Management of sleep disorders in fibromyalgia
Management of sleep disorders in fibromyalgia
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DOI：
10.1016/s0889-857x(01)00012-6
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发表时间：
2002-05-01
影响因子：
2.3
通讯作者：
Moldofsky, H
中科院分区：
文献类型：
--
作者：
Moldofsky, H
睡眠生理学研究表明，非恢复性睡眠在纤维肌痛（FM）的发病机制中起重要作用。超过90%的FM患者描述了睡眠障碍。睡眠通常被认为是轻和不清醒的，无论其持续时间。在罕见的情况下，有一个宁静的睡眠之夜，病人往往会发现疼痛和疲劳在第二天大大改善。有些病人可能会意识到踢和不自主的腿部运动，这可能会延迟或扰乱睡眠的不安。有时，床伴可能会抱怨大声打鼾打扰了他的睡眠。打鼾可能会暂停，出现睡眠期间呼吸中断，或者患者可能会因窒息，喘息或窒息感而醒来。一些患者抱怨难以保持清醒，白天无法控制嗜睡，这干扰了他们的社交生活，工作和安全驾驶的能力。本文介绍了评估这些各种睡眠障碍的方法，以及如何将其作为治疗FM患者的综合方法的一部分进行管理。
The studies of sleep physiology show that nonrestorative sleep is important in the pathogenesis of fibromyalgia (FM). More than 90% of patients with FM describe disturbed sleep. The sleep is usually perceived to be light and unrefreshing, irrespective of its duration. On the rare occasion that there is a night of restful sleep, the patient often finds that pain and fatigue are substantially improved on the following day. Some patients may be aware of restlessness with kicking and involuntary leg movements, which may delay or disrupt sleep. Sometimes the bed partner may complain that the loud snoring is disturbing his sleep. There may be pauses in the snoring with the appearance of interruptions to breathing during sleep, or the patient may awaken with choking, gasping or a sense of suffocation. Some patients complain of difficulty keeping awake and have uncontrollable sleepiness during the day that is interfering with their social life, work, and their ability to drive safely. This article describes the methods for assessing these various sleep disorders and how they might be managed as part of the comprehensive approach in treating FM patients.