快速眼动睡眠行为障碍——不仅仅是一种异态睡眠。
REM sleep behaviour disorder - More than just a parasomnia.
作者信息
Coeytaux Alessandra, Wong Keith, Grunstein Ron, Lewis Simon J G
机构信息
MD, CCRE, Clinical Research Fellow, Sleep and Circadian Research Group, NHMRC Centre for Clinical Research Excellence in Interdisciplinary Sleep Medicine, The Woolcock Institute of Medical Research, Sydney, NSW; Division of Neurology, Department of Clinical Neurosciences, Geneva University Hospitals, Geneva, Switzerland.
出版信息
Aust Fam Physician. 2013 Nov;42(11):785-8.
BACKGROUND
Rapid eye movement (REM) sleep behaviour disorder (RBD) is a parasomnia characterised by loss of the usual muscle atonia that occurs during REM sleep, allowing patients to act out their dreams.
OBJECTIVE
This article aims to draw attention to RBD, allowing early recognition and treatment.
SUMMARY
As RBD patients are at high risk of hurting themselves and their bed partners while acting out their dreams, improving safety within the bedroom environment and treatment with exogenous melatonin or clonazepam are recommended. Longitudinal studies have shown that the onset of idiopathic RBD may be an early warning sign of specific neurodegenerative diseases.
背景
快速眼动（REM）睡眠行为障碍（RBD）是一种异态睡眠，其特征是在REM睡眠期间通常出现的肌肉张力缺失，使患者能够将梦境付诸行动。
目的
本文旨在引起对RBD的关注，以便早期识别和治疗。
总结
由于RBD患者在将梦境付诸行动时有伤害自己和同床伴侣的高风险，建议改善卧室环境的安全性，并使用外源性褪黑素或氯硝西泮进行治疗。纵向研究表明，特发性RBD的发作可能是特定神经退行性疾病的早期预警信号。
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