脑卒中后的昼夜节律障碍和中风预后:一个系统性审查
Michael Zhang1, Noyonika Nath1, Linh Chu1
1School of Medicine, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Psychiatry and clinical neurosciences
|November 24, 2025
概括
循环节律障碍在中风患者中很常见,并且与更糟糕的结果有关. 进一步研究以昼夜为基础的疗法可能会改善中风恢复.
科学领域:
- 神经科学是一个神经科学.
- 睡眠医学 睡眠医学
- 时间生物学 时间生物学
背景情况:
- 在中风患者中经常观察到循环节律障碍.
- 这些干扰对中风预后的影响尚不清楚.
研究的目的:
- 为了描述中风后的昼夜节律障碍.
- 评估昼夜节律扰乱与患者结果之间的关联.
主要方法:
- 在2024年5月4日,在主要数据库中进行了系统的文献搜索.
- 包括50项研究进行定性合成,评估昼夜节律标志物和中风预后.
- 研究被评估为质量,大多数被评为中等或高.
主要成果:
- 在描述昼夜节律的研究中,93%的研究使用各种标志物发现了中风患者中断的证据.
- 90%的评估预后的研究发现昼夜节律扰乱与不良结果之间存在联系.
- 糟糕的结果包括功能衰退,认知障碍,情绪障碍和死亡率增加.
结论:
- 循环节律障碍在中风患者中普遍存在,并与预后较差有关.
- 对昼夜节律的评估对于中风患者的管理至关重要.
- 基于昼夜的新型干预措施需要进行调查,以加强中风恢复.
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