Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Int J Stroke. 2012 Apr;7(3):231-42. doi: 10.1111/j.1747-4949.2011.00760.x. Epub 2012 Feb 15.
The purpose of this review is to highlight existing literature on the epidemiology, pathophysiology, and treatments of stroke sleep disorders. Stroke sleep disorders are associated with many intermediary vascular risk factors leading to stroke, but they may also influence these risk factors through direct or indirect mechanisms. Sleep disturbances may be further exacerbated by stroke or caused by stroke. Unrecognized and untreated sleep disorders may influence rehabilitation efforts and poor functional outcomes following stroke and increase risk for stroke recurrence. Increasing awareness and improving screening for sleep disorders is paramount in the primary and secondary prevention of stroke and in improving stroke outcomes. Many vital questions about the relationship of sleep disorders and stroke are still unanswered and await future well-designed studies.
本综述旨在强调中风睡眠障碍的流行病学、病理生理学和治疗方面的现有文献。中风睡眠障碍与许多导致中风的中间血管危险因素有关，但它们也可能通过直接或间接机制影响这些危险因素。睡眠障碍可能会因中风而进一步加重，也可能由中风引起。未被识别和未治疗的睡眠障碍可能会影响中风后的康复努力和不良功能结局，并增加中风复发的风险。提高对睡眠障碍的认识和改善筛查至关重要，这对于中风的一级和二级预防以及改善中风结局都非常重要。关于睡眠障碍与中风之间关系的许多重要问题仍未得到解答，需要未来进行精心设计的研究。
