關於下列圖形的判讀,何者正確?(Pes: esophageal pressure)圖形①②③④

A①mixed apnea
B②central apnea
C③obstructive apnea
D④respiratory effort-related arousal正確答案
答案與詳解

圖④顯示:Airflow持續存在(無明顯停止或≥30%減低達hypopnea標準),Effort (Rib cage、Abdomen)持續,但Pes呈現進行性加深負壓(crescendo/progressive增大),最終以EEG Arousal終止,SaO₂變化輕微或不顯著。此典型圖形符合RERA(Respiratory Effort-Related Arousal)定義:有漸增的上呼吸道阻力/努力,不符合apnea或hypopnea標準,但以arousal結束。D選項正確。
