脊髓损伤对睡眠的影响：当前观点
Impact Of Spinal Cord Injury On Sleep: Current Perspectives.
作者信息
Sankari Abdulghani, Badr M Safwan, Martin Jennifer L, Ayas Najib T, Berlowitz David J
机构信息
Department of Internal Medicine, John D. Dingell VA Medical Center, Detroit, MI, USA.
Department of Internal Medicine, Wayne State University, Detroit, MI, USA.
出版信息
Nat Sci Sleep. 2019 Oct 15;11:219-229. doi: 10.2147/NSS.S197375. eCollection 2019.
Abstract
Sleep disorders are commonly encountered in people living with spinal cord injury (SCI). Primary sleep disorders such as sleep-disordered breathing (SDB), sleep-related movement disorders, circadian rhythm sleep-wake disorders, and insomnia disorder are common conditions after SCI but remain under-recognized, underdiagnosed and therefore remain untreated for a majority of patients. Sleep disturbances in people living with SCI are associated with significant impairments of daytime function and quality of life. Previous reviews have described findings related mainly to SDB but have not examined the relationship between other sleep disorders and SCI. This narrative review examines various sleep abnormalities and related functional and physical impairments in people living with SCI. It discusses new evidence pertaining to management, highlights existing limitations in the literature and recommends future directions for research.
摘要
睡眠障碍在脊髓损伤（SCI）患者中很常见。原发性睡眠障碍，如睡眠呼吸紊乱（SDB）、睡眠相关运动障碍、昼夜节律睡眠-觉醒障碍和失眠症，是SCI后的常见病症，但大多数患者仍未得到充分认识、诊断不足，因此仍未得到治疗。SCI患者的睡眠障碍与日间功能和生活质量的显著受损有关。以往的综述主要描述了与SDB相关的研究结果，但未探讨其他睡眠障碍与SCI之间的关系。本叙述性综述探讨了SCI患者的各种睡眠异常以及相关的功能和身体损伤。它讨论了有关管理的新证据，强调了文献中现有的局限性，并推荐了未来的研究方向。
相似文献
1
Impact Of Spinal Cord Injury On Sleep: Current Perspectives.脊髓损伤对睡眠的影响：当前观点
Nat Sci Sleep. 2019 Oct 15;11:219-229. doi: 10.2147/NSS.S197375. eCollection 2019.
2
Sleep disorders in patients with ADHD: impact and management challenges.注意缺陷多动障碍患者的睡眠障碍：影响及管理挑战
Nat Sci Sleep. 2018 Dec 14;10:453-480. doi: 10.2147/NSS.S163074. eCollection 2018.
3
Sleep Disordered Breathing and Spinal Cord Injury: Challenges and Opportunities.睡眠呼吸障碍与脊髓损伤：挑战与机遇
Curr Sleep Med Rep. 2017 Dec;3(4):272-278. doi: 10.1007/s40675-017-0093-0. Epub 2017 Oct 28.
4
Sleep-Disordered Breathing and Spinal Cord Injury: A State-of-the-Art Review.睡眠障碍呼吸和脊髓损伤：最新综述。
Chest. 2019 Feb;155(2):438-445. doi: 10.1016/j.chest.2018.10.002. Epub 2018 Oct 12.
5
Is Sleep Disordered Breathing Confounding Rehabilitation Outcomes in Spinal Cord Injury Research?睡眠呼吸障碍是否在脊髓损伤研究中混淆了康复结果？
Arch Phys Med Rehabil. 2022 May;103(5):1034-1045. doi: 10.1016/j.apmr.2021.08.015. Epub 2021 Sep 17.
6
Sleep apnea and periodic leg movements in the first year after spinal cord injury.脊髓损伤后第一年的睡眠呼吸暂停和周期性腿部运动。
Sleep Med. 2015 Jan;16(1):59-66. doi: 10.1016/j.sleep.2014.07.019. Epub 2014 Oct 7.
7
Nocturnal swallowing and arousal threshold in individuals with chronic spinal cord injury.慢性脊髓损伤患者的夜间吞咽和觉醒阈值。
J Appl Physiol (1985). 2018 Aug 1;125(2):445-452. doi: 10.1152/japplphysiol.00641.2017. Epub 2018 Apr 19.
8
Sleep-related breathing and sleep-wake disturbances in ischemic stroke.缺血性卒中与睡眠相关的呼吸及睡眠-觉醒障碍
Neurology. 2009 Oct 20;73(16):1313-22. doi: 10.1212/WNL.0b013e3181bd137c.
9
Identification and treatment of sleep-disordered breathing in chronic spinal cord injury.慢性脊髓损伤中睡眠呼吸障碍的识别与治疗
Spinal Cord. 2015 Feb;53(2):145-9. doi: 10.1038/sc.2014.216. Epub 2014 Dec 16.
10
Narrative review of sleep and stroke.睡眠与中风的叙述性综述。
J Thorac Dis. 2020 Oct;12(Suppl 2):S176-S190. doi: 10.21037/jtd-cus-2020-002.
引用本文的文献
1
The Effect of Eight Weeks of Passive Heat Therapy on Mental Health, Sleep, and Chronic Pain in Persons with Spinal Cord Injury: A Pilot Study.八周被动热疗法对脊髓损伤患者心理健康、睡眠及慢性疼痛的影响：一项初步研究。
J Clin Med. 2025 May 20;14(10):3566. doi: 10.3390/jcm14103566.
2
Sleep and Daytime Function in People with Spinal Cord Injury.脊髓损伤患者的睡眠与日间功能
Res Sq. 2024 Jun 28:rs.3.rs-4510393. doi: 10.21203/rs.3.rs-4510393/v1.
3
Screening Strategies for Sleep-Disordered Breathing in Patients With Spinal Cord Injury in a Tertiary Care Rehabilitation Center.三级康复中心脊髓损伤患者睡眠呼吸障碍的筛查策略。
Respir Care. 2024 Aug 24;69(9):1116-1128. doi: 10.4187/respcare.11726.
4
Management of Sleep-Disordered Breathing in a Spinal Cord Injury Rehabilitation Center: Model of Care Adaptation and Implementation.脊髓损伤康复中心睡眠呼吸障碍的管理：护理模式的适应和实施。
Top Spinal Cord Inj Rehabil. 2024 Winter;30(1):113-130. doi: 10.46292/sci23-00049. Epub 2024 Feb 29.
5
Intensive support does not improve positive-airway pressure use in spinal cord injury/disease: a randomized clinical trial.强化支持并未改善脊髓损伤/疾病患者使用正压通气：一项随机临床试验。
Sleep. 2024 May 10;47(5). doi: 10.1093/sleep/zsae044.
6
Paradoxical breathing during sleep is associated with increased sleep apnea and reduced ventilatory capacities in high-level spinal cord injury.睡眠期间的反常呼吸与严重脊髓损伤患者睡眠呼吸暂停增加及通气能力降低有关。
J Sleep Res. 2024 Oct;33(5):e14171. doi: 10.1111/jsr.14171. Epub 2024 Feb 14.
7
A comprehensive look at the psychoneuroimmunoendocrinology of spinal cord injury and its progression: mechanisms and clinical opportunities.全面探讨脊髓损伤及其进展的心理神经免疫内分泌学：机制和临床机会。
Mil Med Res. 2023 Jun 9;10(1):26. doi: 10.1186/s40779-023-00461-z.
8
Sleep Quality Should Be Assessed in Inpatient Rehabilitation Settings: A Preliminary Study.住院康复环境中应评估睡眠质量：一项初步研究。
Brain Sci. 2023 Apr 25;13(5):718. doi: 10.3390/brainsci13050718.
9
Loss of ganglioglomerular nerve input to the carotid body impacts the hypoxic ventilatory response in freely-moving rats.颈静脉球神经对颈动脉体的输入丧失会影响自由活动大鼠的低氧通气反应。
Front Physiol. 2023 Mar 16;14:1007043. doi: 10.3389/fphys.2023.1007043. eCollection 2023.
10
Consequences of spinal cord injury on the sympathetic nervous system.脊髓损伤对交感神经系统的影响。
Front Cell Neurosci. 2023 Feb 28;17:999253. doi: 10.3389/fncel.2023.999253. eCollection 2023.
本文引用的文献
1
Understanding the clinical management of obstructive sleep apnoea in tetraplegia: a qualitative study using the theoretical domains framework.了解四肢瘫痪患者阻塞性睡眠呼吸暂停的临床管理：一项运用理论领域框架的定性研究
BMC Health Serv Res. 2019 Jun 21;19(1):405. doi: 10.1186/s12913-019-4197-8.
2
Sleep Complaints and Sleep Quality in Spinal Cord Injury: A Web-Based Survey.脊髓损伤患者的睡眠问题和睡眠质量：一项基于网络的调查。
J Clin Sleep Med. 2019 May 15;15(5):719-724. doi: 10.5664/jcsm.7760.
3
Proactive Cortical Control in Spinal Cord Injury Subjects with Paraplegia.主动皮层控制在截瘫脊髓损伤患者中的应用。
J Neurotrauma. 2019 Dec 15;36(24):3347-3355. doi: 10.1089/neu.2018.6307. Epub 2019 Jun 19.
4
A randomised controlled trial of nasal decongestant to treat obstructive sleep apnoea in people with cervical spinal cord injury.一项随机对照试验研究鼻腔减充血剂治疗颈椎脊髓损伤患者阻塞性睡眠呼吸暂停的效果。
Spinal Cord. 2019 Jul;57(7):579-585. doi: 10.1038/s41393-019-0256-6. Epub 2019 Feb 13.
5
Predictors of Continuous Positive Airway Pressure Adherence in Patients with Obstructive Sleep Apnea.阻塞性睡眠呼吸暂停患者持续气道正压通气治疗依从性的预测因素。
Lung. 2019 Apr;197(2):115-121. doi: 10.1007/s00408-018-00193-1. Epub 2019 Jan 7.
6
Positive airway pressure for sleep-disordered breathing in acute quadriplegia: a randomised controlled trial.急性四肢瘫痪患者睡眠呼吸障碍的气道正压通气治疗：一项随机对照试验
Thorax. 2019 Mar;74(3):282-290. doi: 10.1136/thoraxjnl-2018-212319. Epub 2018 Dec 11.
7
Worth the effort? Weighing up the benefit and burden of continuous positive airway pressure therapy for the treatment of obstructive sleep apnoea in chronic tetraplegia.值得付出这些努力吗？权衡持续气道正压通气治疗慢性四肢瘫痪患者阻塞性睡眠呼吸暂停的益处与负担。
Spinal Cord. 2019 Mar;57(3):247-254. doi: 10.1038/s41393-018-0210-z. Epub 2018 Oct 24.
8
Sleep-Disordered Breathing and Spinal Cord Injury: A State-of-the-Art Review.睡眠障碍呼吸和脊髓损伤：最新综述。
Chest. 2019 Feb;155(2):438-445. doi: 10.1016/j.chest.2018.10.002. Epub 2018 Oct 12.
9
Normalization of disrupted clock gene expression in males with tetraplegia: a crossover randomized placebo-controlled trial of melatonin supplementation.四肢瘫痪男性生物钟基因表达紊乱的正常化：褪黑素补充剂的交叉随机安慰剂对照试验。
Spinal Cord. 2018 Nov;56(11):1076-1083. doi: 10.1038/s41393-018-0176-x. Epub 2018 Jul 9.
10
Functional Brain Connectivity during Multiple Motor Imagery Tasks in Spinal Cord Injury.脊髓损伤患者进行多项运动想象任务时的大脑功能连接。
Neural Plast. 2018 May 2;2018:9354207. doi: 10.1155/2018/9354207. eCollection 2018.
Zotero 插件