摘要
上班族中可能有些人會察覺到，長時間在密閉辦公大樓之中央空調系統環境中，身體會暫時出現一些不適的感覺，如頭昏、頭痛、胸悶、呼吸不順暢、關節痛、皮膚幹燥、倦怠或眼睛幹澀等，但在星期例日時，因離開了密閉空調環境，這些不適症狀，便會自然獲得改善，或甚至在一段時間後消失。因此，凡人們在空調室內工作或生活一段時間後，生理所引起的一些非特異性症狀，吾人可稱之爲空調相關症候群(air-condition related syndrome)。不過，一般文獻上通稱爲病態建築物症候群(sick building syndrome, SBS)。它並不是一種疾病(disease)，而是人們處於空調室內的特殊環境，所引起許多不同生理和病理反應的綜合症狀(symptoms)，當然個人心理因素（如工作負荷、同儕競爭）亦不能加以忽略。 台灣地區近些年來，都會區之辦公大樓如雨後春荀般林立，爲了讓室內工作人員感到舒適，幾乎全採用中央空調系統，將室溫控制在恒定狀態，通常在25℃左右，上下可波動3-4℃。在冬、夏季節裏，室內外溫差大，人們進出空調系統，一冷一熱，身體不易適應空氣溫度的驟變，極容易生病。空調系統內過濾綱積塵，導致通風換氣不良，且吸附空氣中過多之陰離子，使得室內空氣陰陽離子比值失調，加上空調室中的一些裝飾、建材、地毯、傢俱、電器用品或事務機器（如影印機、列表機、終端機、電腦主機或傳真機等）等混合因素，室內空氣污染物增加，使人體健康受到不同程度的影響，而誘發眼睛、鼻子與喉嚨之不適，皮膚癢及幹燥，倦怠、頭痛、頭昏、注意力不集中或焦躁不安等症候群。 爲了改善人們居家或辦公之空氣品質，近些年來，營建業與傢俱業推動所謂綠建業(green buildings)、健康建業(healthy buildings)與綠傢俱(green furnitures)，其最終目的即在於改善室內空氣品質(indoor air quality, IAQ)，進一步提升室內環境品質(indoor environment quality, IEQ)，以及室內環境健康(indoor environment health,IEH)促進，如中央空調系統換氣量多寡、通風效益好壤、濾網擺設位置與效率、未添加化學物原木、室內空間之格局或室內人員吸煙等，祛除造成室內空氣品質不良之原因，並持續維護居家或整棟辦公大樓空調系統之良好運作，如此方能降低病態建築物症候群之發生，一方面可提升辦公大樓工作人員之效率懷健康，另方面亦可降低健保局一些非必要性的醫療支出。
並列摘要
The term sick building syndrome (SBS) is used to describe a situation in a building where more people suffer from various symptoms or feel unwell for no apparent reason. SBS refers to nonspecific complaints, including upper-respiratory-tract irritative symptoms, headaches, fatigue, dizziness, skin rash and itching, difficulty in concentrating, lethargy, chest tightness, etc. SBS must be distinguished from several well-defined building-related illnesses that are caused by specific exposures in indoor environment, such as allergic chemicals, asbestors, lead in paint, formaldehyde, molds, spores, bacteria, viruses, etc. SBS is an increasingly common problem. SBS has been reported with increasing frequency since the 1970s, as older, naturally ventilated buildings have been replaced by more energy-efficient and airtight air-conditioned buildings. So far, the etiology of SBS remains poorly understood. Etiological factors range from temperature, humidity, air movement, internal pollutants, dust, lighting, and noise factors. Good maintenance of air-conditioned buildings is important, such as ventilation rate, local exhaust system, cleaning of filters, enough space for occupants, etc. How to improve indoor air quality and promote indoor environment quality, finally to provide us a healthy indoor environment is our expectation.