Ohayon Maurice M
Stanford Sleep Epidemiology Research Center, School of Medicine, Stanford University, Stanford, CA, USA.
Rev Prat. 2007 Sep 30;57(14):1521-8.
Sleep disorders can be expressed in different ways. The International Classification of Sleep Disorders lists more than 80 different sleep disorder diagnoses. In general population, although the insomnia complaint is reported by nearly the third of the population, it is translated into a diagnosis of insomnia for only 6% to 15% of the population. Sleep apnea syndrome, often associated with insomnia or daytime sleepiness, is found in approximately 2% to 4% of the general population. Restless legs syndrome is present for approximately 6% of the general population with a higher prevalence in the elderly subject. Narcolepsy is rare with a prevalence of 0.04%. Parasomnias are less studied in the general population; prevalences of several of parasomnias remain unknown. Among those more extensively studied, sleep paralysis is found for approximately 6% of the general population. Nocturnal terrors, the confusional arousals and nightmares have been observed with prevalences ranging from 2.2% to 5%. Despite their high frequency, sleep disorders remain poorly identified; less than 20% of individuals with sleep disorders are correctly diagnosed and treated.
睡眠障碍可以以不同方式表现出来。《国际睡眠障碍分类》列出了80多种不同的睡眠障碍诊断。在普通人群中,虽然近三分之一的人报告有失眠主诉,但只有6%至15%的人被诊断为失眠。睡眠呼吸暂停综合征通常与失眠或日间嗜睡有关,在普通人群中约占2%至4%。不安腿综合征在普通人群中约占6%,在老年人群中患病率更高。发作性睡病很罕见,患病率为0.04%。异态睡眠在普通人群中的研究较少;几种异态睡眠的患病率仍然未知。在那些研究较为广泛的异态睡眠中,睡眠瘫痪在普通人群中约占6%。夜惊、混乱性觉醒和噩梦的患病率在2.2%至5%之间。尽管睡眠障碍发生率很高,但仍然识别不足;不到20%的睡眠障碍患者得到正确诊断和治疗。