睡眠和认知功能障碍在下大脑下出血:一个范围审查
Dayeon Son1, Julia K Veitinger1, Revika Singh1
1Department of Neurology, Northwestern Feinberg School of Medicine, Chicago, IL 60611, USA.
Journal of clinical medicine
|February 13, 2026
概括
脑下关节出血 (SAH) 幸存者经常经历持续的睡眠和认知问题,影响恢复和日常生活. 当前的评估往往忽略了这些关键的长期赤字.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 睡眠医学 睡眠医学
背景情况:
- 副关节出血 (SAH) 导致显著的长期残疾,特别是在年轻人中.
- 传统的结果尺度可能无法完全捕捉SAH幸存者的残疾程度.
研究的目的:
- 审查目前关于SAH幸存者的睡眠和认知功能障碍的证据.
- 确定SAH后这些后果的评估和管理中的差距.
主要方法:
- 使用PRISMA-ScR协议进行范围审查.
- 在PubMed,EMBASE和Web of Science中选了2243个出版物.
- 分析了1980年至2025年间发表的115项研究.
主要成果:
- 睡眠障碍 (失眠,高睡眠,睡眠呼吸暂停) 很普遍,并与疲劳,情绪和认知问题有关.
- 认知缺陷 (记忆力,执行功能,注意力) 持续存在,阻碍重新整合.
- 与创伤性脑损伤 (TBI) 文学相比,SAH研究低估了睡眠和认知.
结论:
- 标准的结果措施不充分捕捉SAH幸存者的赤字.
- 需要进行标准化的评估,纵向数据以及睡眠和认知功能障碍的干预措施.
- 神经炎症可能是改善SAH幸存者的长期大脑健康的治疗目标.
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