精神兴奋剂治疗肌性缩症的高睡眠症 (过度的白天嗜睡)
Djillali Annane1,2, Luc Laberge3, Benjamin Gallais4,5
1Department of Critical Care, Hyperbaric Medicine and Home Respiratory Unit, Center for Neuromuscular Diseases; Raymond Poincaré Hospital (AP-HP), Garches, France.
The Cochrane database of systematic reviews
|November 18, 2024
概括
精神兴奋剂可能会改善肌性营养不良患者的高睡眠症,但它们对过度白天嗜睡和生活质量有效性的证据非常不确定. 需要进一步的研究来证实这些发现并评估长期的安全性.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 过度的白天嗜睡是肌性营养不良的一个普遍症状.
- 精神兴奋剂越来越多地用于治疗肌性营养不良患者的高睡眠症.
研究的目的:
- 评估精神兴奋剂在治疗肌肉缩症患者高睡眠症的疗效和安全性.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查.
- 搜索包括主要数据库,截至2023年1月.
- 分析了6项涉及136名成年参与者的RCT.
主要成果:
- 精神兴奋剂在爱普沃思睡眠度量表 (ESS) 上显示出统计学上显著的改善 (MD -2.55,95% CI -4.00 到 -1.11).
- 关于保持清醒测试 (MWT) 和多重睡眠延迟测试 (MSLT) 的证据确定性非常低.
- 副作用的风险略有增加 (RR 1.70,95% CI 0.75至3.85),证据确定性较低.
结论:
- 精神兴奋剂对过度白天嗜睡和肌性缩症患者的生活质量的影响仍然不确定.
- 虽然精神兴奋剂可以改善自我报告的嗜睡,但更高质量的长期RCT是必不可少的.
- 需要进行进一步的研究,以确定精神刺激剂在肌性发育不良症中使用的最终疗效和安全性.
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