Stenmanns Carla, Frohnhofen Helmut
Universitätsklinikum der Heinrich-Heine-Universität Düsseldorf, Klinik für Orthopädie und Unfallchirurgie/Altersmedizin, Universitätsklinikum Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Deutschland.
Universität Witten-Herdecke, Fakultät für Gesundheit, Department Humanmedizin, Geriatrie, Universität Witten-Herdecke, Witten, Deutschland.
Z Gerontol Geriatr. 2024 Nov;57(7):569-577. doi: 10.1007/s00391-024-02363-8. Epub 2024 Oct 4.
The increasing interruptions of nocturnal sleep with aging must be distinguished from actual sleep disorders. Morbidity and medication have an impact on sleep. The relationship between sleep and morbidity is mutual. Disturbed sleep modifies many clinical symptoms and diseases affect sleep and the ability to sleep. Geriatric syndromes such as falls, depression and dementia are modified by sleep disorders. Geriatric syndromes can be favorably influenced by the treatment of sleep disorders. Adequate diagnostics are important prerequisites. Coincidences of different sleep disorders are frequent. The medical history of patients and a sleep diary form the basis of the diagnostics. Sleep medicine provides further technical examination procedures. Older people should be examined in a sleep laboratory if the results have consequences that are accepted by the patient. This should be clarified in advance.
随着年龄增长，夜间睡眠中断增加的情况必须与实际的睡眠障碍区分开来。发病率和药物治疗会对睡眠产生影响。睡眠与发病率之间的关系是相互的。睡眠障碍会改变许多临床症状，而疾病也会影响睡眠及睡眠能力。诸如跌倒、抑郁和痴呆等老年综合征会因睡眠障碍而发生改变。睡眠障碍的治疗可以对老年综合征产生有利影响。充分的诊断是重要的前提条件。不同睡眠障碍同时存在的情况很常见。患者的病史和睡眠日记是诊断的基础。睡眠医学提供了进一步的技术检查程序。如果检查结果对患者有可接受的影响，老年人应在睡眠实验室接受检查。这一点应提前说明。
