头和睡眠之间的关系:对文献的审查
Roeland B van Leeuwen1, Tjard R Schermer1,2, Henri P Bienfait3
1Apeldoorn Dizziness Centre, Gelre Hospitals, Apeldoorn, Netherlands.
Frontiers in neurology
|September 13, 2024
概括
静脉管障碍和睡眠障碍经常同时存在,患有头的患者更有可能患有睡眠问题. 然而,直接的因果关系仍然没有得到证实,这凸显了对前庭患者睡眠质量的临床关注的需要.
科学领域:
- 整合了耳鼻喉科,神经病学和睡眠医学.
- 专注于前置系统和睡眠调节之间的复杂相互作用.
背景情况:
- 人们对前体障碍与睡眠质量之间的关系知之甚少.
- 现有的研究已经从两个方向探索了这种联系,但往往忽视了前庭患者的睡眠质量.
- 临床实践很少针对前庭状况患者的睡眠质量.
研究的目的:
- 系统地审查当前关于头和睡眠之间的双向关系的科学文献.
- 评估证据证明前庭和睡眠障碍之间的因果关系.
主要方法:
- 在四个数据库中进行了系统的文献搜索.
- 搜索仅限于在2024年4月1日之前发表的研究.
- 选择的研究经过了批判性审查和总结.
主要成果:
- 综述包括了42项研究.
- 与对照组相比,患有一般头或特定前庭神经系统疾病的患者 (例如,良性发性位置性头,前庭神经系统偏头痛,梅尼耶氏病,前庭神经功能下降) 患有睡眠障碍的患病率更高.
- 在阻塞性睡眠呼吸暂停综合征 (OSAS) 和增加前庭病情和障碍之间发现了显著的关联.
- 目前的研究不支持因果关系.
结论:
- 头和睡眠障碍经常同时发生,但睡眠障碍对头的影响程度需要进一步调查.
- 评估睡眠质量对于患有前体障碍的患者至关重要.
- 在被诊断患有阻塞性睡眠呼吸暂停综合征 (OSAS) 的患者中,应考虑静脉管的投诉和功能障碍.
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