中国卒中杂志 ›› 2019, Vol. 14 ›› Issue (04): 346-351.DOI: 10.3969/j.issn.1673-5765.2019.04.009

• 专题综述 • 上一篇    下一篇

卒中后睡眠障碍

王亚丽,裴少芳,刘毅   

  1. 215000 苏州市立医院北区神经内科
  • 收稿日期:2019-01-07 出版日期:2019-04-20 发布日期:2019-04-20
  • 通讯作者: 刘毅 liuyizr@163.com
  • 基金资助:

    国家自然科学基金(81801253)
    江苏省自然科学基金(BK20180214)
    江苏省干部保健科研课题(BJ18011)
    苏州市科教兴卫项目(KJXW2017036,KJXW2017037)

Post-stroke Sleep Disorders

  • Received:2019-01-07 Online:2019-04-20 Published:2019-04-20

摘要:

睡眠障碍是卒中后常见的并发症之一,会影响卒中患者的预后及生活质量。卒中后睡眠障 碍的原因不完全清楚,主要与梗死部位、神经递质、社会心理因素等有关。它主要分为呼吸相关性 睡眠障碍和非呼吸相关性睡眠障碍两类,其中呼吸相关性睡眠障碍是较常见的类型。在卒中后睡眠 障碍的治疗方面,药物治疗和非药物治疗相辅相成。临床医师应增强意识,尽早识别卒中后睡眠障 碍类型,予以干预,以期改善患者预后,提高患者生活质量。

文章导读: 卒中后睡眠障碍的发生率很高,影响患者神经功能预后及降低生活质量,临床上应注意早期识别并干预。

关键词: 卒中; 睡眠障碍; 发病机制

Abstract:

Sleep disorders are a kind of common complications after stroke, which can affect the prognosis and life quality of stroke patients. The pathogenetic mechanism of poststroke sleep disorders (PSSD) is unclear, and PSSD occurrence may be related with lesion area, neurotransmitters and social psychological factors and etc. PSSD include two categories: respiratory related sleep disorders and non- respiratory related sleep disorders, and the former is more common. The therapy of PSSD includes pharmacotherapy and non-pharmacotherapy. Neurologists should pay more attention to PSSD, recognize PSSD as early as possible and give active intervention, to improve neurological function and life quality of patients.

Key words: Stroke; Sleep disorder; Pathogenetic mechanism