卒中相关睡眠障碍评估与管理中国专家共识

Chinese expert consensus on the assessment and management of stroke-related sleep disorders

卒中相关睡眠障碍(SSD)是卒中后常见症状,临床多见却易被忽视。研究证实,卒中患者一旦合并睡眠障碍将影响预后。而国内外尚缺乏关于SSD评估与管理的共识及指南。本共识结合文献研究,经过专家讨论提出SSD的概念,对于各种类型SSD(包括失眠、日间思睡、睡眠呼吸障碍、快速眼动睡眠期行为障碍、不宁腿综合征/睡眠中周期性肢体运动、昼夜节律失调性睡眠觉醒障碍)的评估及管理提出推荐意见,以期对SSD的临床规范化处理起到一定的指导作用。

Stroke-related sleep disorders (SSD)are common symptoms after stroke,which are common but easily ignored.Studies have shown that sleep disorders in stroke patients would have negative impact on prognosis.However,there is still a lack of consensus and guidance on SSD evaluation and management worldwide.This consensus proposes the concept of SSD based on systemic literature review and discussion with experts.It comprises recommendations of assessment and management for all types of SSD, including insomnia,excessive daytime sleepiness,sleep apnea,rapid eye movement (REM)sleep behavior disorder,restless leg syndrome/periodic limb movements of sleep,circadian rhythm sleep-wake disorders. The purpose of this consensus is to provide a standard reference of SSD management.