课件：不宁腿综合症.pptVIP

* 其实，我的理解，RLS是一个不折不扣的综合症。病因和机制不同，都可以表现为相似的临床症状。 * Objective tests can be helpful in doubtful cases, but have not become accepted as diagnostic criteria 难以名状。即便好不容易表达出了，也是一种怪异的感觉。 The most recent standards emphasize the presence of one main symptom—the urge to move—and three key modulators: rest, activity, and time of day. * * 病人觉得躺在硬邦邦的地板上反而容易睡着。躺在床上不易睡着。 * Movement immediately relieves the symptoms, and continued movement (such as walking) provides ongoing relief. However, if patients stop moving their legs, the symptoms may return. Ignoring the urge to move the legs may lead to progressive intensification of the akathisia, until patients either move their legs or the legs jerk involuntarily. * Although initially the symptoms occur at bedtime or during the night, as the syndrome progresses, symptoms start to occur earlier in the day and become more intense at night. Even when they occur throughout the day, the symptoms are always worst in the evening or at night. * Sometimes the patient’s bed partner reports having seen frequent leg or limb movements during sleep years before the patient recognized sensory symptoms. Not all patients with RLS have periodic limb move ments of sleep, and not all patients with such movements have RLS, making the identification of these movements of questionable value in diagnosis. RLS 是引起PLM最常见的原因。 * Sometimes the patient’s bed partner reports having seen frequent leg or limb movements during sleep years before the patient recognized sensory symptoms. Not all patients with RLS have periodic limb move ments of sleep, and not all patients with such movements have RLS, making the identification of these movements of questionable value in diagnosis. * 一直进展。除非药物干预。 RLS is generally a chronic condition [21–23,25]. This is true not only of patients, but of affected family members who have not yet come to medical attention for the condition [41]. Over 95% of family members of RLS patients who have experienced RLS symptoms continue t