Taub Leslie-Faith M
School of Nursing, University of Medicine and Dentistry of New Jersey, Newark, New Jersey 07103, USA.
J Am Acad Nurse Pract. 2010 Jul;22(7):346-51. doi: 10.1111/j.1745-7599.2010.00524.x.
To present a clinical case of idiopathic rapid eye movement sleep behavior disorder (RBD), differential diagnoses, selected treatments, and the pathology involved.
An Ovid data base search (covering 635 medical, neurologic, and psychiatric journals) was conducted using the search term RBD and limited to the years 2005-2009. This search strategy was used to locate clinical, research, and review articles providing the state of the science about RBD. A hand search was also conducted for seminal research papers as well as recent publications within the specialty of sleep disorders.
RBD is a parasomnia with symptoms common to other disorders making it important to identify unique symptoms and diagnostic testing that helps differentiates these diseases. RBD can put the patient and the bed partner at risk for injury. Its prevalence is estimated to be 0.5% in older adults.
Nurse practitioners are primary care providers for older adults who may have complaints about behaviors associated with RBD. Knowledge of this disease process as well as its relationship with four other neurodegenerative diseases may provide an opportunity for early diagnosis and treatment of RBD and surveillance for and early diagnosis of the other neurodegenerative diseases in these patients.
介绍一例特发性快速眼动睡眠行为障碍（RBD）的临床病例、鉴别诊断、所选治疗方法及相关病理。
使用搜索词“RBD”在Ovid数据库（涵盖635种医学、神经学和精神病学杂志）中进行搜索，并限定在2005 - 2009年期间。该搜索策略用于查找提供RBD科学现状的临床、研究和综述文章。还对手头研究论文以及睡眠障碍专业领域的近期出版物进行了手工检索。
RBD是一种异态睡眠，其症状与其他疾病有共性，因此识别有助于区分这些疾病的独特症状和诊断测试很重要。RBD会使患者及其同床伴侣面临受伤风险。据估计，老年人中其患病率为0.5%。
执业护士是可能对与RBD相关行为有抱怨的老年人的初级保健提供者。了解这种疾病过程及其与其他四种神经退行性疾病的关系，可能为RBD的早期诊断和治疗以及对这些患者中其他神经退行性疾病的监测和早期诊断提供机会。
