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KMID : 1137820140350030055
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의공학회지
2014 Volume.35 No. 3 p.55 ~ p.61
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Unconstrained REM Sleep Monitoring Using Polyvinylidene Fluoride Film-Based Sensor in the Normal and the Obstructive Sleep Apnea Patients
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Hwang Su-Hwan
Yoon Hee-Nam
Jung Da-Woon
Seo Sang-Won
Lee Yu-Jin
Jeong Do-Un
Park Kwang-Suk
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Abstract
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In sleep monitoring system, polysomnography (PSG) is the gold-standard but previous studies revealed that attaching numerous amount of sensors disturb sleep during the test which is the fundamental disadvantage of PSG. We suggest an unconstrained rapid-eye-movement (REM) sleep monitoring method measured with polyvinylidene (PVDF) film-based sensor for the normal and the obstructive sleep apnea (OSA) patients. Nine normal subjects and seventeen OSA patients have participated in the study. During REM sleep, rate and variability of respiration are known to be greater than in other sleep stages. Based on this phenomena, respiratory signals of participants were unconstrainedly measured using the PVDF-based sensor with the PSG and REM sleep were extracted from the average rate and variability of respiration. In epoch-by-epoch REM sleep detection, proposed method classified REM sleep with an average sensitivity of 72.3%, specificity of 92.5%, accuracy of 88.9%, and kappa statistic of 0.60 compared to the results of PSG. Student’s t-test showed no significant difference between the results of normal and OSA group. This method is potentially applicable to REM sleep detection in homing environment or ambulatory monitoring.
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KEYWORD
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REM sleep monitoring, PVDF sensor, Polysomnography, Obstructive Sleep Apnea
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