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创伤后应激障碍与睡眠障碍

张烨 任蓉 杨玲慧 唐向东

张烨, 任蓉, 杨玲慧, 等. 创伤后应激障碍与睡眠障碍[J]. 四川大学学报(医学版), 2021, 52(1): 28-32. doi: 10.12182/20210160201
引用本文: 张烨, 任蓉, 杨玲慧, 等. 创伤后应激障碍与睡眠障碍[J]. 四川大学学报(医学版), 2021, 52(1): 28-32. doi: 10.12182/20210160201
ZHANG Ye, REN Rong, YANG Ling-hui, et al. A Review of the Posttraumatic Stress Disorder and Sleep Disturbances[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION), 2021, 52(1): 28-32. doi: 10.12182/20210160201
Citation: ZHANG Ye, REN Rong, YANG Ling-hui, et al. A Review of the Posttraumatic Stress Disorder and Sleep Disturbances[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION), 2021, 52(1): 28-32. doi: 10.12182/20210160201

栏目: 综 述

创伤后应激障碍与睡眠障碍

doi: 10.12182/20210160201
基金项目: 国家自然科学基金(No. 81900087、No. 81530002、No. 81800093)资助
详细信息
    作者简介:

    唐向东,教授,现任四川大学华西医院神经生物检测中心/睡眠医学中心主任。曾在美国宾夕法尼亚大学等单位从事博士后和副教授工作10余年,获美国睡眠研究会学术奖励2次。长期从事睡眠障碍的基础与临床研究,擅长失眠多梦和节律紊乱等常见睡眠问题及呼吸相关的睡眠障碍诊治。共发表SCI收录论文90余篇,其中,于2016年9月发表的关于失眠症与高血压研究的论文(Hypertension, 65: 644-650, 2015)获美国心脏学会颁发的高血压顶级优秀论文奖(2015 Hypertension Top Paper Award)。先后负责国家自然科学基金委重点项目、面上项目、海外与港澳地区合作重点课题等5项,国家重点基础研究发展计划(973计划)1项。担任四川省科学与技术带头人,中国医师学会睡眠医学专业委员会副主任委员,中国睡眠研究会副理事长。任Sleep Med RevJ Psychosom ResSleep Breath杂志编委,BMC Psychiatry副主编和《四川精神卫生杂志》主编

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A Review of the Posttraumatic Stress Disorder and Sleep Disturbances

More Information
  • 摘要: 创伤后应激障碍(PTSD)是个体经历一个或多个创伤事件后出现的一种以闯入性创伤情感记忆、高警觉性和回避为主要临床表现的精神障碍。除了上述临床表现外,睡眠障碍也是PTSD的核心症状之一。本文主要围绕失眠、夜间梦魇、阻塞性睡眠呼吸暂停(OSA)及周期性肢体运动四方面探讨PTSD相关睡眠障碍的临床研究现状。失眠是PTSD发生发展的有效预测因素,失眠的认知行为治疗是PTSD患者失眠治疗的重要研究方向。夜间梦魇是PTSD的核心症状之一,哌唑嗪及意象排演治疗是治疗创伤后梦魇的有效方法。PTSD患者中OSA共病率超过40%。初步研究表明持续气道正压通气治疗有助于改善共病者PTSD症状。对PTSD患者进行临床诊疗的过程中,应注重首先评估PTSD患者是否罹患失眠、OSA等睡眠障碍,再进一步明确患者的临床治疗方案。
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出版历程
  • 收稿日期:  2020-11-23
  • 修回日期:  2020-12-11
  • 刊出日期:  2021-01-20

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