Schenck C H, Milner D M, Hurwitz T D, Bundlie S R, Mahowald M W
Department of Psychiatry, Minnesota Regional Sleep Disorders Center, Hennepin County Medical Center, Minneapolis, MN 55415.
Am J Psychiatry. 1989 Sep;146(9):1166-73. doi: 10.1176/ajp.146.9.1166.
In 100 consecutive adults who came to a sleep disorders center complaining of repeated nocturnal injury, polysomnographic study identified five disorders: night terrors/sleepwalking (N = 54), REM sleep behavior disorder (N = 36), dissociative disorders (N = 7), nocturnal seizures (N = 2), and sleep apnea (N = 1). Ninety-five patients sustained ecchymoses, 30 had lacerations, and nine had fractures. DSM-III axis I disorders (past or current) were found in 48.1% of the group with night terrors/sleepwalking and in 30.6% of the group with REM sleep behavior disorder; these were mainly affective disorders. In these two groups, clonazepam controlled the symptoms of 51 of the 61 patients to whom it was given.
在连续100名因反复夜间受伤前来睡眠障碍中心就诊的成年人中，多导睡眠图研究确定了五种病症：夜惊/梦游（54例）、快速眼动睡眠行为障碍（36例）、分离性障碍（7例）、夜间癫痫发作（2例）和睡眠呼吸暂停（1例）。95名患者有瘀伤，30名有撕裂伤，9名有骨折。在夜惊/梦游组中，48.1%的患者被发现有DSM-III轴I障碍（既往或当前），在快速眼动睡眠行为障碍组中这一比例为30.6%；这些主要是情感障碍。在这两组中，氯硝西泮对61例接受该药治疗的患者中的51例症状有控制作用。
