TY - T1的EAN /人/ ESO / esr声明的影响睡眠障碍患中风的风险和结果JF -欧洲呼吸杂志》乔和J - 10.1183/13993003.01104 -2019欧元六世- 55 - 4 SP - 1901104 AU -克劳迪奥。洛杉矶Bassetti盟“Randerath AU -卢卡Vignatelli盟Luigi Ferini-Strambi盟Anne-Kathrin布里尔AU -玛丽亚·r·格罗特盟Bonsignore盟——大家Poul Jennum Jens Minnerup AU -迪迪埃利斯盟盟-里诺Nobili盟Thomy妮娅AU -丽贝卡·摩根盟-乔尔·克里盟Renata Riha AU -沃尔特·t·McNicholas盟Vasileios Papavasileiou Y1 - 2020/04/01 UR - //www.qdcxjkg.com/content/55/4/1901104.abstract N2 -睡眠障碍是非常普遍的在普通人群和双向的方式可能与中风的发病率和死亡率的主要原因。四大科学团体成立了一个专责小组的专家在神经学、中风、呼吸医学、睡眠医学和方法论,批判性地评估证据关于潜在链接和治疗的影响。13个研究问题是评价一个系统的文献检索使用逐步分层的方法:首先,系统评价和荟萃分析;第二,主要研究复查系统评价和荟萃分析。共有445项研究进行了评估和88年包括在内。报表生成关于当前的证据和临床实践。严重的阻塞性睡眠呼吸暂停(OSA)双打事件发生中风的风险,尤其是在年轻到中年病人。持续气道正压(CPAP)可以降低中风的风险,尤其是在treatment-compliant病人。阻塞性睡眠呼吸暂停综合症的患病率很高在中风患者,可以通过polygraphy评估。严重的阻塞性睡眠呼吸暂停综合症是中风复发的危险因素,可能与中风死亡率有关,虽然CPAP可能改善中风的结果。目前还不清楚如果失眠增加中风风险,而药物治疗失眠可能会增加。 Periodic limb movements in sleep (PLMS), but not restless limb syndrome (RLS), may be associated with an increased risk of stroke. Preliminary data suggest a high frequency of post-stroke insomnia and RLS and their association with a less favourable stroke outcome, while treatment data are scarce.Overall, the evidence base is best for OSA relationship with stroke and supports active diagnosis and therapy. Research gaps remain especially regarding insomnia and RLS/PLMS relationships with stroke.Evidence suggests a bidirectional relationship between sleep and stroke. However, the pathophysiological base of the associations and the possibilities of improving prevention and outcome through sleep-related interventions require further evaluation. http://bit.ly/36De7Cy ER -