小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 动腿冲动
- 感觉异常
- 晚间或夜间症状
- 缓解因素（活动、伸展、按摩）
- 发生在下肢，较少情况下发生在上肢和躯干
其他诊断因素
- 饮酒
- 咖啡因的使用
危险因素
- 与缺铁症相关的状况
- 妊娠
- RLS 的家族史
- 抗抑郁剂、抗组胺药和甲氧氯普胺的使用
- 女性
- 年龄增长
- 肥胖
- 糖尿病
- 帕金森病
- 多发性硬化
- 周围神经病
诊断性检查
首要检查
- 临床诊断
- 铁检测
治疗流程
间歇性 RLS：非妊娠者
间歇性 RLS：妊娠者
慢性持续性 RLS：非妊娠者
慢性持续性 RLS：妊娠者
难治性 RLS：非妊娠者
难治性 RLS：妊娠者
撰稿人
作者
Nitun Verma, MD, MBA
Sleep Physician
AC Wellness
Cupertino
CA
利益声明
NV declares that he has no competing interests.
Clete A. Kushida, MD, PhD, RPSGT
Acting Medical Director
Stanford Sleep Medicine Center
Director
Stanford Center for Human Sleep Research
Associate Professor
Stanford University Medical Center
Stanford Sleep Medicine Center
Redwood City
CA
利益声明
CAK has received research grant support from XenoPort, the manufacturer of gabapentin enacarbil, and is an author of a number of references cited in this topic.
同行评议者
Magdolna Hornyak, MD
Associate Professor
Interdisciplinary Pain Center and Department for Psychiatry and Psychotherapy
University Medical Center Freiburg
Freiburg
Germany
利益声明
MH declares that she has no competing interests.
K Ray Chaudhuri, MD, FRCP, DSc, FEAN
Professor of Movement Disorders and Neuroscience and Clinical Director
Parkinson Foundation International Centre of Excellence
King's College Hospital and King's College
Campus Research Director and Assistant Medical Director
King's College Hospital NHS Foundation Trust
London
UK
利益声明
KRC declares that he has no competing interests.
Brian Koo, MD
Associate Professor of Neurology
Yale University
New Haven
CT
利益声明
BK declares that he has no competing interests.
鉴别诊断
- 周期性肢体运动障碍 (PLMD)
- 静坐不能
- 周围神经病变
更多 鉴别诊断指南
- 不宁腿综合征管理：最新流程
- 阿片类药物在治疗难治性不宁腿综合征中的适当应用
更多 指南
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