老年人群睡眠障碍与阿尔茨海默病相关性研究进展
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(首都医科大学附属北京天坛医院神经病学中心认知障碍性疾病科,北京100070)

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R741

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国家重点研发计划(2021YFC2500103);国家自然科学基金(82071187,81870821)


Research progress in correlation between sleep disorders and Alzheimer′s disease in the elderly
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(Department of Cognitive Disorders, Center of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China)

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    摘要:

    睡眠模式随衰老而变化,老年人群易合并入睡困难、睡眠碎片化、白日嗜睡、早醒等睡眠障碍。阿尔茨海默病(AD)是衰老背景下的神经系统退行性疾病,也是老年人最常见的痴呆原因。目前,越来越多的研究发现,睡眠障碍与AD之间存在显著的相关性,尤其是睡眠觉醒障碍,可通过影响脑内淋巴循环代谢,导致β-淀粉样蛋白清除率降低,进而影响AD发生发展。尽管有一定的研究基础,但是睡眠障碍究竟是AD发生发展的因还是果仍未可知,睡眠障碍影响AD发生发展的潜在机制仍不明确,AD相关认知障碍患者的睡眠干预及调节策略仍缺乏统一的指导意见。因此,本文综述了衰老与睡眠生理变化、睡眠障碍与AD相关性及睡眠障碍干预与认知改善的最新研究证据,旨在提高人们对睡眠障碍及睡眠调节重要性的认识,以期达到疾病的早期预防。

    Abstract:

    Sleep patterns change with aging, and the elderly are prone to sleep disorders including difficulty in falling asleep, sleep fragmentation, daytime sleepiness, and early awakening. Alzheimer′s disease (AD) is an age-related neurodegenerative disease and the most common cause of dementia in the elderly. More and more studies have shown a remarkable correlation between AD and sleep disorders, especially sleep-wake disorders. They may affect the metabolism of the brain′s lymphatic system, reduce the clearance of amyloid β protein, and play a key role in the onset and progression of AD. Despite the previous studies, the causality between sleep disorders and AD as well as the underlying mechanism remains uncertain. Moreover, consensus is yet to be reached for a guidance on sleep regulation for patients with AD-related cognitive impairment. In this article, we reviewed the latest research evidence on aging and physiological changes in sleep, the correlation between sleep disorders and AD, and management strategies for sleep disorders and cognitive improvement, aiming to raise the awareness of the importance of sleep regulation for early prevention.

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引用本文

张源,姜季委,王艳丽,徐俊.老年人群睡眠障碍与阿尔茨海默病相关性研究进展[J].中华老年多器官疾病杂志,2024,23(1):68~71

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  • 收稿日期:2023-03-15
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  • 在线发布日期: 2024-01-28
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