失眠与周期性肢体运动障碍 PPT课件

l index 16.4次/小时?6.AHI:25.8次/小时?6.MSLT:7min,日间客观嗜睡?7.睡眠知觉: 94.34,不存在主观失眠Р2017/11/27Р一周期性肢体运动障碍的定义Р周期性肢体运动障碍( periodic limb movement disorder ,PLMD):以睡眠期间周期性出现反复、高度刻板的肢体运动(PLMS)和不能用另外一种原发性睡眠疾病解释为特征的睡眠障碍。这种周期性运动可伴有自主神经系统觉醒、皮质觉醒或唤醒,继而导致睡眠紊乱及日间嗜睡。( PLMD is characterized by periodic episodes of repetitive limb movements during sleep, which most often occur in the lower extremities, including the toes, ankles, knees, and hips, and occasionally in the upper extremities. These movements may be associated with an arousal, and if so, sleep disruption can cause excessive daytime sleepiness )Р周期性腿动( Periodic leg movements during sleep ,PLMS):一种刻板的、重复的、非癫痫的腿部运动,通常包括脚踝背屈,但有时仅限于大脚趾或膝部或臀部的屈曲。?判定标准:0.5—10s;5—90s;4?周期性腿动指数(PLMS index;PLMI)≥15次/小时(AASM)?主要并发于RLS,也可见于失眠、RBD、发作性睡病以及阻塞性睡眠呼吸暂停低通气综合征(OSAS)等睡眠相关疾患