情节性偏头痛中的睡眠症状和障碍:评估和管理
Angeliki Vgontzas1, Jelena Pavlović2, Suzanne Bertisch3
1Division of Headache Medicine, Department of Neurology, John R. Graham Headache Center, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. avgontzas@bwh.harvard.edu.
Current pain and headache reports
|September 4, 2023
概括
患有插曲性偏头痛的人经常经历睡眠不良,并且有更高的睡眠障碍风险,如失眠. 评估睡眠症状对于有效管理偏头痛至关重要.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 临床研究 临床研究
背景情况:
- 插曲性偏头痛经常与睡眠障碍有关.
- 与对照组相比,偏头痛患者报告睡眠质量较差.
研究的目的:
- 审查当前关于偏头痛患者睡眠症状和障碍的研究.
- 提出一个框架来评估这一群体的睡眠.
主要方法:
- 对睡眠和偶发性偏头痛的现有文献进行系统审查.
- 分析了多睡眠学和动图学研究.
- 评估患者报告的结果.
主要成果:
- 偏头痛患者报告睡眠状况较差,并且患失眠,乳头和不安腿综合征的风险更高.
- 客观睡眠研究表明,偏头痛儿童的快速眼动睡眠时间较短.
- 在偏头痛发作之前或之后,没有注意到明显的睡眠变化.
结论:
- 睡眠查应整合到头痛评估中.
- 建议对可能恶化睡眠的头痛药物保持谨慎.
- 需要进一步研究治疗睡眠障碍,以减少偏头痛的负担.
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