Department of Medicine, Medstar Washington Hospital Center, 110 Irving Street Northwest, Washington, DC 20010, USA.
Department of Neurology, George Washington University School of Medicine, GW Medical Faculty Associates, 2150 Pennsylvania Avenue Northwest, Washington, DC 20037, USA.
Sleep Med Clin. 2023 Dec;18(4):545-557. doi: 10.1016/j.jsmc.2023.06.017. Epub 2023 Aug 28.
Women of advancing age can suffer from an array of sleep disorders. We review the changes in sleep architecture, the impact of hormonal changes on sleep, and the various sleep disorders in women of advancing age. A focused history in this population should include the temporal relation to menopause and comorbid conditions. Treatment options should involve patient preference and review of current medications and comorbid conditions to optimize sleep in this population.
绝经后妇女可能会出现多种睡眠障碍。我们综述了睡眠结构改变、激素变化对睡眠的影响以及绝经后妇女的各种睡眠障碍。在这一人群中,重点询问病史应包括与绝经的时间关系以及共病情况。治疗选择应考虑患者的偏好,并回顾当前的药物治疗和共病情况,以优化这一人群的睡眠。