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睡眠医学概述。

An Overview on Sleep Medicine.

机构信息

Neurology Service, Hospital Clínic de Barcelona, Barcelona, Spain.

University of Barcelona, Idibaps, Ciberned, Barcelona, Spain.

出版信息

Adv Exp Med Biol. 2022;1384:3-15. doi: 10.1007/978-3-031-06413-5_1.

Abstract

Sleep plays an important role in homeostasis, brain plasticity, clearance of neurotoxins, cognition, memory, concentration, performance, and the regulation of the temperature, endocrine and immunological systems. Insufficient, disorganized, and poor-quality sleep impacts performance, cognition, and safety, carries social and economic consequences and predisposes to obesity, excessive daytime sleepiness, fatigue, arterial hypertension, diabetes, stroke, coronary arterial disease, Alzheimer's disease, depression, and anxiety. Consequently, the search of sleeping well and sufficiently aims to be happy, healthy, and being productive at work, social and family levels. Therefore, one of the fundamental pillars of health is sleeping an adequate number of hours, follow regular sleep-wake habits and identify sleep disorders. There is a wide variety of sleep disorders that may impact the patient quality of life such as obstructive sleep apnea, chronic insomnia, narcolepsy, delayed sleep-wake phase disorder and Kleine-Levin syndrome. The need to study sleep and its disturbances made the appearance of Sleep Medicine. This is a relatively new discipline that was born in the second half of the twentieth century and aims to promote good sleep hygiene and detect and treat those sleep disorders impairing the subject quality of life. Moreover, the field has expanded to fields such as the evaluation of pediatrics, women, aging, shift work, sports, forensic aspects, and its socioeconomic impact.

摘要

睡眠在体内平衡、大脑可塑性、神经毒素清除、认知、记忆、注意力、表现以及体温、内分泌和免疫系统的调节中起着重要作用。睡眠不足、不规律和质量差会影响表现、认知和安全,带来社会和经济后果,并导致肥胖、日间嗜睡、疲劳、动脉高血压、糖尿病、中风、冠状动脉疾病、阿尔茨海默病、抑郁和焦虑。因此,寻求良好和充足的睡眠旨在提高工作、社交和家庭生活的幸福感、健康和效率。因此,充足的睡眠时间、保持规律的睡眠-觉醒习惯和识别睡眠障碍是健康的基本支柱之一。有各种各样的睡眠障碍会影响患者的生活质量,如阻塞性睡眠呼吸暂停、慢性失眠、发作性睡病、睡眠-觉醒时相延迟障碍和 Kleine-Levin 综合征。对睡眠及其障碍的研究需求催生了睡眠医学。这是一个相对较新的学科,诞生于 20 世纪下半叶,旨在促进良好的睡眠卫生,并发现和治疗那些影响患者生活质量的睡眠障碍。此外,该领域已经扩展到儿科、女性、老龄化、轮班工作、运动、法医方面以及其社会经济影响等领域。

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