Diaconu Ştefania, Falup-Pecurariu Cristian
Department of Medical and Surgical Specialties, Faculty of Medicine, Transilvania University, 500036 Brașov, Romania.
Department of Neurology, County Emergency Clinic Hospital, 500365 Brașov, Romania.
J Pers Med. 2022 Feb 21;12(2):322. doi: 10.3390/jpm12020322.
Sleep disturbances are more common in patients with Parkinson's disease (PD) than in the general population and are considered one of the most troublesome symptoms by these patients. Insomnia represents one of the most common sleep disturbances in PD, and it correlates significantly with poor quality of life. There are several known causes of insomnia in the general population, but the complex manifestations that might be associated with PD may also induce insomnia and impact the quality of sleep. The treatment of insomnia and the strategies needed to improve sleep quality may therefore represent a challenge for the neurologist. A personalized approach to the PD patient with insomnia may help the clinician to identify the factors and comorbidities that should also be considered in order to establish a better individualized therapeutic plan. This review will focus on the main characteristics and correlations of insomnia, the most common risk factors, and the main subjective and objective methods indicated for the assessment of insomnia and sleep quality in order to offer a concise guide containing the main steps needed to approach the PD patient with chronic insomnia in a personalized manner.
睡眠障碍在帕金森病(PD)患者中比在普通人群中更为常见,并且被这些患者视为最困扰人的症状之一。失眠是PD中最常见的睡眠障碍之一,并且它与生活质量差显著相关。普通人群中已知有多种失眠原因,但可能与PD相关的复杂表现也可能诱发失眠并影响睡眠质量。因此,失眠的治疗以及改善睡眠质量所需的策略可能对神经科医生构成挑战。针对患有失眠的PD患者采取个性化方法可能有助于临床医生识别那些为制定更好的个体化治疗方案而也应予以考虑的因素和合并症。本综述将聚焦于失眠的主要特征和相关性、最常见的危险因素,以及用于评估失眠和睡眠质量的主要主观和客观方法,以便提供一份简明指南,其中包含以个性化方式诊治患有慢性失眠的PD患者所需的主要步骤。