Frohnhofen Helmut, Popp Roland
Dtsch Med Wochenschr. 2022 Mar;147(5):258-268. doi: 10.1055/a-1495-3348. Epub 2022 Feb 28.
The increasing interruptions of night sleep with normal ageing must be distinguished from sleep disorders. Somatic and psychiatric morbidity as well as medication have a huge impact on sleep. Furthermore, the relationship between sleep and morbidity is mutual. Disturbed sleep modifies the clinical appearance of diseases and morbidity affects the ability to sleep. Especially in geriatric medicine, geriatric syndromes such as falls, depression or dementia are modified by sleep disorders. Therefore, treatment for sleep disorders offers the chance to improve geriatric syndromes.When treating, it is important to identify the individual sleep disorders. Coincidences of different sleep disorders are common in the elderly. The history of a patient in connection with a sleeping diary is the basic diagnostic procedure. Sleep medicine provides further technical methods for further examination. Older people should also be examined in a sleep laboratory if the results have consequences that will be accepted by the patient. However, this should be clarified in advance.
正常衰老过程中夜间睡眠中断的增加必须与睡眠障碍区分开来。躯体和精神疾病以及药物治疗对睡眠有巨大影响。此外，睡眠与疾病之间的关系是相互的。睡眠障碍会改变疾病的临床表现，而疾病会影响睡眠能力。特别是在老年医学中，跌倒、抑郁或痴呆等老年综合征会因睡眠障碍而改变。因此，治疗睡眠障碍为改善老年综合征提供了机会。治疗时，识别个体睡眠障碍很重要。不同睡眠障碍的并发情况在老年人中很常见。结合睡眠日记的患者病史是基本的诊断程序。睡眠医学提供了进一步检查的技术方法。如果检查结果会被患者接受，老年人也应在睡眠实验室进行检查。然而，这应提前说明。
