Wolfe Lisa F, Sahni Ashima S, Attarian Hrayr
Division of Pulmonary and Critical Care Medicine Northwestern University, Chicago, IL, USA.
Division of Pulmonary and Critical Care Medicine, University of Illinois at Chicago, Chicago, IL, USA.
NeuroRehabilitation. 2018;43(3):257-266. doi: 10.3233/NRE-182583.
Sleep disorders play a significant role in the care of those with Traumatic Brain Injury (TBI).
To provide a literature review on the interaction of sleep and circadian processes on those with TBI.
A literature review was conducted on PubMed using the following key words and their combination: "Sleep Apnea", "Traumatic Brain Injury", "Circadian", "Parasomnia", "Insomnia", "Hypersomnia", "Narcolepsy", and "Restless Legs". We review the spectrum of traumatic brain injury associated sleep disorders and discuss clinical approaches to diagnosis and treatment.
Disordered sleep and wakefulness after TBI is common. Sleep disruption contributes to morbidity, such as the development of neurocognitive and neurobehavioral deficits, and prolongs the recovery phase after injury. Early recognition and correction of these problems may limit the secondary effects of traumatic brain injury and improve neuro recovery/patient outcomes.
A more focused approach to sleep health is appropriate when caring for those with TBI.
睡眠障碍在创伤性脑损伤（TBI）患者的护理中起着重要作用。
对睡眠和昼夜节律过程在TBI患者中的相互作用进行文献综述。
在PubMed上进行文献综述，使用以下关键词及其组合：“睡眠呼吸暂停”、“创伤性脑损伤”、“昼夜节律”、“异态睡眠”、“失眠”、“嗜睡症”、“发作性睡病”和“不宁腿”。我们回顾了与创伤性脑损伤相关的睡眠障碍谱，并讨论了诊断和治疗的临床方法。
TBI后睡眠和觉醒紊乱很常见。睡眠中断会导致发病率增加，如神经认知和神经行为缺陷的发展，并延长损伤后的恢复阶段。早期识别和纠正这些问题可能会限制创伤性脑损伤的继发效应，并改善神经恢复/患者预后。
在护理TBI患者时，采用更有针对性的睡眠健康方法是合适的。
