昼夜节律紊乱

A. Sampat, A. Ryden
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引用次数: 0

摘要

昼夜节律紊乱是一组睡眠状况,涉及个人内部计时系统与期望的睡眠-觉醒时间不一致。这种不同步会损害睡眠健康以及其他器官系统的功能,并显著降低一个人的生活质量。根据导致这种情况的潜在因素,有六种定义明确的昼夜节律障碍,可分为内在或外在。内在昼夜节律障碍包括:1)提前睡眠-觉醒阶段障碍,2)延迟睡眠-觉醒阶段障碍,3)不规则睡眠-觉醒节奏障碍,4)非24小时睡眠-觉醒节奏障碍。由外部因素引起的两种昼夜节律障碍包括倒班工作障碍和时差障碍,两者都是由于行为介导的昼夜节律系统失调造成的。本章旨在总结这些障碍,指导临床医生筛选和评估这些条件,并介绍非睡眠医学临床医生可以应用的基本治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Circadian Rhythm Disorders
Circadian rhythm disorders are a group of sleep conditions that involve a misalignment of an individual’s internal timekeeping system with that of one’s desired sleep-wake time. This desynchrony can compromise sleep health as well as the functioning of other organ system, and significantly diminish one’s quality of life. There are six well-defined circadian rhythm disorders that can be classified as either intrinsic or extrinsic, based on the underlying factors that contribute to the condition. Intrinsic circadian disorders include the following: 1) advanced sleep-wake phase disorder, 2) delayed sleep-wake phase disorder, 3) irregular sleep-wake rhythm disorder, and 4) non-24-hour sleep-wake rhythm disorder. The two circadian disorders caused by external factors include 1) shift work disorder, and 2) jet lag disorder, both of which are due to behaviorally mediated misalignments of circadian system. This chapter serves to summarize these disorders, guide clinicians towards screening and evaluation of these conditions, and introduce basic treatment strategies that can be applied by non-sleep medicine clinicians.
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