睡眠障碍既是中风的风险因素,也是中风的后果:叙述性综述
Lukas Mayer-Suess1, Abubaker Ibrahim1, Kurt Moelgg1
1Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
概括
睡眠障碍是中风的重要风险因素,并对恢复产生负面影响. 解决这些睡眠问题可能会降低中风风险并改善结果,尽管需要更多的临床试验.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 睡眠障碍越来越被认为是影响中风发生率和预后的关键因素.
- 这些睡眠障碍可以在中风事件之前发生,也可以在脑血管损伤后出现.
研究的目的:
- 审查与中风相关的睡眠障碍的范围.
- 分析这些疾病对中风风险和患者结局的影响.
主要方法:
- 使用PubMed和clinicaltrials.gov.gov进行了全面的文献搜索.
- 关键词包括各种睡眠障碍 (如失眠,麻醉症,不安腿综合征) 与"中风"或"脑血管".
- 该审查涵盖了1990年至2023年3月期间发表的英语文章.
主要成果:
- 越来越多的证据证实睡眠障碍是中风的危险因素.
- 睡眠障碍,包括与睡眠相关的呼吸障碍,睡眠期间肢体周期性运动,麻醉症,REM睡眠行为障碍,失眠和昼夜节律障碍,影响大约一半的中风患者.
- 脑卒中后睡眠障碍与较差的恢复和结果有关.
结论:
- 睡眠障碍是中风的确立危险因素,并与不良结果有关.
- 最近的指导方针建议在中风后对睡眠障碍进行查.
- 治疗睡眠障碍的治疗干预措施有可能减少中风风险和改善结果,等待进一步的临床试验验证.
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