[通过光照治疗昼夜节律性睡眠-觉醒障碍]

[Treating circadian sleep-wake disorders by light].

作者信息

Leger Damien, Duforez François, Gronfier Claude

机构信息

AP-HP, HUPC, Hôtel-Dieu de Paris, université Paris Descartes, Centre du Sommeil et de la Vigilance, EA 7330 VIFASOM, 1, place du Parvis Jean-Paul-II, 75004 Paris, France.

AP-HP, HUPC, Hôtel-Dieu de Paris, université Paris Descartes, Centre du Sommeil et de la Vigilance, EA 7330 VIFASOM, 1, place du Parvis Jean-Paul-II, 75004 Paris, France; European Sleep Center, 9, avenue d'Eylau, 75116 Paris, France.

出版信息

Presse Med. 2018 Nov-Dec;47(11-12 Pt 1):1003-1009. doi: 10.1016/j.lpm.2018.10.013. Epub 2018 Nov 7.

DOI:10.1016/j.lpm.2018.10.013

PMID:30413331

Abstract

Phototherapy is one treatment of circadian sleep-wake disorders, which is based on consensual and numerous scientific and clinical evidences. Phototherapy efficiency depends on several light characteristics based on intensity, length of exposure, time of exposure and wavelength. Phototherapy is potentially indicated in the following circadian disorders: advanced sleep-wake phase disorder (ASWPD), delayed sleep-wake phase disorder (DSWPD), non-24-hour sleep-wake rhythm disorder (N24SWD), jet-lag and night-shift work sleep-wake disorders (NSSWD). Phototherapy, acting via the retina, may be avoided in patients with retina disorders, an ophthalmologist should be consulted.

摘要

光疗法是昼夜睡眠-觉醒障碍的一种治疗方法，它基于一致且大量的科学和临床证据。光疗法的效果取决于基于强度、暴露时长、暴露时间和波长的几个光特性。光疗法可能适用于以下昼夜节律障碍：早睡早起型睡眠相位延迟障碍（ASWPD）、晚睡晚起型睡眠相位延迟障碍（DSWPD）、非24小时睡眠-觉醒节律障碍（N24SWD）、时差反应和夜班工作睡眠-觉醒障碍（NSSWD）。通过视网膜起作用的光疗法，视网膜疾病患者应避免使用，应咨询眼科医生。