卒中患者的基础睡眠卫生管理探讨

doi:10.3969/j.issn.1673-5765.2022.11.019

摘要/Abstract

摘要： 卒中和睡眠-觉醒障碍是常见的神经系统疾病，可同时发生，并互为危险因素。卒中的主要预防措施包括对危险因素的管理，对于睡眠-觉醒障碍，除药物治疗外，基础睡眠卫生管理也是不可或缺的管理措施。卒中患者的基础睡眠卫生管理主要有醒后卫生管理、入睡卫生管理、睡眠环境管理、精神卫生管理和睡眠习惯改善等。实施基础睡眠卫生管理可提高卒中的治疗效果和患者的生活质量。在卒中患者的基础睡眠卫生管理的实践中，还可以早期发现与卒中相关的睡眠-觉醒异常现象，做到早发现、早诊断、早治疗、早康复。探讨卒中患者的睡眠卫生管理方法虽然具有很大的挑战性，但在神经和睡眠医学领域中具有重要的科研价值。现阶段进行的初级小结可为今后卒中的睡眠卫生管理方法的制定做一个探索性的准备。

文章导读： 卒中患者的睡眠-觉醒障碍是目前在临床被严重低估和忽视的症状，对患者的醒后卫生、入睡卫生、睡眠环境、精神卫生、睡眠习惯、药物管理等基础睡眠卫生管理，不仅有助于改善患者的睡眠，还可能改善患者的精神情绪状态，甚至改善卒中治疗的效果和患者的预后。

关键词: 卒中; 睡眠-觉醒障碍; 失眠; 睡眠卫生管理

Abstract: Stroke and sleep-wake disorders are both common neurological disorders that co-occur and could be risk factors for each other. The primary prevention measure of stroke is management of risk factors. For sleep-wake disorders, as a risk factor of stroke, in addition to drugs, basic sleep hygiene management is also an indispensable treatment method. The basic sleep hygiene management of stroke patients mainly includes wake-up hygiene, sleep onset hygiene, sleep environment management, mental hygiene and sleep habits improvement. The basic sleep hygiene management can improve treatment effect and quality of life for stroke patients. In the basic health management of sleep for stroke patients, the abnormal sleep-wake related to stroke can be detected early, so as to achieve early diagnosis, early treatment and early recovery. It is a real challenge to explore sleep hygiene management methods for stroke patients, while it has important research value in the fields of neurology and sleep medicine. Now this article summary can provide reference for in-depth research and developing basic sleep hygiene management for stroke patients in the future.

Key words: Stroke; Sleep-wake disorder; Insomnia; Sleep hygiene management

芮茗. 卒中患者的基础睡眠卫生管理探讨[J]. 中国卒中杂志, 2022, 17(11): 1271-1275.

RUI Ming. Basic Sleep Hygiene Management of Stroke Patients[J]. Chinese Journal of Stroke, 2022, 17(11): 1271-1275.

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