发作性睡病与异态睡眠的诊治

Diagnosis and treatment of narcolepsy and parasomnias

本文目的是探讨发作性睡病与异态睡眠的诊断与治疗。发作性睡病被漏诊和误诊的几率较高,危害较大,共患异态睡眠比例高。文章从发作性睡病临床特征、REM睡眠的作用、发作性睡病与异态睡眠(睡眠瘫痪、睡眠幻觉、快眼动睡眠期行为障碍)共病特征及治疗这四个方面进行了讨论。

The purpose of this article is to discuss the clinical diagnosis and treatment of narcolepsy and parasomnias.In view of high probability and great harm of missed diagnosis and misdiagnosis of narcolepsy,as well as its close association with parasomnias,this study turns the research perspective to the clinical features of narcolepsy,the effects of rapid eye movement(REM)sleep,the comorbidity of narcolepsy and parasomnia(e.g.sleep paralysis,hypnagogic hallucination,and REM-sleep behavior disorder),and the treatment of narcolepsy.