脑卒中后觉醒障碍.pdf

中国现代神经疾病杂志 年 月第 卷第 期 6 ·476 · 2013 6 13 6 ChinJContempNeurolNeurosurg,June2013,Vol.13,No. 专题讲座 · · 脑卒中后觉醒障碍 邓丽影 【摘要】 脑卒中后觉醒障碍系指脑卒中引起的中枢神经系统损害所致睡眠 觉醒障碍，临床上分为⁃ 3种类型，即脑卒中后睡眠过多、白天过度嗜睡、疲劳感。由于其患病率仅次于睡眠呼吸紊乱，并影响脑 卒中患者的康复和生活质量，早期干预有可能改变患者不良转归，近年来逐渐成为脑卒中治疗和康复的 新靶点。 【关键词】 卒中； 睡眠障碍； 综述 Sleep wakedisturbancesafterstroke⁃ DENGLi⁃ying Department of Neurology, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi, China (Email: dengliying1225@163.com) 【 】 Abstract Sleep⁃wake disturbances (SWD) after stroke is a sleep⁃wake disorder resulting from centralnervoussystem lesion caused by stroke. SWD includes hypersomnia,excessive daytime sleepiness (EDS), fatigue and so on. The prevalence rate of SWD is only less than sleep ⁃ related breathing disturbances(SBD). RecentstudiessuggestthatSWDisfrequentand negativelyaffectsrehabilitationand quality of life of patients with stroke, and treatment of poststroke SWD may favorably influence stroke outcome. SWDmaybecomeanewtargetoftreatmentandrehabilitationofstroke. Thispaperreviewedthe progressofthisissue. 【 】 Keywords Stroke; Sleepdisorders; Review This study was supported by Science and Technology Study Project by Education Department of JiangxiProvince(No.GJJ11318). ［ ］ 4⁃5 睡眠 觉醒障碍（⁃ SWD）是脑卒中后最常见的睡 干预，从而影响预后，误诊率和误治率较高 。脑 眠障碍之一。研究表明，有10%~50%的脑卒中患 卒中后觉醒障碍与脑卒中后睡眠呼吸紊乱、抑郁和 者可发生睡眠 觉醒障碍，包括失眠，觉醒障碍，睡眠⁃