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时差和睡眠相位紊乱

最后审阅: 4 Oct 2024
最后更新: 11 Jul 2023

小结

定义

病史和体格检查

关键诊断因素

  • 跨越至少 2 个时区的旅行史
  • 入睡困难
  • 难以维持睡眠
  • 日间嗜睡
  • 白天警觉性下降
完整详情

其他诊断因素

  • 恶心、腹胀、便秘
  • 全身不适
  • 肌肉痉挛
完整详情

危险因素

  • 跨多时区且快速的旅行
  • 睡眠减少
  • 个体对时区转变的敏感性
  • 过度饮酒或过量的摄入咖啡因
  • 压力
完整详情

诊断性检查

首要检查

  • 无初始检查
完整详情

需考虑的检查

  • 多导睡眠图
  • 活动记录仪检查
  • 睡眠日记
完整详情

治疗流程

急症处理

在新时区短暂停留(≤3 日)

在新时区长期停留(3 日以上)

撰稿人

作者

Ashish Adlakha, MD

Assistant Clinical Professor

Neurology and Sleep Medicine

UConn School of Medicine VA

Connecticut Healthcare

West Haven

CT

利益声明

AA declares that he has no competing interests.

鸣谢

Dr Ashish Adlakha would like to gratefully acknowledge Dr Sudhansu Chokroverty, a previous contributor to this topic.

利益声明

SC declares that he has no competing interests.

同行评议者

David N. Neubauer, MD

Associate Director

Johns Hopkins Sleep Disorders Center

Baltimore

MD

利益声明

DNN has received consulting fees and honoraria for speaking programs from Sanofi-Aventis and Takeda Pharmaceuticals. These companies manufacture medications mentioned in this topic.

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