偏头痛中的睡眠症状
Marc Daou1, Angeliki Vgontzas2,3
1Department of Neurology, Tufts Medicine, Tufts University School of Medicine, Boston, MA, USA.
Current neurology and neuroscience reports
|June 12, 2024
概括
偏头痛患者经常在发作之间经历睡眠质量低下和失眠,而不是在发作期间. 失眠的认知行为疗法 (CBT-I) 显著改善慢性偏头痛患者的头痛负担.
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:
- 偏头痛经常与睡眠障碍有关.
- 了解睡眠和偏头痛之间的关系对于有效管理至关重要.
研究的目的:
- 审查和突出研究的睡眠在偶发性和慢性偏头痛.
- 要区分与攻击相关的和间歇性睡眠症状.
主要方法:
- 对儿童和成人偏头痛群体睡眠的复制和新研究的审查.
- 分析与偏头痛阶段相关的客观和主观睡眠数据.
主要成果:
- 睡眠症状在偏头痛前症候群中最为突出,可能与下丘脑激活有关.
- 在间歇性方面,偏头痛患者报告睡眠质量差和失眠,表明疾病恶化.
- 失眠的认知行为疗法 (CBT-I) 对慢性偏头痛的头痛负担显示出显著的益处.
结论:
- 偏头痛中的失眠和睡眠质量差主要是间歇性,而不是与攻击相关的.
- 根据证据,偏头痛目前与睡眠呼吸暂停或强烈的昼夜影响无关.
- 对于偏头痛患者,需要睡眠症状的临床指南和扩展的CBT-I试验.
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