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卒中后睡眠障碍及其信号分子变化的研究进展

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卒中后睡眠障碍(PSSDs)是卒中患者发病后首次出现并达到睡眠障碍诊断标准的临床综合征,可对患者情绪、认知及运动功能康复产生负面影响。PSSDs类型多样,主要引起卒中患者睡眠结构的改变,其发生、发展与神经递质、神经内分泌激素和炎症因子密切相关。充分认识PSSDs有助于临床诊疗,优化治疗方案,从而改善神经功能预后。作者从PSSDs的睡眠模式变化、类型及其信号分子变化的角度进行文献复习,旨在为临床诊疗和深入研究PSSDs提供参考。
Research progress on post-stroke sleep disorders and their signal molecules
Post-stroke sleep disorders(PSSDs)are defined as a clinical syndrome that occurs for the first time after the onset of stroke and meets the diagnostic criteria.The incidence of PSSDs has a great impact on the rehabilitation of emotion,cognition and motor function of stroke patients.The types of PSSDs exhibit multiplicity,primarily leading to alterations in the sleep architecture of stroke patients.The mechanism of occurrence and development of PSSDs are related to the neurotransmitter agents,neuroendocrine hormones and cytokines.A comprehensive insight of PSSDs will contribute to timely identification and developing appropriate treatment to ensure recovery of patients.This article summarizes the change of sleep structure,the correlation between sleep disorders and brain lesions,epidemiological characteristics and signal molecular biological characterization of PSSDs,in order to provide reference for further research and clinical treatment.

Post-stroke sleep disorderSleep-wake disordersSleep stagesNeurotransmitter agentsCytokinesReview

张可灿、班玮康、陈品秋、杨志宏

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100193 北京,中国医学科学院药用植物研究所

卒中后睡眠障碍 睡眠觉醒障碍 睡眠分期 神经递质 细胞因子 综述

2024

中国脑血管病杂志
中国医师协会 首都医科大学宣武医院

中国脑血管病杂志

CSTPCD北大核心
影响因子:1.076
ISSN:1672-5921
年,卷(期):2024.21(12)