Mishima Kazuo
Department of psychophysiology, National Institute of Mental Health, National Center of Neurology and Psychiatry.
Brain Nerve. 2016 Jul;68(7):779-91. doi: 10.11477/mf.1416200510.
Dementia, including Alzheimer's disease, is often associated with various sleep disorders such as insomnia, hypersomnia, circadian rhythm sleep disorders, sleep-disordered breathing and sleep debt due to organic damages of sleep/wake-promoting nucleus and circadian center (suprachiasmatic nucleus). These sleep disorders reduce the quality of life of individuals with dementia, and increase the care burden, which are major social issues. Recent studies have revealed that sleep deterioration is not only a comorbid symptom but also a prodrome and a risk factor for the development of dementia.
痴呆症,包括阿尔茨海默病,通常与各种睡眠障碍相关,如失眠、嗜睡、昼夜节律睡眠障碍、睡眠呼吸紊乱以及由于促进睡眠/觉醒的核团和昼夜节律中心(视交叉上核)的器质性损害导致的睡眠债。这些睡眠障碍降低了痴呆症患者的生活质量,并增加了护理负担,这是重大的社会问题。最近的研究表明,睡眠恶化不仅是一种共病症状,也是痴呆症发生的前驱症状和风险因素。