Zalai Dora, Bingeliene Arina, Shapiro Colin
Department of Psychology, Ryerson University, 790 Bay Street, Toronto, Ontario M5B 2K8, Canada.
Department of Neurology, University Health Network, 399 Bathurst Street, Toronto, Ontario M5T 2S8, Canada.
Sleep Med Clin. 2017 Sep;12(3):429-441. doi: 10.1016/j.jsmc.2017.03.015. Epub 2017 May 26.
Excessive daytime sleepiness has pathologic causes and numerous adverse consequences; therefore, it requires medical attention in older adults. Excessive sleepiness in older adults is often multifactorial and may signal an underlying sleep disorder, chronic medical condition, undiagnosed mood disorder, or side effects of medications. It is associated with increased risk for cognitive decline and dementia in the elderly. Excessive sleepiness often requires a multi-method assessment in this age group. It is pertinent to take a systematic, step-by-step treatment approach geared toward the underlying cause, and to treat sleepiness directly, when the cause cannot be eliminated to prevent adverse outcomes.
白天过度嗜睡有病理原因且会引发诸多不良后果；因此，老年人需要就医关注。老年人的过度嗜睡往往是多因素导致的，可能预示着潜在的睡眠障碍、慢性疾病、未确诊的情绪障碍或药物副作用。它与老年人认知能力下降和患痴呆症的风险增加有关。在这个年龄段，过度嗜睡通常需要进行多方法评估。针对潜在病因采取系统的、循序渐进的治疗方法很有必要，当无法消除病因时，直接治疗嗜睡以预防不良后果。
