外伤性脑损伤后的睡眠障碍:新见解

D. Utami, Faldi Yaputra
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引用次数: 0

摘要

在创伤性脑损伤(TBI)后,睡眠-觉醒周期的中断尤为普遍。睡眠中断可能是脑损伤的主要影响,也可能是创伤性脑损伤的其他神经精神后遗症的结果,如焦虑症、抑郁症、药物滥用、慢性疼痛和/或药物消耗。大约五分之一的TBI患者会出现慢性不适(头痛和广泛性疼痛,可能是中枢性的)和/或睡眠困难(失眠、呼吸困难、周期性肢体运动)。与创伤性脑损伤相关的睡眠-觉醒周期中断需要治疗。虽然目前针对脑外伤患者的具体数据有限,但认知行为治疗和药物治疗可能有助于缓解脑外伤患者的睡眠-觉醒问题。本文旨在提高人们对创伤性脑损伤后睡眠障碍的认识,以加强诊断、评估和治疗,并揭示新的研究机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SLEEP DISTURBANCE AFTER TRAUMATIC BRAIN INJURY: NEW INSIGHT
Disruptions in sleep-wake cycles are particularly prevalent after a Traumatic Brain Injury (TBI). Sleep disruptions may occur as a main impact of brain damage or as a result of other neuropsychiatric sequelae of TBI, such as anxiety disorder, depressive disorders, substance abuse, chronic pain, and/or medication consumption. Chronic discomfort (headache and broad pain, presumably of central origin) and/or sleep difficulties (insomnia, disturbed breathing, periodic limb movements) occur in about one in five people with TBI. Disruptions in sleep-wake cycles linked with TBI need therapy. Although data specific to individuals with TBI is currently limited, cognitive-behavioral treatment and medication may be beneficial in alleviating sleep-wake problems in people who have sustained a TBI. This article aims to raise awareness of sleep disturbance after TBI to enhance diagnosis, assessment, and therapy and disclose new research opportunities.
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