小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 感觉异常
- 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
- 年龄增长
- 女性
- 吸烟
- 肥胖
- 糖尿病
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- 血清铁蛋白
治疗流程
原发性 RLS
继发性 RLS
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.
Teofilo Lee-Chiong, MD
Professor of Medicine
Head of Division of Sleep Medicine
Department of Medicine
National Jewish Health
Denver
CO
利益声明
TLC 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
- 关于成人和儿童不安腿综合征/Willis-Ekbom 病补铁治疗的循证和共识临床实践指南
- 成人不安腿综合征的治疗
更多 指南
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