Rosenberg Russell P
From NeuroTrials Research and the Atlanta School of Sleep Medicine and Technology, Georgia.
J Clin Psychiatry. 2015 Oct;76(10):e1330. doi: 10.4088/JCP.14019tx3c.
Excessive daytime sleepiness (EDS) is a common and bothersome phenomenon. It can be associated with insufficient sleep syndrome, narcolepsy, idiopathic hypersomnia, obstructive sleep apnea, shift work disorder, Kleine-Levin syndrome, or Parkinson's disease. Once the underlying cause of the excessive sleepiness is determined, clinicians must select the most appropriate behavioral and pharmacologic interventions to reduce daytime sleepiness, alleviate other symptoms, improve functioning, and ensure the safety of patients and those around them. Patient history, adverse effects, and efficacy in specific conditions should be considered in pharmacologic treatment options for patients with EDS.
白天过度嗜睡（EDS）是一种常见且令人困扰的现象。它可能与睡眠不足综合征、发作性睡病、特发性嗜睡症、阻塞性睡眠呼吸暂停、轮班工作障碍、克莱恩-莱文综合征或帕金森病有关。一旦确定了过度嗜睡的潜在原因，临床医生必须选择最合适的行为和药物干预措施，以减少白天嗜睡、缓解其他症状、改善功能，并确保患者及其周围人的安全。对于患有EDS的患者，在药物治疗选择中应考虑患者病史、不良反应以及特定情况下的疗效。
