X²{§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ©ÎºÎ¯v¶}©l«á15¤ÀÄÁ¤º¥X²{§Ö³t°Ê²´ºÎ¯v¡C

 

Sleep paralysis ºÎ¯v³Â·ô

¤JºÎªì´Á©Î¥ÑºÎ¯v¤¤¿ô¨Ó®ÉªÏÅé·P¨ì³Â·ôµLªk°Ê¼uªº²{¶H¡A¤]¬OÖ`ºÎ¯g (narcolepsy) ±`¨£ªº¯S¼x¤§¤@¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤]±N¦¹ºÎ¯v»Ùê½s±Æ¦b²§ºÎ¯g (parasomnias) Ãþ¢w©M§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¬ÛÃöªº²§ºÎ¯g¶µ¥Ø¤U¡C

 

Sleep-related abnormal swallowing syndrome  ºÎ¯v¬ÛÃö§]Ã`²§±`¯g­Ô¸s

ºÎ®É³è²G§]Ã`¤£¥R¤À¦Ó¾É­P³è²G§l¤J®ðºÞ¤Þ°_«y¹Â¡B²¿®§¡B¤ÎºÎ¯v¤¤µu¼Èı¿ô¡C±wªÌ¥Ñ©ó³è²G°ï¿n©ó«|ÀY¤U³¡¡A¦]¦¹¥iÅ¥¨ì³Ø³Ø­µ¡C±wªÌ¦]±`§l¤J³è²G¦Ó¾É­P¤U©I§l¹D·P¬Vªºµo¥Í²v¼W¥[¡A¦¹ºØ²{¶H¥i¦]¦w¯vÃĪº¨Ï¥Î¦Ó´c¤Æ¡C­P¯f¾÷¨î¤£²M·¡¡A¥i¯à»P§]Ã`¤Ï®g»Ùê¤Î³ïÀY«OÅ@¾÷Â঳Ãö¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N±N¦¹ºÎ¯v»Ùê½s±Æ¦b²§ºÎ¯g (parasomnias) Ãþ¢w¨ä¥L²§ºÎ¯g¶µ¥Ø¤U¡C

 

Sleep-related asthma ºÎ¯v¬ÛÃö­ý³Ý¡B©]¶¡­ý³Ý

ºÎ¯v¤¤­ý³Ýµo§@¡C­ý³Ýªº±wªÌ±`¦bºÎ®É¯S§O¦b²M±á¬ù4ÂI®É®ð³Ýµo§@¡C¨å«¬ªº®ð³Ýµo§@¨Ï±wªÌ±qºÎ¯v¤¤Ä±¿ô¡A±wªÌ·|¦³©I§l§xÃø¡B³Ý»ï­µ¡B«y¹Â¡B¯Ý³¡¤£µÎ¾A¡BÂH²G¤Àªc¹L¦h¬Æ¦Ü²¿®§·P¡C­ý³Ý¦bºÎ¯v®Éµo§@¸û±`¨£©ó¤p«Ä¡A¦Ó75% ªº­ý³Ý±wªÌ´¿¦³©]¶¡µo§@ªº¸gÅç¡C¤Þ°_­ý³Ý¦bºÎ¯v®Éµo§@ªº¾÷¨î¤´¤£²M·¡¡A¦ý¬O¤HÅé¥Í²z¤é©]¸`«ß®t²§ (¦pµÇ¤W¸¢¥Ö½è²üº¸»X¡B¦Û«ß¯«¸gµ¥) ¥i¯à¬O­ì¦]¤§¤@¡C¤é©]¸`«ß§ïÅܨϭý³Ý±wªÌ¦b©]¶¡®ðºÞªý¤O¼W¥[¡A©I§l¹Dµoª¢¤ÏÀ³¥[±j¡C¦P®É¡A©]¶¡¦å²MµÇ¤W¸¢¯À¤Î¥Ö½è²üº¸»X¿@«×¤U­°¡A¤ÎªvÀø®ð³ÝªºÃĪ«Àø®Ä¤U­°¡A¥i¯à³£¬O¤Þ°_­ý³Ý¦bºÎ¯v®Éµo§@ªº­ì¦]¡C

 

Sleep-related gastroesophageal reflux ºÎ¯v¬ÛÃö­G­¹¹D°f¬y¡BºÎ¯v¬ÛÃö­G»Ä°f¬y

ºÎ®É¦]­G»Ä°f¬y¨ì­¹¹D¦Ó¤Þ°_¿N¨`·P¡B¼L¤Ú¦³»Ä¨ý¡A±wªÌ¥i¯à¦]¦¹¦Ó¿ô¨Ó¡C¬Y¨ÇºÎ¯v»Ùê (¦pªý¶ë«¬ºÎ¯v©I§l¼È¤î¯g) ©Î©I§l¨t²Îªº¯e¯f  (¦p­ý³Ý) ±`¦X¨Ö¦¹¯f¡C¨ä¨Öµo¯g¥]¬A­¹¹Dª¢¡B­¹¹D¤Þ°_½I²ª¡B­¹¹DÀù«e´Á¯f¨_¡A¶i¦Ó¤Þ°_­¹¹DÀù¡A³Ý»ïµo§@¡A¦ü¤ßµ±¯fªº¯Ýµh¡A§l¤J©ÊªÍª¢¬Æ¦ÜªÍÁw¯f¡C¨£Nocturnal gastroesophageal reflux¡C

 

Sleep-related neurogenic tachypnea ºÎ¯v¬ÛÃöªº¯«¸g©Ê©I§l«æ«P¯g

ºÎ®É©I§l³t«×Åܧ֥B¥i«ùÄò¾ã­ÓºÎ¯v´Á¶¡¡A²M¿ô®É©I§l³t²v¤S¦^´_¥¿±`¡C±wªÌ¥i¯à¨S¦³¯gª¬¡A¤]¥i¯à¥Õ¤Ñ©ü©ü±ýºÎ¡C­P¯f¾÷¨î¤´¤£²M·¡¡C±wªÌºÎ®É©I§l³t²vªº¼W¥[»P°Ê¯ß¦å®ðÅé¤ÀªR§ïÅܵLÃö¡A¦]¦¹»P¤ßªÍ¦]¯ÀµLÃö¡C¨äµo¥Í­ì¦]¥i¯à»P¤¤¼Ï¯«¸g¨t²Î¦³Ãö¡C¯«¸g»Ùê¯S§O¬O¸£·F¦³¯fÅÜ (¦p¡Glateral medullary syndrome ¤Î multiple sclerosis) ¥i¤Þ°_¥»¯g¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¤¤±N¦¹¦C¬°¼ÈÀÀºÎ¯v»Ùê (proposed sleep disorders) ¤U¤§¤@¶µ¡C

 

Sleep restriction therapyºÎ¯v­­¨îÀøªk

­­¨î½ö§É®É¶¡¥H´£¤É¥¢¯v±wªÌºÎ¯v®Ä²vªºªvÀø¤èªk¡C

 

Sleep stages ºÎ¯v¤À´Á¡BºÎ¯v¶¥¬q¡BºÎ¯v¶¥´Á

ºÎ¯v¬ã¨sªÌ¨ÌºÎ¯v¹Lµ{¤¤°O¿ý±oªº¸£¹q¹Ï (EEG) ¡B¦Ù¹q¹Ï (EMG) ¡B²´°Ê¹Ï (EOG) µ¥¸ê®Æ¯S¼x¥H20©Î30¬í¬°³æ¦ì (epoch) ±NºÎ¯v°Ï¤À¬°¼Æ­Ó¤À´Á¡A¦p§Ö³t°Ê²´ºÎ¯v´Á (Stage REM) ¡B²Ä¤@´ÁºÎ¯v (Stage 1) µ¥¡C

 

Sleep starts ¤JºÎ©â°Ê¡BºÎ¯v©â°Ê

¤JºÎ¹Lµ{¤¤¬ðµo¦ý«ùÄò®É¶¡·¥µu¼Èªº»L³¡©Î¤â³¡©ÎÀY³¡ªº¼@¯P©â°Ê²{¶H¡A¦¹²{¶H³q±`µo¥Í¦b­è¤JºÎªº²LºÎ´Á¦Ó¥i¯à³y¦¨¤JºÎ§xÃø¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤²§ºÎ¯g (parasomnias) ¤UºÎ¿ôÂà´«»Ùê (sleep-wake transition disorders) ¤§¤@¡C

 

Sleep state misperception »{ª¾©ÊºÎ¯v§xÂZ¡BºÎ¯vª¬ºAª¾Ä±²§±`

«ÈÆ[ªººÎ¯v´ú¶qµ²ªG¨Ã¥¼Åã¥ÜºÎ¯v²§±`¡A¦ý±wªÌ¤´¦³ºÎ¯v§xÂZªº©ê«è¡A¤SºÙ¬°¥DÆ[©Ê¥¢¯v (subjective insomnia) ¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦bºÎ¯v²§±` (dyssomnias) Ãþ¢w¤º¦]©ÊºÎ¯v»Ùê (intrinsic sleep disorders) ¶µ¥Ø¤U¡C

                  

Sleep structure ºÎ¯vµ²ºc

ºÎ¯v¹Lµ{¤¤¡u«D§Ö³t°Ê²´¢w§Ö³t°Ê²´¡vºÎ¯v¶g´Á (sleep cycle) »P²M¿ôªºÂà´«Ãö«Y¤Î¦UºÎ¯v¤À´Á (sleep stage) ªº¤À¥¬ª¬ªp¡C

 

Sleep talking  (somniloquy)   ¹ÚÅm¡B»¡¹Ú¸Ü

ºÎ¯v¤¤¤£¦ÛıªºµoÁn©Î»¡¸Ü¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤²§ºÎ¯g (parasomnias) ¤UºÎ¿ôÂà´«»Ùê (sleep-wake transition disorders) ¤§¤@¡C

 

Sleep terrors ©]Åå

¥Ñ²`ºÎ¤¤©¿µM¿ô¨Ó¡A¦y¥s©Î­úª_¡A¨Ã¦ñÀH¦³¦Û¥D¯«¸g¨t²Î¤Î¦æ¬°¤Wªº®£ÄߤÏÀ³¡A°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ±N¦¹ºÎ¯v»Ùê½s±Æ¦b²§ºÎ¯g (parasomnias) Ãþ¢wı¿ô»Ùê (arousal disorders) ¶µ¥Ø¤U¡C

 

Sleep terror disorder©]Åå¡B©]Åå»Ùê¯g¡BºÎ¯vÅ宣¯e±w

¥Ñ²`ºÎ¤¤©¿µM¿ô¨Ó¡A¦y¥s©Î­úª_¡A¨Ã¦ñÀH¦³¦Û¥D¯«¸g¨t²Î¤Î¦æ¬°¤Wªº®£ÄߤÏÀ³¡A¬ODSM-IV¤¤²§ºÎ¯g (parasomnias) ªº¤@ºØ¡C¦Psleep terrors¡C

 

Sleep-wake transition disorders ºÎ¿ôÂà´«»Ùê

©ó²M¿ô©MºÎ¯vÂà´«¶¡©Î¤£¦PºÎ¯v¤À´Á (sleep stage) Âà´«¶¡¥X²{ºÎ¯v²§±`°Ê§@¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤²§ºÎ¯g (parasomnias) Ãþ¤U¶µ¥Ø¤§¤@¡C

 

Sleep walking ¹Ú¹C¡B¹Ú¹C¯g¡BºÎ¹C¯g

¦bºCªiºÎ¯v¤¤¤£¦Ûı°_¨Ó¹C¨«¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤Ä±¿ô»Ùê (arousal disorders) ¤§¤@¡C

 

Sleepiness ¶ÝºÎ«×¡BµtºÎ«×

¥DÆ[·QºÎ©Î¥Í²z¤W®e©ö¤JºÎªºµ{«×¡C

 

Sleepiness Scale¶ÝºÎ«×¶qªí¡B¶ÝºÎ¶qªí¡BµtºÎ«×¶qªí

´ú¶q¶ÝºÎ«×ªº°Ý¨÷¡CºÎ¯v¬ã¨sªÌ±`¥Îªº¶ÝºÎ«×¶qªí¬°EpworthµtºÎ«×¶qªí

 (Epworth sleepiness scale) ¤Î¥v¤¦¦òµtºÎ«×¶qªí (Stanford sleepiness scale) ¡C

 

Sleeping sickness «D¬w©üºÎ¯g

¸g¥ÑÄâ±a­P¯f­ìÂÎ (protozoan) ªºªöªöÃÇ (tsetse fly) ¥m«r«á·P¬V²£¥Íªº«æ©Ê©üºÎ¯gª¬¡C

 

Slow wave sleep ºCªiºÎ¯v

²Ä¤T¤Î²Ä¥|´Á (Stage 3, Stage 4) ®Éªº¸£ªi¥H°ª´T§CÀWªi°Ê¬°¥D¡A¦]¦¹¦XºÙ¬°ºCªiºÎ¯v¡C

 

Somnambulism¹Ú¹C¯g¡BºÎ¹C¯g

¨£sleep walking¡C

 

Somniloquy  ¹ÚÅm¡B»¡¹Ú¸Ü¡BºÎ¤¤»¡¸Ü

¨£sleep talking¡C

 

Spindle waves ¯¼½xªi¡B±ôª¬ªi

¬°²Ä¤G´ÁºÎ¯v (Stage 2 sleep) ¤¤ªº¸£ªi¯S¼x¤§¤@¡Aªi«¬¾ãÅé¥~Æ[¦ü¯¼Áè±ôª¬¡C¯¼Áèªi¤º¥Ñ12-14 Hzªi°Ê²Õ¦¨¡C

 

Subjective insomnia ¥DÆ[©Ê¥¢¯v

¨£Sleep state misperception¡C

 

Stimulus control ¨ë¿E±±¨îªk

¦æ¬°ªvÀø§Þ¥©¤§¤@¡A³z¹L±±¨î¯S©w¥~¦b¨ë¿E»P¦æ¬°ªº°t¹ï¥X²{¡A¥H¼W±j¥~¦b¨ë¿E»P¯S©w¦æ¬°ªºÁpµ²¡C³o­Ó¤èªkÀ³¥Î¦b¥¢¯vªvÀø¤W§Y¬OÅýª×©ÐÀô¹ÒÁpµ²¨ìºÎ¯v±¡¹Ò»P¦æ¬°¡C

 

Subwakefulness syndrome  ²M¿ô¤£¨¬¯gª¬¸s

ÁöµMºÎ¯vÀˬd¥¼Åã¥Ü¥ô¦óºÎ¯v²§±`©Î¹L«×¶ÝºÎ (excessive sleepiness) ²{¶H¡A±wªÌ¤´©ê«è¥Õ¤ÑµLªkºû«ùªø®É¬qªºÄµÄ±©Ê¡C°ê»ÚºÎ¯v»Ùê¤ÀÃþ (The International Classification of Sleep Disorders) ¤¤±N¦¹¦C¬°¼ÈÀÀºÎ¯v»Ùê (proposed sleep disorders) ¤U¤§¤@¶µ¡C

 

Suprachiasmatic nuclei  (SCN) µø¥æ¤e¤W®Ö

¦ì©ó­÷¨Å°Êª«µø¥æ¤e¤W¤è¤Uµø¥Cªº¯«¸g®Ö¡A¬°±±¨î¤é©]¸`«ß (circadian rhythm) ªº¥D­nºc³y¡C

 

Sudden infant death syndrome  À¦¨àÖ`¦º¯g­Ô¸s

µL¯S®í¯f¥vªºÀ¦¨à¬ðµM¦º¤`¥B¦º«á¤]¥¼¯àÀˬd¥X¦º¦]ªº²{¶H¡C¤j³¡¤Àªº±wªÌ¦b¦~ÄÖ2¨ì4­Ó¤ë®É¦º¤`¡A¦ý¤£·|¦b¥X¥Í«á«e3¶g¦º¤`¡A¦P®É¦~ÄÖº¡5­Ó¤ë«á¦]¦¹¯g¦Ó¦º¤`ªº¼Æ¥Ø¤]´î¤Ö¡C¶W¹L 80% ªºÀ¦¨àÖ`¦º¯g­Ô¸s±wªÌ¦bºÎ®É¦º¤`¡A³q±`¦b¤È©]¨ì²M±á6®É¶¡·|µo¥Í¬ðµM¦º¤`¡C¤Ö©ó5%ªºÀ¦¨àÖ`¦º¯g­Ô¸s±wªÌ¦³©ú½TªººÎ®É©I§l»Ùê¡C¬y¦æ¯f¾Çªº¬ã¨sÅã¥Ü»¤µo¦]¤l¥]¬A¦­²£¡B¥X¥Í®ÉÅé­«¤£¨¬¡BÂù­M­L©Î¦h­M¥Í²£ (multiple birth) ¡B¤Î¥S§Ì¤¤¦³¦]À¦¨àÖ`¦º¯g­Ô¸s¦Ó¦º¤`µ¥¡C¦¹¥~´¿¦³¤¤¼Ï¯«¸g¨t²Î¯fÅÜ (¦p¯Ê®ñ) ¤]¬O¤@¦MÀI¦]¤l¡C

 

Sudden unexplained nocturnal death syndrome ©]¶¡Ö`¦º¯g­Ô¸s

¬°¤@¯f¦]¤´¥¼²M·¡ªº¯g­Ô¸s¡A­ì¥»µo²{©óªF«n¨È®a¨t¡A±wªÌ¦bºÎ¯v¤¤¬ðµM¦º¤`¥B¦º¤`®É¶¡¤@¯ëµo¥Í¦bºÎ¯v¶g´Áªº«e¤T¤À¤§¤@®É¬q¡C±wªÌ¥D­n¬OªF«n¨È¦~»´¨k©Ê (99%¡F25-45·³¬°¥D) ¥B­ì¨Ó°·±d¡BµL¥ô¦ó¤ßªÍ¯e¯f¡B±`¬°¦Ù¦×«¬¡C¦¹¯g­Ô¸s»P®a±Ú¦³Ãö¡A¦ý°ò¦]ªº¨¤¦â©|¥¼³Qµý©ú¡C¨å«¬ªº¯f¨Ò·|¬ðµM¦]³Ý®§¡B²¿®§·P¡B©I§l§xÃø¬ðµMı¿ô (arousal) ¡A±wªÌÁy³¡±`¦³³QÅåÀ~¤§ªí±¡¡A¦ý«DºÎ¯v©I§l¤¤¤î¯g (sleep apnea) ©Ò¤Þ°_¡C±wªÌ¦]¤ßªÍ°±¤î¦Ó¦º¤`¡C·¥¤Öªº­Ó®×¸g¤ßªÍ´_µd³N±Ï¬¡¨Ãµo²{¦³¤ß«Ç¤Þ°_ªº¤£¾ã¯ß¡C³oºØ¤Ö¨£ªº¯f¨Ò­ì¥»¨£©ó25·³¥ª¥kªº®õ°ê¤H¡B¬Z®H¹ë¤H©Î¶V«n¤H¡A¥H¨k©Ê©~¦h¡C¤j³¡¤À³ø§iªº®×¨Ò¦h¬°²¾¥Á¬ü°êªºÃø¥Á¡CÁ{§É¯f¥v¤Î«ÍÅé¸Ñ­å¬Ò¥¼§e²{¤wª¾¯f¦]¡C±wªÌ¨ÃµL¼ÉÅS¨ì¥Íª«©Î¤Æ¾Ç¬rª«¡A¤Î¨Ï¥ÎÃĪ«©Î°sºëªºÃÒ¾Ú¡C³\¦h±wªÌ¥ý«e¦³ºÎ¯v®£Äß (sleep panic) ªºµo§@¡A¨Ã±qºÎ¤¤Ä±¿ô¡A¦]¦¹¦³¤H°²·Q¦¹ºØ±wªÌ¥i¯à¦]ºÎ®É¦³ÄY­«ºÎ¯v®£Äßµo§@¡A¤ßŦ¨ü¨ì¨ë¿E¤Þµo­P¦ºªº¤£¾ã¯ß¡C¬ã¨sÅã¥Ü¤ß¦Ù´_·¥¤Æ¯Ê³´ªº±wªÌµo¯f²v¸û°ª¥BQT¶¡¹j¸ûªø¡C¥Í¬¡Àô¹Ò¤]¥i¯à¬O¤@¼vÅT¦]¯À¡A¥]¬A²¸Ói¯À (thiamine) ¤£¨¬¡B¹[¬y¥¢¤Î³«»ÄðS (Vanadate) ªº¼vÅT¡F³«¦b®õ°êªF¥_¤gÄ[§t¶q°ª¥i§í¨î¤TÁC»Ä¸¢¥Ì×Q (ATPase) ¡A¨Ã¨Ï¹[Â÷¤l¬y¥¢¡C

 

Synchronized sleep  ¦P¨B¤ÆºÎ¯v

«ü«D§Ö³t°Ê²´ºÎ¯v (non-rapid-eye-movement sleep, NREM sleep) ¡C¥Ñ²LºÎ (²Ä¤@¡B¤G´ÁºÎ¯v (Stage 1, Stage 2 sleep) ¦Ü²`ºÎ (²Ä¤T¡B¥|´ÁºÎ¯v) ¹Lµ{¤¤¡A¸£ªi§e²{¶V¨Ó¶V¦hªº°ª´T«×¡B§CÀW²v¡B¦P¨B¤Æªi°Ê (delta ªi) ¡CºÎ¯v¬ã¨s¾ÇªÌ»{¬°³o¨Ç°ª´T§CÀWªi°Êªº¼W¥[¬O¦]¤j¸£¤º¦U¯«¸g²Ó­Mªº¬¡°Ê³vº¥¦P¨B¤Æªºµ²ªG¡C°Ñ¦Ò¤£¦P¨BºÎ¯v (desynchronized sleep) ¡C

 

Time cue®É¶¡½u¯Á

¯à½Õ¸`¤º¦b¤é©]¸`«ßªº¥~¬É¨ë¿E¡C¹ï¤j³¡¤À³°©~¥Íª«Åé¦Ó¨¥¡A¥ú½u¬O³Ì¦³®Äªº®É¶¡½u¯Á¡A¨ä¦¸¬O·Å«×¤Î¥D­n­¹ª«¥X²{ªº®É¶¡¡C¦Ó¹ï¥Í¬¡¦b²{¥NªÀ·|Àô¹Òªº¤HÃþ¦Ó¨¥¡A¥D­n¬O¨Ì¿à¤u§@¡B¹B°Ê¡B¶iÀ\¡BªÀ¥æ¬¡°Êµ¥®É¶¡ªí¡C

 

Tonic state  (in REM sleep) , Tonic REM sleep ÀRºA§Ö³t°Ê²´ºÎ¯v¡Bí©w§Ö³t°Ê²´ºÎ¯v

¯Ê¥F°ÊºA¯S¼xªº§Ö³t°Ê²´ºÎ¯v (rapid-eye-movement sleep, REM sleep) ¡C³o¨Ç°ÊºA¯S¼x¥]¬A§Ö³t²´²yÂà°Ê (rapid eye movement) ¡B¦Ù¦×©âÝz (muscle twitches) ¡B¤ß¸õ¤Î©I§l¼@¯PÅܰʵ¥¡A¦b³o­Ó¶¥¬q§Ö³t°Ê²´ºÎ¯vªºÀRºA¯S¼x¤´·|«ùÄò¥X²{¡A¥]¬A¸£¹q¹Ï (EEG) «ùÄò§e²{²VÂø¤Î¤£¦P¨Bªºªi°Ê¡B¦Ù¦×±i¤O¥þµMÃP¦¢ (muscle atonia) µ¥¡C

 

Total sleep time Á`ºÎ¯v®É¼Æ

ºÎ¯v¹Lµ{¤¤³B©ó¦UºÎ¯v¤À´Á (sleep stage) ªºÁ`¦@®É¼Æ¡A§Y½ö§É®É¶¡´î¥h¿ôµÛ®É¶¡ªº¾l¼Æ¡C

 

Transient insomnia ¼È®É©Ê¥¢¯v

¨£adjustment sleep disorder¡C

 

Two-process modelÂù¾÷¨î²z½×

¥ÑBorbely©Ò´£±±¨îºÎ¯v¾÷¨îªº²z½×¡A»{¬°ºÎ¯vªº§e²{¬O¥Ñ«í©w§@¥Î (homeostatic process) »P¤é©]¸`«ß (circadian rhythm) ¨â­Ó¾÷¨î¥æ¤¬§@¥Î¤U©Ò¨M©w¡C

 

Ultradian rhythm µu¤é¸`«ß

¶g´Áªø«×»·µu©ó24¤p®Éªº¸`«ß¡A¦pºÎ¯v¶g´Á (sleep cycle) ¡C

 

Vertex sharp transients, vertex sharp waves Æ`³»¦yªi

²Ä¤@´ÁºÎ¯v (Stage 1 sleep) ªº¸£ªi¯S¼x¤§¤@¡Cªi«¬¦üK½Æ¦Xªi (K-complex) ¦ý«ùÄò®É¶¡§óµu¥Bªi´T¸û¤p¡CÆ`³»¦yªi¥u«]­­µo¥Í©óÆ`³»°Ï°ì¡C

 

Vigilance ĵı©Ê

­ÓÅé¹ï©ó¥~¬É¨ë¿E«ùÄòª`·N¥H«K¥ß§Y¤ÏÀ³ªºµ{«×¡C

 

Zeitgeber®É¶¡½u¯Á

¼w¤åTime giver¤§·N¡A¦Ptime cue¡C¨£time cue¡C