睡眠与风湿性疾病。

Sleep and rheumatologic disorders.

作者信息

Abad Vivien C, Sarinas Priscilla S A, Guilleminault Christian

机构信息

Clinical Monitoring Sleep Disorders Center, Camino Medical Group, Palo Alto Medical Foundation, USA.

出版信息

Sleep Med Rev. 2008 Jun;12(3):211-28. doi: 10.1016/j.smrv.2007.09.001.

DOI:10.1016/j.smrv.2007.09.001

PMID:18486034

Abstract

Arthritis is the leading cause of chronic illness in the United States. Seventy-two percent of the adults aged 55 years and older with arthritis report sleep difficulties. This review discusses sleep disorders associated with rheumatoid arthritis, juvenile rheumatoid arthritis, Sjogren's syndrome, systemic lupus erythematosus, scleroderma, Behcet's disease, seronegative spondyloarthropathies, osteoarthritis, sarcoidosis, and fibromyalgia. We describe the inter-relationship between sleep complaints, disease activity, depression, sleep deprivation, and cytokines. An algorithm for evaluation and treatment of sleep disorders associated with rheumatologic diseases is proposed.

摘要

关节炎是美国慢性疾病的主要病因。在55岁及以上患有关节炎的成年人中，72%报告存在睡眠困难。本综述讨论了与类风湿关节炎、青少年类风湿关节炎、干燥综合征、系统性红斑狼疮、硬皮病、白塞病、血清阴性脊柱关节病、骨关节炎、结节病和纤维肌痛相关的睡眠障碍。我们描述了睡眠主诉、疾病活动、抑郁、睡眠剥夺和细胞因子之间的相互关系。提出了一种评估和治疗与风湿性疾病相关的睡眠障碍的算法。