Sleep Medicine
斯坦福大学睡眠医学中心见闻——面向科学前沿的睡眠中心
372世界睡眠医学杂志World Journal of Sleep Medicine2016年：:12月第_3:卷第6趙_.Dec.2Q16,V〇1.3.No.6睡眠管理Sleep Management斯坦福大学睡眠医学中心见闻—面向科学前沿的睡眠中心Experiences in Sleep Medicine Center of Stanford University------Sleep centre at the frontiers of science刘艳骄1高和2(1«中.:國中褒科学:脘广安门涯院_眠中心,.那京，.1«053;:2:^養_军总雇腐航空航*睡眠中心，北京.100142_:)摘要美国睡眠里学发展一jL.St于世界领先水平，2016_年由中国_考年学.和秦年匿学学会_離_眠科学分会主办，中爾:K师:f办会睡眠IS■学专业委员会v中调睡眠研寒会、世界中联睡眠医学专业委胬僉协办下，中商.睡眠医学专业珥孤赴美访问学习，本■文就参访一行所见睡眠里学中心发展模式荩机:构儀置等歌行介绍f «供相关•者借鉴，以期共同:低进我国.睡眠医学事业.的发展..。
关键词睡眠美闺纖g福大学:|藤眠中心；睡脲管理中图分类号：B536. 8 文献标识码：A 文章编号：3095-7130_ (2016 ) 06-372-374由中匡老年学和老年医学学会睡眶科学分会 畫办，中S医师协会睡眠医学专业委员会、中H 睡眠研究会、世界中联睡眠医学专业委员会协办，深圳金士宵康复用品科技有限公司支持的中 国睡眠医学专业赴美参观访问团，f2〇16年9 月10-19日圆满完成赴美学习参观访问任务。
中国在美国的访问学者马彦为此次参访做了 很多的联系X作，空军总医院睡眠中心高和主任 也进行的精心的设计。
此行的I.目的在于了解不同 层面睡眠中心，包括睡眠研究型医院、大学的综 合性医院睡眠中心，个体睡眠诊所等。
睡眠呼吸暂停程度与高血压分级相关性分析
９６ 世界睡眠医学杂志ＷｏｒｌｄＪｏｕｒｎａｌｏｆＳｌｅｅｐＭｅｄｉｃｉｎｅ２０１９年１月第６卷第１期Ｊａｎｕａｒｙ．２０１９，Ｖｏｌ．６，Ｎｏ．１作者简介：马焱，研究方向：老年内科学，Ｅ ｍａｉｌ：ｄｏｕｊｉａｎｇ０１０９＠１６３ ｃｏｍ睡眠呼吸病学ＳｌｅｅｐＡｐｎｅａ睡眠呼吸暂停程度与高血压分级相关性分析马焱 何红（首都医科大学石景山教学医院北京石景山医院，北京，１０００４３）摘要 目的：探讨睡眠呼吸暂停低通气（ＯｂｓｒｕｃｔｉｖｅＳｌｅｅｐＡｐｎｅａＨｙｐｏｐｎｅａＳｙｎｄｒｏｍｅ，ＯＳＡＨＳ）程度与高血压分级相关性。
方法：筛选出睡眠呼吸暂停低通气合并高血压患者，予以多导睡眠仪监测，对ＯＳＡＨＳ程度与高血压分级相关性进行分析。
结果：睡眠呼吸暂停低通气严重程度与高血压分级程度呈正相关（相关系数０ ２５７，Ｐ＜０ ０５）。
结论：睡眠呼吸暂停低通气严重程度与高血压分级程度呈正相关。
关键词 睡眠呼吸；暂停程度；高血压；分级；相关性ＡＣｌｉｎｉｃａｌＳｔｕｄｙｏｆｔｈｅＣｏｒｒｅｌａｔｉｏｎＢｅｔｗｅｅｎＳｌｅｅｐＡｐｎｅａＨｙｐｏｐｎｅａａｎｄＨｙｐｅｒｔｅｎｓｉｏｎＭａＹａｎ，ＨｅＨｏｎｇ（ＳｈｉｊｉｎｇｓｈａｎｔｅａｃｈｉｎｇｈｏｓｐｉｔａｌｏｆＣａｐｉｔａｌＭｅｄｉｃａｌＵｎｉｖｅｒｓｉｔｙＢｅｉｊｉｎｇｊｉｎｇｓｈａｎＨｏｓｐｉｔａｌ，Ｂｅｉｊｉｎｇ１０００４３，Ｃｈｉｎａ）Ａｂｓｔｒａｃｔ Ｏｂｊｅｃｔｉｖｅ：Ｔｏｅｘｐｌｏｒｅｔｈｅｃｏｒｒｅｌａｔｉｏｎｂｅｔｗｅｅｎｓｌｅｅｐａｐｎｅａｈｙｐｏｐｎｅａａｎｄｈｙｐｅｒｔｅｎｓｉｏｎ Ｍｅｔｈｏｄｓ：Ｐａｔｉｅｎｔｓｗｉｔｈｓｌｅｅｐａｐｎｅａｈｙｐｏｐｎｅａａｎｄｈｙｐｅｒｔｅｎｓｉｏｎｗｅｒｅｓｃｒｅｅｎｅｄａｎｄｍｏｎｉｔｏｒｅｄｂｙｐｏｌｙｓｏｍｎｏｇｒａｐｈｙ ＴｈｅｃｏｒｒｅｌａｔｉｏｎｂｅｔｗｅｅｎＯＳＡＨＳｄｅｇｒｅｅａｎｄｈｙｐｅｒｔｅｎｓｉｏｎｇｒａｄｅｗａｓａｎａｌｙｚｅｄ Ｒｅｓｕｌｔｓ：Ｔｈｅｓｅｖｅｒｉｔｙｏｆｓｌｅｅｐａｐｎｅａｈｙｐｏｐｎｅａｗａｓｐｏｓｉｔｉｖｅｌｙｃｏｒｒｅｌａｔｅｄｗｉｔｈｔｈｅｇｒａｄｅｏｆｈｙｐｅｒ ｔｅｎｓｉｏｎ（ｃｏｒｒｅｌａｔｉｏｎｃｏｅｆｆｉｃｉｅｎｔ０ ２５７，Ｐ＜０ ０５） Ｃｏｎｃｌｕｓｉｏｎ：Ｔｈｅｓｅｖｅｒｉｔｙｏｆｓｌｅｅｐａｐｎｅａｈｙｐｏｐｎｅａｗａｓｐｏｓｉｔｉｖｅｌｙｃｏｒｒｅｌａｔｅｄｗｉｔｈｔｈｅｇｒａｄｅｏｆｈｙｐｅｒｔｅｎｓｉｏｎ．ＫｅｙＷｏｒｄｓ Ｓｌｅｅｐａｐｎｅａ；Ｄｅｇｒｅｅｏｆａｐｎｅａ；Ｈｙｐｅｒｔｅｎｓｉｏｎ；Ｇｒａｄｉｎｇ；Ｃｏｒｒｅｌａｔｉｏｎ中图分类号：Ｒ５４４ １文献标识码：Ａｄｏｉ：１０．３９６９／ｊ．ｉｓｓｎ．２０９５－７１３０．２０１９．０１．０３９ 睡眠呼吸暂停低通气（ＯＳＡＨＳ）是一种常见的睡眠呼吸障碍性疾病，以睡眠过程中上气道完全或部分阻塞和（或）呼吸中枢驱动降低导致呼吸暂停为特征，进而产生慢性间歇性低氧、二氧化碳潴留、反复胸腔内负压增大、反复微觉醒、睡眠结构异常、白天嗜睡及记忆力下降，并可引起自主神经功能紊乱等［１］。
《国际睡眠障碍分类》(第三版)慢性失眠障碍的诊断标准
《国际睡眠障碍分类》 （第三版） 慢性失眠障碍的诊断标准
ＩｎｔｅｒｎａｔｉｏｎａｌＣｌａｓｓｉｆｉｃａｔｉｏｎｏｆＳｌｅｅｐＤｉｓｏｒｄｅｒｓ（ＩＣＳＤ－３）ＤｉａｇｎｏｓｔｉｃＣｒｉｔｅｒｉａｆｏｒＣｈｒｏｎｉｃＩｎｓｏｍｎｉａ
美国睡眠医学会 主编 解放军空军总医院睡眠中心 高和，等翻译
关键词 睡眠障碍；分类；慢性失眠障碍；诊断 中图分类号：Ｒ７４９７ 文献标识码：Ａ ｄｏｉ：１０３９６９／ｊｉｓｓｎ２０９５－７１３０２０１８０５０１５
５５６
世界睡眠医学杂志 ＷｏｒｌｄＪｏｕｒｎａｌｏｆＳｌｅｅｐＭｅｄｉｃｉｎｅ
２０１８年 ５月第 ５卷第 ５期 Ｍａｙ．２０１８，Ｖｏｌ．５，Ｎｏ．５
次。
５ 临床亚型
Ｅ睡眠紊乱和相关日间症状持续至少 ３个月
维持困难或早醒。在适宜作息时间抗拒上床睡眠 反而容易入睡。同时存在对睡眠过分关注、担
和没有家长或照护者干预下难以独自入睡的情况 忧，认知和躯体觉醒水平增高 （特 别 是 就 寝 时
多见于儿童和由于严重功能受损需他人照护的老 间）。
年人 （如痴呆患者）。
特发性失眠 （ＩｄｉｏｐａｔｈｉｃＩｎｓｏｍｎｉａ） 特点为自
在 ＩＣＳＤ２分类列出原发性失眠的多种亚型，
２。
具体如下：
Ｆ睡眠 ／觉醒困难不能以另一种睡眠疾病更
心理生理性失眠 （ＰｓｙｃｈｏｐｈｙｓｉｏｌｏｇｉｃａｌＩｎｓｏｍ
好地解释。
ｎｉａ） 特点是觉醒程度提高，形成的阻睡联想导致
４ 注释
失眠。此类患者通常在自家的睡眠环境内很难入
１） 各年龄段均可出现睡眠起始困难、睡眠 睡，但是更换到陌生睡眠环境后或不关注入睡时
一原因。是否需要单独诊断失眠障碍，关键在于 变，该发现可能解释主观睡眠感觉和客观睡眠检
睡眠相关的医学英语杂志
睡眠相关的医学英语杂志
有关睡眠的医学英语杂志有很多，以下是一些主要的睡眠医学
期刊：
1. Sleep Medicine Reviews，这是一本权威的睡眠医学综述期刊，涵盖了睡眠障碍的研究、诊断和治疗方面的最新进展。
2. Journal of Sleep Research，这本期刊专注于睡眠科学领
域的原创研究，包括睡眠生理学、睡眠障碍的病因和治疗等方面。
3. Sleep，这是美国睡眠研究学会出版的官方期刊，涵盖了睡
眠医学领域的各个方面，包括基础研究和临床应用。
4. Sleep Medicine，这本期刊涵盖了睡眠医学领域的临床研究
和实践经验，是睡眠医学领域的重要学术刊物之一。
5. Journal of Clinical Sleep Medicine，这是一本临床睡眠医学期刊，主要刊载睡眠障碍的诊断、治疗和管理方面的研究成果。
以上期刊都是睡眠医学领域的权威刊物，涵盖了睡眠相关的各
个方面，包括基础研究和临床实践。
阅读这些期刊可以帮助医学从业者了解最新的研究进展和临床实践经验，促进学术交流和专业发展。
药物的英文名称_医学英语词汇
medicine; drug; remedy: 药sleeping pill: 安眠药contraceptive drugs: 避孕药tonic: 补药a medicine for colds: 感冒药expectorant: 化痰药anti-cancer drugs; cancer-fighting drugs: 抗癌药anti-tuberculous drug: 抗结核药oral contraceptive; pill: 口服避孕药good medicine; a good remedy:良药laxative: 轻泻药antipyretic: 退热药for oral administration: 内服药specific medicine; specific: 特效药for external use: 外用药preventive medicine; prophylactic: 预防药sedative: 镇静药take medicine: 服药change dressings:换药decoct herbal medicine: 煎药fill a prescription: 配药have a prescription made up(filled):（患者）抓药medicinal materials; crude drugs: 药材medicinal herbs: 药草tablet: 药片medicines and chemical reagents: 药品medicine bottle: 药瓶remedies: 药石liquid medicine; medicinal liquid: 药水lotion: 洗液pill: 药丸bolus: 大药丸herbal medicines in a prescription: 药味（中药方中的药）flavor of a drug: 药味（药的味道或气味）medicines; pharmaceuticals; medicaments: 药物heal with drugs: 药物医治drug allergy: 药物过敏drug poisoning: 药物中毒(medicinal)powder: 药粉ointment; salve: 药膏apply a plaster: 上药膏。
绞股蓝改善睡眠有效成分的研究
２１１６ 世界睡眠医学杂志ＷｏｒｌｄＪｏｕｒｎａｌｏｆＳｌｅｅｐＭｅｄｉｃｉｎｅ２０２３年９月第１０卷第９期Ｓｅｐｔｅｍｂｅｒ．２０２３，Ｖｏｌ．１０，Ｎｏ．９基金项目：国家重点研发计划项目（２０２２ＹＦＣ２１０４８００）；国家自然科学基金青年项目（２２１０８１９６，２２１０８２２６）；陕西省自然科学基础研究计划青年项目（２０２１ＪＱ ４３９）作者简介：史腊腊，女，硕士，研究方向：生物医用材料，Ｅ ｍａｉｌ：ｓｈｉｌａｌａ２５１７２３＠１６３ ｃｏｍ通信作者：申世红，女，博士，副教授，研究方向：生物医用材料、纳米功能材料，Ｅ ｍａｉｌ：ｓｈｅｎｓｈｉｈｏｎｇ１＠ｎｗｕ ｅｄｕ ｃｎ中医睡眠中药学ＣｈｉｎｅｓｅＭｅｄｉｃｉｎｅｏｆＳｌｅｅｐ绞股蓝改善睡眠有效成分的研究史腊腊 申世红（西北大学化工学院，西安，７１００６９）摘要 目的：探究绞股蓝改善睡眠的有效成分。
方法：通过直接睡眠试验、延长戊巴比妥钠睡眠时间试验、戊巴比妥钠阈下剂量催眠试验、巴比妥钠睡眠潜伏期试验，评价绞股蓝水提物、绞股蓝皂苷、绞股蓝多糖对小鼠睡眠作用的影响。
结果表明，绞股蓝水提物、绞股蓝皂苷、绞股蓝多糖各剂量组对正常小鼠均无直接睡眠作用，绞股蓝皂苷各剂量组均可以延长戊巴比妥钠诱导的小鼠睡眠时间（Ｐ＜０ ０５或Ｐ＜０ ００１），增加戊巴比妥钠阈下催眠剂量入睡小鼠只数（Ｐ＜０ ０５或Ｐ＜０ ０１），缩短小鼠的睡眠潜伏期（Ｐ＜０ ０５或Ｐ＜０ ００１）。
绞股蓝皂苷、绞股蓝水提物高剂量组在延长戊巴比妥钠睡眠时间、增加小鼠戊巴比妥钠阈下剂量催眠只数、缩短巴比妥钠睡眠潜伏期方面效果优于绞股蓝多糖组（Ｐ＜０ ０５）。
此外，绞股蓝皂苷高剂量组小鼠下丘脑及血清中的５羟色胺（５ ＨＴ）及γ 氨基丁酸（ＧＡＢＡ）含量均显著高于对照组（Ｐ＜０ ００１），多巴胺（ＤＡ）含量均显著低于对照组（Ｐ＜０ ０１）。
结论：绞股蓝水提物、绞股蓝皂苷、绞股蓝多糖均可在一定程度上改善小鼠睡眠，绞股蓝皂苷是改善睡眠的主要功效成分。
药学专业英语
medicine；drug；remedy 药sleeping pill 安眠药contraceptive drugs 避孕药tonic 补药a medicine for colds 感冒药expectorant 化痰药anti-cancer drugs；cancer-fighting drugs 抗癌药anti-tuberculous drug 抗结核药oral contraceptive；pill 口服避孕药good medicine；a good remedy 良药laxative 轻泻药antipyretic 退热药for oral administration 内服药specific medicine；specific 特效药for external use 外用药preventive medicine；prophylactic 预防药sedative 镇静药take medicine 服药change dressings 换药decoct herbal medicine 煎药fill a prescription 配药have a prescription made up（filled）（患者）抓药medicinal materials；crude drugs 药材medicinal herbs 药草tablet 药片medicines and chemical reagents 药品medicine bottle 药瓶remedies 药石liquid medicine；medicinal liquid 药水lotion 洗液pill 药丸bolus 大药丸herbal medicines in a prescription 药味（中药方中的药）flavor of a drug 药味（药的味道或气味）medicines；pharmaceuticals；medicaments 药物heal with drugs 药物医治drug allergy 药物过敏materia medica 药物学drug poisoning 药物中毒（medicinal）powder 药粉ointment；salve 药膏apply a plaster 上药膏medical apparatus and instruments：医疗器械pharmaceutical factory：药厂drugstore；chemists shop；pharmacy：药店pharmacopeia：药典prescription：药方write out a prescription：开药方drugstore；chemists shop；pharmacy：医药商店hospital pharmacy；dispensary：医院或诊所里的药房expenses for medicine；charges for medicine：药费a pot for decocting herbal medicine：药罐子chronic invalid：药罐子（经常生病的人）apothecariesmeasure or weight：药衡medicinal herb collector；herbalist：药农herbal medicine shop：药铺asthma 哮喘pneumonia 肺炎heart disease 心脏病arrhythmia 心律不齐indigestion 消化不良gastritis 胃炎appendicitis 盲肠炎hepatitis 肝炎dermatitis 皮炎freckle/ephelis 痣，雀斑acne 粉刺flu 流感diarrhoea 痢疾quarantine 检疫vaccinate 打疫苗endemic 水土不服relapse 复发症casualty 急症stupor 昏迷sprain 扭伤scalding 烫伤graze 擦伤scratch 搔挠trauma 外伤bruise 淤伤fracture 骨折dislocation 脱臼tinnitus 耳鸣trachoma 沙眼colour blindness 色盲nearsightedness/myopia 近视astigmatism 散光gingivitis 牙龈炎cavity 龋齿fever 发烧discomfort/disorder 不适malnutrition 营养不良incubation 潜伏期asthenia 虚弱poisoning 中毒fatigue 疲劳heat stroke 中暑itching 发痒ache/pain 痛tetanus 破伤风night sweat 盗汗chill 打冷颤pale 脸色发白shuddering 发抖inflammation 炎症acute 急症chronic 慢性病congenital 先天性病nausea 恶心vomit 呕吐常用药品监管英语与缩略语——浙江省药品监督管理局政策法规处一、监管英语1.《中华人民共和国药品管理法》Drug Control Law of the People's Republic of China2.药品生产企业管理control over drug manufacturers3.药品经营企业管理control over drug distributors4.医疗机构的药剂管理control over medicines in medical institutions5.药品管理control over drugs6.药品包装的管理control over drug packaging7.药品价格和广告的管理control over drug price and advertisement8.药品监督inspection of drugs9.法律责任legal liabilities10.药品标识labels or marks of the drugs11.假药counterfeit drugs12.劣药inferior drugs13.药品检验机构drug quality control laboratory14.药品的生产企业drug manufacturers15.经营企业drug distributors16.医疗机构medical institutions17.药品监督管理部门drug regulatory agency18.药品批准证明文件drug approval documents19.行政处分administrative sanctions20.刑事责任criminal liabilities21.药品生产质量管理规范Good Manufacturing Practice for Pharmaceutical Products (GMP)22.药品经营质量管理规范Good Supply Practice for Pharmaceutical Products (GSP)23.药品生产许可证Drug Manufacturing Certificate24.药品经营许可证Drug Supply Certificate25.医疗机构制剂许可证Pharmaceutical Preparation Certificate for Medical Institution26.进口药品注册证书Import Drug License27.临床试验clinical trial28.新药证书New Drug Certificate29.药品批准文号Drug Approval Number30.在中华人民共和国境内从事药品的研制、生产、经营、使用和监督管理的单位或者个人，必须遵守《中华人民共和国药品管理法》All institutions or individuals engaged in research, production, distribution, use, and administration and supervision of drugs in the People's Republic of Ch ina shall abide by drug control law of the people's republic of China.31.国务院药品监督管理部门主管全国药品监督管理工作。
2022年雅思考试真题及答案
2022年雅思考试真题及答案一、READING1、READING PASSAGE 3You should spend about 20 minutes on Questions 26-40, which are based on Reading Passage 3 below.Sleeping Sleep medicine is a relatively young field in the UK, with only a couple of centres until the1980sIn the last decade a number of centres have sprouted, often led by chest physicians and ENT surgeons with an interest in obstructive sleep apnoea, forcing neurologists and neurophysiologists to wake up and contribute to the non-respiratory aspect of this neglected subject. Within sleep, two states are recognised—non rapid eye movement (NREM) and rapid eye movement (REM)These alternate cyclically through the night with cycle time of90 minutes (50-60 minutes in the newborn)NREM sleep is divided into four stages: stages 1 and 2 (considered light sleep), and stages 3 and 4 (deep sleep with high arousal threshold). REM is ontogenically primitive with EEG activity closer to wake state, intermittent bursts of REMs and muscle atonia interrupted by phasic bursts producing asynchronous twitchingThe atonia of REM sleep prevents acting out of dreams and is lost in REM behaviour disorder when dreams content becomes violent and patients act out their dream, often resulting in in jury .REM behaviour disorder can be a precursor of neurodegenerative disease including ParkinsonsDream content (pleasant/unpleasant) will be remembered on waking from REM sleep but there is often little memory of the preceding mental- activity on arousals from NREM sleep, even when associated with complex behaviours and autonomic disturbance as occurs in night terrors or sleep walking. In the newborn 50 per cent of total sleep time is occupied by REM sleep, progressively shrinking to 25 per cent in the adult, the first block of REM sleep occurring about90 minutes after sleep onsetAbrupt withdrawal of alcohol and many centrally acting recreational and non-recreational drugs can cause REM sleep to occur at sleep onsetThis can also increase total REM sleep, leading to intense vivid often frightening dreams (hypnogogic-sleep onset/hypnopompic or, on waking, hallucinations), similar to that experienced by patients with narcolepsy. The NREM/RE/REM sleep states are interrupted by brief arousals and transient awakeningsThe frequency of the arousals may increase with emotional disturbance or environmental discomfort but also in many intrinsic sleep disorders such as periodic leg movements in sleep, obstructive sleep apnoea and narcolepsy. A basic rest-activity cycle originates in fetal lifeThe newborn sleeps an equal amount during the day and night, the sleep-wake cycle organised around three-to four-hourly feedsBy the second month favouring of sleep towards night-time occurs and by six months the baby will have about 12 hours of sleep at night in addition to a couple of daytime napsIn general, children born prematurely have a tendency to be awake more at night in the first year and breast-fed babies wake more frequently, but the difference disappears by the second yearPersistent night awakenings in infants and toddlers usually reflect the child's inability to self-soothe back to sleep without parental attention and will respond to a well- supported behavioural programme. The establishment of a consolidated night sleep pattern in children reflects brain maturation and may be disrupted in children with developmental problemsEven in this group success is possible by persisting with behavioural work, though many paediatricians prescribe melatonin for these children with some successBut as the long-term safety of melatonin remains unknown it should be used as a last resortThere are now good studies looking at short-term use of melatonin in sleep-wake cycle disorders such as delayed sleep phase syndromeIts use as a hypnotic should be discouraged, especially in the developing child as there is uncertainty on other cycles, such as menstrual. In addition to the NREM/REM cycles, there is a circadian (24 hours) sleep/wake cycle entrained by intrinsic rhythms (melatonin and body temperature) and extrinsic factors (light and social cues such as mealtimes, school/work times)The pineal hormone melatonin plays a role in entraining the sleep-wake cycle to the light-dark cycleMelatonin secretion is high in darkness and low in daylight hours, the process beginning in the retina with the supra- chiasmatic nucleus playing a major role as a sleep regulator via melatoninBlind people may lose this entrainment and develop a free running sleep/wake cycle with progressive advancement of sleep onset time. Polymorphism of the circadian clock gene has now been identified with the population divided between morning types (larks) and evening types (owls)Those predisposed to later sleep onset time (evening types) are susceptible to developing delayed sleep phase syndrome especially during adolescence when sleep requirement increases and there is a tendency towards later time for sleeping and wakingIn delayed sleep phase syndrome, sleep onset is delayed to the early hours of the morning with consequent difficulty in waking in time for school/workOnce established, advancing sleep onset time is difficult and requires treatment with appropriately timed melatonin or bright light therapy— advancing sleep onset progressively forwards until the desired sleep time is reached. In contrast the elderly who are more susceptible to perturbation in their sleep-wake schedule can develop advanced sleep phase syndrome with sleep onset occurring early in the eveningShift workers often struggle to cope with shift patterns as they grow older due to difficulty in re-adjusting their circadian clockIn general, morning bright light exposure is a more powerful synchroniser of the circadian rhythm than melatonin. Questions 26-28 Choose the correct letter, A, B, C or D.1．According to the passage, ______.A. the growing concern on sleep medicine from physicians and ENT surgeons contributed to the boom of this 38. sleep onset (根据该题关键词“postponed”定位到倒数第二段的倒数第二句。
用于中国人群的压力管理_心身增弹方案_SM_省略_RT_C_及其子方案健康睡眠_
74
世界睡眠医学杂志 World Journal of Sleep Medicine
2017 年 4 月第 4 卷第 2 期 Apr． 2017 ， Vol． 4 ， No． 2
自动解除，或 者 通 过 人 体 的 另 外 一 种 本 能 反 应 — — —放松反 应 （ Ｒelaxation Ｒesponse ） 来 帮 助 人 体恢复自然状态。然而由于现代社会的压力多表 现为一种慢性压力，刺激多为长期存在， 单次刺 激强度减弱，导致应激反应虽然仍然存在， 但帮 助解除应激反应的放松反应不再自动产生 ， 或者 作用不像以前那样强了。 因此， 放松反应需要人 为的诱导，或者通过训练提高放松反应的作用能 力。关于心身疗法的研究已经充分证实了其能够 通过诱导出放松反应而减少心理压力以及相关症 状从而加强幸福健康的作用 渐进式放松以及自生训练等
［7 ］ ［46 ］
体对任何要求的不确定性反应 ” 。 这些要求可 能是我们经常与压力联系在一起的主要负性生活 事件，比如失业和丧偶； 也可以是一些正性生活 事件，比如找到新的工作和结婚； 当然也包括日 常生活中让我们觉得无法应对的一些小事 。 由此 可见，除了我们的观念里普遍认可的负性事件会 带来压力，事实上正性事件也可能成为压力源。 另外，压力还可以是人的身体、 心理和信念对外 界危险不能应对的一种主观感觉
中图分类号： Ｒ338. 63 ； Ｒ395. 5
A Brief Introduction about Stress Management and Ｒesiliency Training Program to the Chinese Population and the Subprogram Healthy Sleep
用于中国人群的压力管理 、 心身增弹方案 （ SMAＲT-C ） 及其子方案健康睡眠 （ HS） 的编制
国外关于睡眠研究的书籍
国外关于睡眠研究的书籍关于睡眠研究的书籍在国外有很多，这些书籍涵盖了睡眠的各个方面，从睡眠的生理机制到如何改善睡眠质量，都有相关的研究和理论支持。
接下来，我将介绍几本国外关于睡眠研究的经典书籍。
1.《Why We Sleep: Unlocking the Power of Sleep and Dreams》这本由Matthew Walker所著的书是睡眠研究领域的经典之作。
作者通过科学研究和实践经验，探讨了睡眠对我们身体和大脑的重要性。
书中详细解释了睡眠对健康的影响，以及不良睡眠对身体和心理健康的危害。
此外，书中还介绍了一些改善睡眠质量的方法和技巧。
2.《The Sleep Revolution: Transforming Your Life, One Night at a Time》这本书是由Arianna Huffington所著，她是《赫芬顿邮报》的创始人之一。
作者在书中分享了自己对睡眠的重视，并介绍了一些改善睡眠的方法和策略。
书中还包括了一些关于睡眠研究的最新发现，以及对于睡眠不足所带来的健康问题的讨论。
3.《The Promise of Sleep: A Pioneer in Sleep Medicine Explores the Vital Connection Between Health, Happiness, and a Good Night's Sleep》这本书是由William C. Dement所著，他是睡眠研究领域的先驱之一。
作者通过自身的研究和临床经验，详细介绍了睡眠的生理机制和睡眠障碍的治疗方法。
书中还包括了一些关于睡眠对健康和幸福的重要性的讨论。
4.《Why Do We Sleep?》这本书是由Russell G. Foster和Leon Kreitzman所著，他们是睡眠研究领域的专家。
书中详细解释了睡眠对身体和大脑的重要性，并介绍了一些关于睡眠的生理机制和调控的最新研究成果。
河北地方中药有关睡眠药物文献辑述
作者简介：许晗，中国中医科学院广安门医院，北京中医药大学，中医心理与睡眠医学方向硕士研究生通信作者：刘艳骄，中国中医科学院广安门医院，心理睡眠科，主任医师中医睡眠中药学ＴｒａｎｄｉｔｉｏｎａｌＳｌｅｅｐＭｅｄｉｃｉｎｅ河北地方中药有关睡眠药物文献辑述许晗１，２ 刘艳骄１（１中国中医科学院广安门医院，北京，１０００５３；２北京中医药大学研究生院，北京，１０００２９）摘要 河北省拥有太行山、燕山两大中药材产业带，冀中平原、冀南平原、坝上高原三大产区，药材资源丰富，拥有独特的“两带三区”中药种植区域，其中多种中药可用于睡眠相关疾病的治疗。
本文通过对河北省地方有关睡眠的中药文献进行复习和整理，为临床使用地方中药治疗睡眠障碍提供参考。
关键词 河北；中药；睡眠ＬｉｔｅｒａｔｕｒｅＣｏｍｐｉｌａｔｉｏｎｏｆＳｌｅｅｐＭｅｄｉｃｉｎｅｉｎＬｏｃａｌＭｅｄｉｃｉｎｅｏｆＨｅｂｅｉＸＵＨａｎ１，２，ＬＩＵＹａｎｊｉａｏ１（１Ｇｕａｎｇ′ａｎｍｅｎＨｏｓｐｉｔａｌ，ＣｈｉｎａＡｃａｄｅｍｙｏｆＣｈｉｎｅｓｅＭｅｄｉｃａｌＳｃｉｅｎｃｅｓ，Ｂｅｉｊｉｎｇ１０００５３，Ｃｈｉｎａ；２ＧｒａｄｕａｔｅＳｃｈｏｏｌｏｆＢｅｉｊｉｎｇＵｎｉｖｅｒｓｉｔｙｏｆＣｈｉｎｅｓｅＭｅｄｉｃｉｎｅ，Ｂｅｉｊｉｎｇ１０００２９，Ｃｈｉｎａ）Ａｂｓｔｒａｃｔ ＨｅｂｅｉＰｒｏｖｉｎｃｅｈａｓＴａｉｈａｎｇＭｏｕｎｔａｉｎａｎｄＹａｎｓｈａｎＭｏｕｎｔａｉｎｔｗｏｌａｒｇｅａｎｄｍｅｄｉｕｍ ｓｉｚｅｄｍｅｄｉｃｉｎａｌｍａｔｅｒｉａｌｉｎｄｕｓｔｒｉａｌｂｅｌｔｓ，ａｎｄｔｈｒｅｅｐｒｏｄｕｃｔｉｏｎａｒｅａｓｏｆｃｅｎｔｒａｌＨｅｂｅｉＰｌａｉｎ，ＳｏｕｔｈｅｒｎＨｅｂｅｉｐｌａｉｎａｎｄＢａｓｈａｎｇｐｌａｔｅａｕ Ｗｉｔｈｒｉｃｈｍｅｄｉｃｉｎａｌｍａｔｅｒｉａｌｓｒｅｓｏｕｒｃｅｓ，ＨｅｂｅｉＰｒｏｖｉｎｃｅｈａｓａｕｎｉｑｕｅ“ｔｗｏｂｅｌｔｓａｎｄｔｈｒｅｅａｒｅａｓ”ｐｌａｎｔｉｎｇａｒｅａｓｏｆｔｒａｄｉｔｉｏｎａｌＣｈｉｎｅｓｅｍｅｄｉｃｉｎｅ，ａｍｏｎｇｗｈｉｃｈａｖａｒｉｅｔｙｏｆｔｒａｄｉｔｉｏｎａｌＣｈｉｎｅｓｅｍｅｄｉｃｉｎｅｃａｎｂｅｕｓｅｄｆｏｒｔｈｅｔｒｅａｔｍｅｎｔｏｆｓｌｅｅｐｒｅｌａｔｅｄｄｉｓｅａｓｅｓ Ｂｙｒｅｖｉｅｗｉｎｇａｎｄｓｏｒｔｉｎｇｏｕｔｔｈｅｌｉｔｅｒ ａｔｕｒｅｏｆｌｏｃａｌｔｒａｄｉｔｉｏｎａｌＣｈｉｎｅｓｅｍｅｄｉｃｉｎｅｉｎＨｅｂｅｉｐｒｏｖｉｎｃｅ，ｐｒｏｖｉｄｅｒｅｆｅｒｅｎｃｅｓｆｏｒｔｈｅｃｌｉｎｉｃａｌｕｓｅｏｆｌｏｃａｌｔｒａｄｉｔｉｏｎａｌＣｈｉｎｅｓｅｍｅｄｉｃｉｎｅｉｎｔｈｅｔｒｅａｔｍｅｎｔｏｆｓｌｅｅｐｄｉｓｏｒｄｅｒｓ．Ｋｅｙｗｏｒｄｓ Ｈｅｂｅｉ；ＴｒａｄｉｔｉｏｎａｌＣｈｉｎｅｓｅｍｅｄｉｃｉｎｅ；Ｓｌｅｅｐ中图分类号：Ｒ２８１ ４；Ｒ３３８ ６３文献标识码：Ａｄｏｉ：１０．３９６９／ｊ．ｉｓｓｎ．２０９５－７１３０．２０２０．０７．０２３ 河北省中药材资源丰富，产量较大，质地优良。
呼吸内科患者应用睡眠护理的效果
世界睡眠医学杂志World Jou—al of Sleep Mediciuc 2020年11月第7卷第11期Nxembes.2020,Vol.7,No.212900呼吸内科患者应用睡眠护理的效果黄佳颖廖雨娟刘晓霞(福建省立金山医院，福州,350000)摘要目的：探究在呼吸內科中睡眠护理方法进行应用的临床效果。
方法：选取2218年8月至2218年7月福建省立金山医院呼吸內科收治的患者92例作为研究对象，按照随机数字表法分为对照组和观察组，每组45例。
对照组给予常规护理干预，观察组给与睡眠护理干预，对其临床干预效果进行分析比较。
结果：2组患者护理干预前，在睡眠时间，入睡时间和觉醒次数方面比较，差异无统计学意义(P>2.25)，在给予患者不同护理干预后，观察组患者的入睡时间，睡眠时间和觉醒次数在与对照组进行比较时，差异有统计学意义(P<2.25),观察组患者的治疗依从性评分和生活满意度评分明显高于对照组，表明观察组护理效果显著于对照组。
结论:在呼吸內科患者中将睡眠护理干预进行应用，可有效改善患者的睡眠质量，提高患者生命质量，对临床发展具有积极性。
关键词呼吸内科;睡眠护理;干预效果Effect of Applying Sleep Carr tr Respii'atoi'a PatieptsHUANG jmying,LINO Yujuan,LIN Xiaoxia(JinsPan H osp OU cf Fujian Province,F uz J iou394000,Shirm)Abstract Objective:To explore the clinical elects of the appPcation of sleep nursing methods in mspimtorg medicine.Methodt:A total of92patients in department of mspimWry medicine of our Uosyimi from January227to December2218were selected andranUomly divideP into control amup and odsemaCon amup,45cases in each amup.The control amup was aiven mutine nursing in-Wmention；and the odsemaCon amup was aiven sleep nursing intervention.ResuUs:Before the two amups of padents:the diPemnces in sleep time,time to sleep and number of awabenings were small and the diPemnces were not significant(P>2.25).After aiving padents diberent nursing interventions,the padents in the odsemation amup fell asleep and slept compared with the control amup, the number of awabenings and the number of awabenings were smtisncaCp significant(P<2.45).The intervention compliance and life satisfaction scores were signiPcantly higher in the odsemaCon amup than in the control amup.It shows that the nursing effect of the odsemaCon amup is more significant than that of the control amup.Conclusion:The applicadon of sleep nursing intervention in padents with mspimWry medicine can edechvely improve the sleep quality of patients:improve the quality of lite of padents:and is positive for clinical devePpment.Keywords Respimtorg medicine;Sleep care；Intervention elect中图分类号：R56；R33023文献标识码：A dot：12.3969/j.imn.2095-772.2222.18.268就呼吸内科的患者来说，患者病情种类较多，而且通常病情较重,再加上患者年纪较大，患者多合并多种并发症,在这样的情况影响下，患者的睡眠质量会受到严重影响，而且患者多会表现出不同的心理不良反应，使得患者出现失眠，多梦等不良症状，对患者病情恢复造成不良影响。
睡眠医学中心工作总结
睡眠医学中心工作总结英文回答：Sleep Medicine Center Annual Report.Introduction.The Sleep Medicine Center is a specialized facility dedicated to the diagnosis and treatment of sleep disorders. Our mission is to provide comprehensive, patient-centered care to improve the health and well-being of individualswith sleep-related problems.Services.We offer a full range of diagnostic and therapeutic services, including:Sleep studies (polysomnography and home sleep tests)。
CPAP therapy.Oral appliance therapy.Behavioral sleep medicine.Patient Population.In the past year, we evaluated and treated over 500 patients with a variety of sleep disorders, including:Obstructive sleep apnea.Central sleep apnea.Insomnia.Narcolepsy.Restless legs syndrome.Circadian rhythm disorders.Outcomes.Our patients experience significant improvements intheir sleep and overall health after receiving treatment at our center. Data from our patient satisfaction surveys indicate that:95% of patients report improved sleep quality.90% of patients report reduced daytime sleepiness.85% of patients report improved mood and energy levels.Research and Education.In addition to providing clinical care, we are actively involved in research and education. Our team has published numerous peer-reviewed articles and presented at national and international conferences. We also provide training for medical students, residents, and fellows in the field of sleep medicine.Conclusion.The Sleep Medicine Center is a vital resource for the community, providing comprehensive, patient-centered care for individuals with sleep disorders. We are committed to excellence in clinical care, research, and education, and we look forward to continuing to serve our patients in the years to come.中文回答：睡眠医学中心工作总结。
睡眠医学科出科小结范文
睡眠医学科出科小结范文英文回答：Sleep Medicine Subspecialty Discharge Summary.Patient: [Patient's Name]Date: [Date]Hospital: [Hospital Name]Chief Complaint: [Patient's chief complaint]History of Present Illness:The patient presents with a history of [patient's symptoms]. The symptoms began [when symptoms began] and have [persisted/intermittently occurred] since then. The patient has [tried the following treatments/not sought treatment].Past Medical History:The patient has a past medical history significant for [list of past medical conditions].Medications:The patient is currently taking [list of medications].Sleep History:The patient typically [falls asleep/has trouble falling asleep] and wakes up [number of hours later with/without difficulty]. The patient reports [number of hours of sleep per night]. The patient has [difficulty maintainingsleep/no difficulty maintaining sleep].Physical Examination:The patient's vital signs are within normal limits. The patient is awake, alert, and oriented. The neurologicalexamination is normal.Diagnostic Testing:Polysomnography: The patient underwent a polysomnography study which revealed [findings of polysomnography].Differential Diagnosis:[Diagnosis 1][Diagnosis 2]Treatment Plan:The patient was diagnosed with [diagnosis]. The treatment plan includes [list of treatments].Follow-Up Plan:The patient will follow up with the sleep medicineclinic in [number of weeks/months].中文回答：睡眠医学科出科小结。
青少年失眠非药物治疗研究进展
２０２３年５月第１０卷第５期Ｍａｙ．２０２３，Ｖｏｌ．１０，Ｎｏ．５世界睡眠医学杂志ＷｏｒｌｄＪｏｕｒｎａｌｏｆＳｌｅｅｐＭｅｄｉｃｉｎｅ１１９３ 作者简介：张俊杰（１９８７ ０７—），男，主治医师，本科，研究方向：神经病学及睡眠医学，Ｅ ｍａｉｌ：２７７５７３４９０＠ｑｑ ｃｏｍ通信作者：刘桂（１９９３ ０９—），女，护师，本科，研究方向：神经睡眠障碍护理，Ｅ ｍａｉｌ：１２８２６９９２３５＠ｑｑ ｃｏｍ综 述Ｒｅｖｉｅｗ青少年失眠非药物治疗研究进展张俊杰１ 刘 桂２ 杨加亮３（１湖北省宜昌市第二人民医院睡眠医学中心，宜昌，４４３０００；２湖北省宜昌市夷陵医院呼吸与危重症医学科，宜昌，４４３０００；３四川省攀枝花中心医院脑电图室，攀枝花，６１７０６７）摘要 随着社会经济的快速发展，人们生活节奏的加快以及生活规律的改变，失眠已成为危害青少年身心健康的主要疾病之一。
对青少年失眠症进行有效干预对其恢复身心健康及社会功能具有十分重要的意义。
目前关于失眠症的治疗方法主要有药物治疗和非药物治疗。
考虑到青少年生理心理发育的特殊阶段，药物治疗的耐受性、心理和生理依赖性以及不良反应，不宜选择药物治疗。
失眠非药物治疗能够避免药物的不良反应及药物滥用，有些治疗措施不但短期疗效与药物相近，而且维持时间长于药物。
兹国内外最新研究成果，综合分析并提出一些安全有效的失眠非药物干预方案。
关键词 失眠；青少年；非药物治疗ＲｅｓｅａｒｃｈＰｒｏｇｒｅｓｓｏｎＮｏｎｐｈａｒｍａｃｅｕｔｉｃａｌＴｒｅａｔｍｅｎｔｏｆＡｄｏｌｅｓｃｅｎｔＩｎｓｏｍｎｉａＺＨＡＮＧＪｕｎｊｉｅ１，ＬＩＵＧｕｉ２，ＹＡＮＧＪｉａｌｉａｎｇ３（１ＳｌｅｅｐＭｅｄｉｃｉｎｅＣｅｎｔｅｒ，ＴｈｅＳｅｃｏｎｄＰｅｏｐｌｅ′ｓＨｏｓｐｉｔａｌｏｆＹｉｃｈａｎｇ，Ｙｉｃｈａｎｇ４４３０００，Ｃｈｉｎａ；２ＤｅｐａｒｔｍｅｎｔｏｆＲｅｓｐｉｒａｔｏｒｙａｎｄＣｒｉｔｉｃａｌＣａｒｅＭｅｄｉｃｉｎｅ，ＹｉｌｉｎｇＨｏｓｐｉｔａｌ，Ｙｉｃｈａｎｇ４４３０００，Ｃｈｉｎａ；３ＥｌｅｃｔｒｏｅｎｃｅｐｈａｌｏｇｒａｍＤｅｐａｒｔｍｅｎｔ，ＰａｎｚｈｉｈｕａＣｅｎｔｒａｌＨｏｓｐｉｔａｌｏｆＳｉｃｈｕａｎＰｒｏｖｉｎｃｅ，Ｐａｎｚｈｉｈｕａ６１７０６７，Ｃｈｉｎａ）Ａｂｓｔｒａｃｔ Ｗｉｔｈｒａｐｉｄｄｅｖｅｌｏｐｍｅｎｔｏｆｓｏｃｉａｌｅｃｏｎｏｍｙ，ｔｈｅａｃｃｅｌｅｒａｔｉｏｎｏｆｔｈｅｌｉｆｅｒｈｙｔｈｍａｎｄｔｈｅｃｈａｎｇｅｏｆｌｉｆｅｓｔｙｌｅ，ｉｎｓｏｍｎｉａｈａｓｂｅｃｏｍｅｏｎｅｏｆｔｈｅｍａｉｎｄｉｓｅａｓｅｓｅｎｄａｎｇｅｒｉｎｇｔｈｅｐｈｙｓｉｃａｌａｎｄｍｅｎｔａｌｈｅａｌｔｈｏｆａｄｏｌｅｓｃｅｎｔｓ Ｉｔｉｓｏｆｇｒｅａｔｓｉｇｎｉｆｉｃａｎｃｅｔｏｉｎｔｅｒｖｅｎｅｔｈｅａｄｏｌｅｓｃｅｎｔｉｎｓｏｍｎｉａｅｆｆｅｃｔｉｖｅｌｙｆｏｒｔｈｅｉｒｒｅｃｏｖｅｒｙｏｆｐｈｙｓｉｃａｌａｎｄｍｅｎｔａｌｈｅａｌｔｈａｎｄｓｏｃｉａｌｆｕｎｃｔｉｏｎ Ａｔｐｒｅｓｅｎｔ，ｔｈｅｉｎｔｅｒｖｅｎｔｉｏｎｏｆｉｎｓｏｍｎｉａｉｎｃｌｕｄｅｓｐｈａｒｍａｃｅｕｔｉｃａｌａｎｄｎｏｎｐｈａｒｍａｃｅｕｔｉｃａｌｔｒｅａｔｍｅｎｔｓ Ｃｏｎｓｉｄｅｒｉｎｇｔｅｅｎａｇｅｒｓ′ｐｈｙｓｉｏｌｏｇｉｃａｌａｎｄｐｓｙｃｈｏｌｏｇｉｃａｌｄｅ ｖｅｌｏｐｍｅｎｔ，ｔｈｅｔｏｌｅｒａｎｃｅ，ｐｓｙｃｈｏｌｏｇｉｃａｌａｎｄｐｈｙｓｉｃａｌｄｅｐｅｎｄｅｎｃｅａｎｄｓｉｄｅｅｆｆｅｃｔｓ，ｐｈａｒｍａｃｅｕｔｉｃａｌｔｒｅａｔｍｅｎｔｓｈｏｕｌｄｎｏｔｂｅｃｈｏ ｓｅｎ Ｎｏｎｐｈａｒｍａｃｅｕｔｉｃａｌｔｒｅａｔｍｅｎｔｃａｎａｖｏｉｄａｄｖｅｒｓｅｒｅａｃｔｉｏｎｓａｎｄｄｒｕｇａｂｕｓｅ Ｓｏｍｅｔｒｅａｔｍｅｎｔｓｈａｖｅｓｈｏｒｔ ｔｅｒｍｅｆｆｉｃａｃｙｓｉｍｉｌａｒｔｏｍｅｄｉｃｉｎｅｓａｎｄｌａｓｔｌｏｎｇｅｒ Ｔｈｅｌａｔｅｓｔｒｅｓｅａｒｃｈｒｅｓｕｌｔｓａｔｈｏｍｅａｎｄａｂｒｏａｄａｒｅｃｏｍｐｒｅｈｅｎｓｉｖｅｌｙａｎａｌｙｚｅｄａｎｄｓａｆｅａｎｄｅｆｆｅｃｔｉｖｅｎｏｎ ｐｈａｒｍａｃｅｕｔｉｃａｌｉｎｔｅｒｖｅｎｔｉｏｎｓｃｈｅｍｅｓｆｏｒｉｎｓｏｍｎｉａａｒｅｐｒｏｐｏｓｅｄｉｎｔｈｉｓｐａｐｅｒ．Ｋｅｙｗｏｒｄｓ Ｉｎｓｏｍｎｉａ；Ａｄｏｌｅｓｃｅｎｔ；Ｎｏｎ ｐｈａｒｍａｃｅｕｔｉｃａｌｔｈｅｒａｐｙ中图分类号：Ｒ３３８ ６３；Ｒ４５９ ９文献标识码：Ａｄｏｉ：１０．３９６９／ｊ．ｉｓｓｎ．２０９５－７１３０．２０２３．０５．０７４ 睡眠是人类重要的生理需求，机体通过睡眠，可以保存能量，增加代谢产物排出，增强免疫，促进发育和促进记忆巩固。
产妇睡眠质量的影响因素分析
２０２３年１０月第１０卷第１０期Ｏｃｔｏｂｅｒ．２０２３，Ｖｏｌ．１０，Ｎｏ．１０世界睡眠医学杂志ＷｏｒｌｄＪｏｕｒｎａｌｏｆＳｌｅｅｐＭｅｄｉｃｉｎｅ２３１７ 作者简介：王莹琼（１９８５ ０６—），女，本科，主治医师，研究方向：妇产科临床，Ｅ ｍａｉｌ：ｍ１９８７２９２７２９２＠１６３ ｃｏｍ产妇睡眠质量的影响因素分析王莹琼（东莞市东坑人民医院妇产科，东莞，５２３４５１）摘要 目的：调查产妇睡眠质量，发现产后睡眠质量的影响因素，为临床干预提供试验和依据证据支持。
方法：调查２０２０年４月至２０２２年５月门诊就诊及住院分娩的产妇，在孕期产检时收集基线信息，产后３个月再次收集信息，以ＰＳＱＩ评估睡眠情况、ＥＰＤＳ评估产后抑郁状况及ＢＳＥＳ ＳＦ评估母乳喂养效能。
采用Ｌｏｇｉｓｔｉｃ回归和多元线性回归分析产后睡眠质量的影响因素。
结果：共纳入１０２名研究对象，睡眠障碍检出率为２５％，Ｌｏｇｉｓｔｉｃ回归提示妊娠意愿、新生儿出生后转科情况、是否工作、产妇是否为婴儿的唯一照顾者以及首次生育时产后睡眠质量的影响因素，多元线性回归分析提示产后抑郁及母乳喂养信心是产后睡眠质量的重要影响因素。
结论：产妇睡眠质量关系到产妇、婴儿的身心健康，应在早期针对危险因素及影响因素进行健康教育或干预。
关键词 产后睡眠障碍；横断面研究；影响因素分析ＡｎａｌｙｓｉｓｏｆＩｎｆｌｕｅｎｃｉｎｇＦａｃｔｏｒｓｏｎＳｌｅｅｐＱｕａｌｉｔｙｏｆＰａｒｔｕｒｉｅｎｔｓＷＡＮＧＹｉｎｇｑｉｏｎｇ（ＯｂｓｔｅｔｒｉｃｓａｎｄＧｙｎｅｃｏｌｏｇｙＤｅｐａｒｔｍｅｎｔ，ＤｏｎｇｇｕａｎＤｏｎｇｋｅｎｇＰｅｏｐｌｅ′ｓＨｏｓｐｉｔａｌ，Ｄｏｎｇｇｕａｎ５２３４５１，Ｃｈｉｎａ）Ａｂｓｔｒａｃｔ Ｏｂｊｅｃｔｉｖｅ：Ｔｏｉｎｖｅｓｔｉｇａｔｅｔｈｅｓｌｅｅｐｑｕａｌｉｔｙｏｆｐｕｅｒｐｅｒａｅ，ｆｉｎｄｏｕｔｔｈｅｉｎｆｌｕｅｎｃｉｎｇｆａｃｔｏｒｓｏｆｐｏｓｔｐａｒｔｕｍｓｌｅｅｐｑｕａｌｉｔｙ，ａｎｄｐｒｏｖｉｄｅｅｘｐｅｒｉｍｅｎｔａｌａｎｄｅｖｉｄｅｎｃｅｓｕｐｐｏｒｔｆｏｒｃｌｉｎｉｃａｌｉｎｔｅｒｖｅｎｔｉｏｎ Ｍｅｔｈｏｄｓ：ＴｈｅｐｕｅｒｐｅｒａｅｗｈｏｖｉｓｉｔｅｄｏｕｔｐａｔｉｅｎｔｃｌｉｎｉｃｓａｎｄｄｅｌｉｖｅｒｅｄｉｎｈｏｓｐｉｔａｌｆｒｏｍＡｐｒｉｌ２０２０ｔｏＭａｙ２０２２ｗｅｒｅｉｎｖｅｓｔｉｇａｔｅｄ Ｂａｓｅｌｉｎｅｉｎｆｏｒｍａｔｉｏｎｗａｓｃｏｌｌｅｃｔｅｄｄｕｒｉｎｇｔｈｅｏｂｓｔｅｔｒｉｃｅｘａｍｉｎａｔｉｏｎｄｕｒｉｎｇｐｒｅｇｎａｎｃｙａｎｄｉｎｆｏｒｍａｔｉｏｎｗａｓｃｏｌｌｅｃｔｅｄａｇａｉｎ３ｍｏｎｔｈｓａｆｔｅｒｄｅｌｉｖｅｒｙ ＰＳＱＩｗａｓｕｓｅｄｔｏａｓｓｅｓｓｓｌｅｅｐｓｔａｔｕｓ，ＥＰＤＳｗａｓｕｓｅｄｔｏａｓｓｅｓｓｐｏｓｔｐａｒｔｕｍｄｅｐｒｅｓｓｉｏｎａｎｄＢＳＥＳ ＳＦｗａｓｕｓｅｄｔｏａｓｓｅｓｓｂｒｅａｓｔｆｅｅｄｉｎｇｅｆｆｉｃａｃｙ Ｌｏｇｉｓｔｉｃｒｅｇｒｅｓｓｉｏｎａｎｄｍｕｌｔｉｐｌｅｌｉｎｅａｒｒｅｇｒｅｓｓｉｏｎｗｅｒｅｕｓｅｄｔｏａｎａｌｙｚｅｔｈｅｉｎｆｌｕｅｎｃｉｎｇｆａｃｔｏｒｓｏｆｐｏｓｔｐａｒｔｕｍｓｌｅｅｐｑｕａｌｉｔｙ Ｒｅｓｕｌｔｓ：Ａｔｏｔａｌｏｆ１０２ｓｕｂｊｅｃｔｓｗｅｒｅｉｎｃｌｕｄｅｄｉｎｔｈｅｓｔｕｄｙ Ｔｈｅｄｅｔｅｃｔｉｏｎｒａｔｅｏｆｓｌｅｅｐｄｉｓｏｒｄｅｒｓｗａｓ２５％ Ｌｏｇｉｓｔｉｃｒｅｇｒｅｓｓｉｏｎｉｎｄｉｃａｔｅｄｔｈａｔｐｒｅｇｎａｎｃｙｗｉｌｌｉｎｇ ｎｅｓｓ，ｎｅｏｎａｔａｌｔｒａｎｓｆｅｒｓｔａｔｕｓ，ｗｈｅｔｈｅｒｔｏｗｏｒｋ，ｗｈｅｔｈｅｒｔｈｅｍｏｔｈｅｒｗａｓｔｈｅｓｏｌｅｃａｒｅｇｉｖｅｒｏｆｔｈｅｂａｂｙ，ａｎｄｔｈｅｑｕａｌｉｔｙｏｆｐｏｓｔｐａｒｔｕｍｓｌｅｅｐａｔｔｈｅｆｉｒｓｔｂｉｒｔｈＩｎｆｌｕｅｎｃｉｎｇｆａｃｔｏｒｓ，ｍｕｌｔｉｐｌｅｌｉｎｅａｒｒｅｇｒｅｓｓｉｏｎａｎａｌｙｓｉｓｓｕｇｇｅｓｔｅｄｔｈａｔｐｏｓｔｐａｒｔｕｍｄｅｐｒｅｓｓｉｏｎａｎｄｂｒｅａｓｔｆｅｅｄ ｉｎｇｃｏｎｆｉｄｅｎｃｅｗｅｒｅｉｍｐｏｒｔａｎｔｉｎｆｌｕｅｎｃｉｎｇｆａｃｔｏｒｓｏｆｐｏｓｔｐａｒｔｕｍｓｌｅｅｐｑｕａｌｉｔｙ Ｃｏｎｃｌｕｓｉｏｎ：Ｍａｔｅｒｎａｌｓｌｅｅｐｑｕａｌｉｔｙｉｓｒｅｌａｔｅｄｔｏｔｈｅｐｈｙｓｉｃａｌａｎｄｍｅｎｔａｌｈｅａｌｔｈｏｆｍｏｔｈｅｒｓａｎｄｉｎｆａｎｔｓ Ｈｅａｌｔｈｅｄｕｃａｔｉｏｎｏｒｉｎｔｅｒｖｅｎｔｉｏｎｓｈｏｕｌｄｂｅｃａｒｒｉｅｄｏｕｔｆｏｒｒｉｓｋｆａｃｔｏｒｓａｎｄｉｎｆｌｕ ｅｎｃｉｎｇｆａｃｔｏｒｓｉｎｔｈｅｅａｒｌｙｓｔａｇｅ．Ｋｅｙｗｏｒｄｓ Ｐｏｓｔｐａｒｔｕｍｓｌｅｅｐｄｉｓｏｒｄｅｒ；Ｃｒｏｓｓ ｓｅｃｔｉｏｎａｌｓｔｕｄｙ；Ａｎａｌｙｓｉｓｏｆｉｎｆｌｕｅｎｃｉｎｇｆａｃｔｏｒｓ中图分类号：Ｒ２５６ ２３文献标识码：Ａｄｏｉ：１０．３９６９／ｊ．ｉｓｓｎ．２０９５－７１３０．２０２３．１０．０１９ 研究表明，产妇在整个围产期睡眠都会发生变化，而且常常会向着不好的方向发展，从妊娠、分娩到产后，妇女不仅会遭遇巨大的生理变化，而且还会遭遇巨大的心理冲击［１］。
社区老年人睡眠质量的现状调查
１０２ 世界睡眠医学杂志ＷｏｒｌｄＪｏｕｒｎａｌｏｆＳｌｅｅｐＭｅｄｉｃｉｎｅ２０２４年１月第１１卷第１期Ｊａｎｕａｒｙ．２０２４，Ｖｏｌ．１１，Ｎｏ．１基金项目：济宁市重点研发计划（软科学项目）项目（２０２２ＪＮＺＣ０９６）社区老年人睡眠质量的现状调查王金轩（山东济宁市第二人民医院神经外科，济宁，２７２０００）摘要 目的：探究老年人睡眠质量及其影响因素，为开展健康教育与促进工作提供科学依据。
方法：调查居民的一般情况和慢性病防治素养水平采用匹兹堡睡眠质量指数量表（ＰＳＱＩ量表）评估老年人的睡眠质量，并分析影响睡眠质量的因素。
结果：约有６９％的老年人ＰＳＱＩ得分≥７分。
男性睡眠质量优于女性；大学、高中、初中文化程度的老年女性睡眠效率普遍较低，且低于小学文化程度的老年女性。
不同文化程度的老年男性具有相似且较低的睡眠效率，个体老年男性日间功能障碍程度高于企业人员，不同职业的老年男性具有相似且较低的睡眠效率。
公务员及事业单位人员中老年女性的睡眠时间较企业人员更长，健康状况对老年女性的睡眠质量无明显影响，而对老年男性的睡眠质量有一定影响，当健康状况好时，老年男性的睡眠质量较高，具备慢性病防治素养的老年男性相较于不具备该素养的老年男性，其睡眠障碍发生率更低。
老年女性无论是否具备慢性病防治素养睡眠无明显差异，不同性别、职业和健康状况在不同睡眠质量等级存在差异。
结论：老年人的睡眠质量一般，通常受到性别、职业、文化程度、健康状况以及慢性病防治素养等多种因素的影响。
关键词 老年人；睡眠质量；现状调查；社区ＳｕｒｖｅｙｏｎｔｈｅＰｒｅｖａｉｌｉｎｇＳｌｅｅｐＱｕａｌｉｔｙＡｍｏｎｇＥｌｄｅｒｌｙＲｅｓｉｄｅｎｔｓｉｎＣｏｍｍｕｎｉｔｙＨｏｍｅｓＷＡＮＧＪｉｎｘｕａｎ（ＤｅｐａｒｔｍｅｎｔｏｆＮｅｕｒｏｓｕｒｇｅｒｙ，ＪｉｎｉｎｇＮｏ ２Ｐｅｏｐｌｅ′ｓＨｏｓｐｉｔａｌ，ＳｈａｎｄｏｎｇＰｒｏｖｉｎｃｅ，Ｊｉｎｉｎｇ２７２０００，Ｃｈｉｎａ）Ａｂｓｔｒａｃｔ Ｏｂｊｅｃｔｉｖｅ：Ｔｈｅｐｒｅｓｅｎｔｓｔｕｄｙａｉｍｓｔｏｅｘａｍｉｎｅｔｈｅｓｌｅｅｐｑｕａｌｉｔｙｏｆｅｌｄｅｒｌｙｉｎｄｉｖｉｄｕａｌｓａｎｄｉｄｅｎｔｉｆｙｉｔｓｉｎｆｌｕｅｎｃｉｎｇｆａｃｔｏｒｓ，ｔｈｅｒｅｂｙｐｒｏｖｉｄｅｓｃｉｅｎｔｉｆｉｃｆｏｕｎｄａｔｉｏｎｆｏｒｉｍｐｌｅｍｅｎｔｉｎｇｈｅａｌｔｈｅｄｕｃａｔｉｏｎａｎｄｐｒｏｍｏｔｉｏｎｉｎｔｅｒｖｅｎｔｉｏｎｓ Ｍｅｔｈｏｄｓ：Ｔｈｉｓｓｔｕｄｙｉｎ ｖｅｓｔｉｇａｔｅｓｔｈｅｇｅｎｅｒａｌｓｉｔｕａｔｉｏｎａｎｄｔｈｅｉｒｌｅｖｅｌｏｆｃｈｒｏｎｉｃｄｉｓｅａｓｅｐｒｅｖｅｎｔｉｏｎａｎｄｔｒｅａｔｍｅｎｔｌｉｔｅｒａｃｙａｍｏｎｇｒｅｓｉｄｅｎｔｓ，ａｓｔｏｅｖａｌｕａｔｅｔｈｅｓｌｅｅｐｑｕａｌｉｔｙｏｆｅｌｄｅｒｌｙｉｎｄｉｖｉｄｕａｌｓｕｓｉｎｇｔｈｅＰｉｔｔｓｂｕｒｇｈＳｌｅｅｐＱｕａｌｉｔｙＩｎｄｅｘ（ＰＳＱＩ），ｗｈｉｌｅａｌｓｏａｎａｌｙｚｉｎｇｆａｃｔｏｒｓｔｈａｔｉｎｆｌｕｅｎｃｅｔｈｅｉｒｓｌｅｅｐｑｕａｌｉｔｙ Ｒｅｓｕｌｔｓ：ＴｈｅｐｒｅｖａｌｅｎｃｅｏｆａＰＳＱＩｓｃｏｒｅｏｆ≥７ａｍｏｎｇｅｌｄｅｒｌｙｉｎｄｉｖｉｄｕａｌｓｉｓａｐｐｒｏｘｉｍａｔｅｌｙ６９％ Ｉｎｔｅｒｍｓｏｆｓｌｅｅｐｑｕａｌｉｔｙ，ｅｌｄｅｒｌｙｍｅｎｅｘｈｉｂｉｔｓｕｐｅｒｉｏｒｏｕｔｃｏｍｅｓｃｏｍｐａｒｅｄｔｏｅｌｄｅｒｌｙｗｏｍｅｎ Ｅｌｄｅｒｌｙｗｏｍｅｎｗｉｔｈａｈｉｇｈｅｒｌｅｖｅｌｏｆｅｄｕｃａｔｉｏｎ，ｉｎｃｌｕｄｉｎｇｃｏｌｌｅｇｅ，ｈｉｇｈｓｃｈｏｏｌ，ｏｒｊｕｎｉｏｒｈｉｇｈ，ｅｘｈｉｂｉｔｌｏｗｅｒｓｌｅｅｐｅｆｆｉｃｉｅｎｃｙｃｏｍｐａｒｅｄｔｏｔｈｏｓｅｗｉｔｈａｎｅｌｅｍｅｎｔａｒｙｓｃｈｏｏｌｅｄｕｃａ ｔｉｏｎ Ｅｌｄｅｒｌｙｍａｌｅｓｆｒｏｍｄｉｖｅｒｓｅｃｕｌｔｕｒａｌｂａｃｋｇｒｏｕｎｄｓｄｅｍｏｎｓｔｒａｔｅｃｏｍｐａｒａｂｌｅａｎｄｒｅｌａｔｉｖｅｌｙｄｉｍｉｎｉｓｈｅｄｓｌｅｅｐｅｆｆｉｃｉｅｎｃｙ Ｅｌｄｅｒｌｙｍａｌｅｉｎｄｉｖｉｄｕａｌｓｅｘｈｉｂｉｔａｈｉｇｈｅｒｄｅｇｒｅｅｏｆｄａｙｔｉｍｅｆｕｎｃｔｉｏｎａｌｉｍｐａｉｒｍｅｎｔｃｏｍｐａｒｅｄｔｏｔｈｅｉｒｃｏｕｎｔｅｒｐａｒｔｓｉｎｃｏｒｐｏｒａｔｅｅｍｐｌｏｙ ｍｅｎｔ Ｅｌｄｅｒｌｙｍａｌｅｓａｃｒｏｓｓｖａｒｉｏｕｓｏｃｃｕｐａｔｉｏｎｓｄｅｍｏｎｓｔｒａｔｅｃｏｍｐａｒａｂｌｅａｎｄｒｅｌａｔｉｖｅｌｙｄｉｍｉｎｉｓｈｅｄｓｌｅｅｐｅｆｆｉｃｉｅｎｃｙ Ｅｌｄｅｒｌｙｗｏｍｅｎｉｎｔｈｅｃｉｖｉｌｓｅｒｖｉｃｅａｎｄｐｕｂｌｉｃｉｎｓｔｉｔｕｔｉｏｎｓｅｘｈｉｂｉｔａｌｏｎｇｅｒｄｕｒａｔｉｏｎｏｆｓｌｅｅｐｃｏｍｐａｒｅｄｔｏｔｈｅｉｒｃｏｕｎｔｅｒｐａｒｔｓｉｎｔｈｅｐｒｉｖａｔｅｓｅｃ ｔｏｒ Ｔｈｅｈｅａｌｔｈｃｏｎｄｉｔｉｏｎｈａｓｎｏｓｉｇｎｉｆｉｃａｎｔｉｍｐａｃｔｏｎｅｌｄｅｒｌｙｗｏｍｅｎ，ｗｈｅｒｅａｓｉｔｄｏｅｓｅｘｅｒｔｓｏｍｅｉｎｆｌｕｅｎｃｅｏｎｓｌｅｅｐｑｕａｌｉｔｙｏｆｅｌｄ ｅｒｌｙｍｅｎ Ｗｈｅｎｉｎｇｏｏｄｈｅａｌｔｈ，ｅｌｄｅｒｌｙｍｅｎｔｅｎｄｔｏｅｘｐｅｒｉｅｎｃｅｈｉｇｈｅｒｓｌｅｅｐｑｕａｌｉｔｙ Ｔｈｅｅｌｄｅｒｌｙｍｅｎｗｉｔｈｃｈｒｏｎｉｃｄｉｓｅａｓｅｐｒｅｖｅｎ ｔｉｏｎｌｉｔｅｒａｃｙｈａｄａｌｏｗｅｒｉｎｃｉｄｅｎｃｅｏｆｓｌｅｅｐｄｉｓｏｒｄｅｒｓｔｈａｎｔｈｅｅｌｄｅｒｌｙｍｅｎｗｉｔｈｏｕｔｔｈｉｓｌｉｔｅｒａｃｙ Ｔｈｅｒｅｉｓｎｏｓｔａｔｉｓｔｉｃａｌｌｙｓｉｇｎｉｆｉｃａｎｔｄｉｆｆｅｒｅｎｃｅｉｎｓｌｅｅｐｃｏｍｐｏｎｅｎｔｓａｍｏｎｇｔｈｅｅｌｄｅｒｌｙ，ｒｅｇａｒｄｌｅｓｓｏｆｔｈｅｉｒｌｅｖｅｌｏｆｐｒｅｖｅｎｔｉｏｎａｎｄｔｒｅａｔｍｅｎｔｌｉｔｅｒａｃｙｏｆｃｈｒｏｎｉｃｄｉｓｅａ ｓｅｓ Ｔｈｅｒｅａｒｅｖａｒｉａｔｉｏｎｓｉｎｓｌｅｅｐｑｕａｌｉｔｙｌｅｖｅｌｓａｃｒｏｓｓｄｉｆｆｅｒｅｎｔｇｅｎｄｅｒｓ，ｏｃｃｕｐａｔｉｏｎｓ，ａｎｄｈｅａｌｔｈｃｏｎｄｉｔｉｏｎｓ Ｃｏｎｃｌｕｓｉｏｎ：Ｔｈｅｓｌｅｅｐｑｕａｌｉｔｙｏｆｅｌｄｅｒｌｙｉｎｄｉｖｉｄｕａｌｓｉｓａｖｅｒａｇｅ，ｗｈｉｃｈｉｓｇｅｎｅｒａｌｌｙｉｎｆｌｕｅｎｃｅｄｂｙｖａｒｉｏｕｓｆａｃｔｏｒｓｉｎｃｌｕｄｉｎｇｇｅｎｄｅｒ，ｏｃｃｕｐａｔｉｏｎ，ｅｄｕｃａｔｉｏｎａｌｌｅｖｅｌ，ｈｅａｌｔｈｃｏｎｄｉｔｉｏｎ，ａｎｄｐｒｏｆｉｃｉｅｎｃｙｉｎｐｒｅｖｅｎｔｉｎｇａｎｄｍａｎａｇｉｎｇｃｈｒｏｎｉｃｄｉｓｅａｓｅｓ．Ｋｅｙｗｏｒｄｓ Ｔｈｅｅｌｄｅｒｌｙｉｎｄｉｖｉｄｕａｌｓ；Ｓｌｅｅｐｑｕａｌｉｔｙ；Ｓｔａｔｕｓｑｕｏｓｕｒｖｅｙ；Ｃｏｍｍｕｎｉｔｙ中图分类号：Ｒ３３８ ６３文献标识码：Ａｄｏｉ：１０．３９６９／ｊ．ｉｓｓｎ．２０９５－７１３０．２０２４．０１．０２８ 睡眠质量影响老年人的身心健康，长期睡眠不足会引起躯体疾病或精神疾病。
睡眠呼吸障碍规范化诊疗技术体系建设
HN 5
2/3 的睡眠中心隶属于呼吸内科
Hospitals with Test Equipment PSG or HST Installation Status
Over 90%*
Respirology 72%
三级医院
二级医院
Less than 20%
*The L3A hospitals are required to equip with PSG by MoH
• 如何做得更好？ 学科建设及人才培养的问题
学科带头人的远见与愿景
丁东杰教授： 睡眠呼吸暂停是常见病 看十年以后会是什么样？ 选合适的人做正确的事 话语权 VS 经济效益
20
睡眠医学: 一门新兴的边缘学科
发轫于睡眠呼吸暂停的诊疗
睡眠呼吸暂停
睡眠呼吸障碍 其他睡眠障碍疾患
其他系统性疾患
2/3 的睡眠中心隶属于呼吸内科
Hospitals with Test Equipment PSG or HST Installation Status
Over 90%*
Respirology 72%
三级医院
二级医院
Less than 20%
*The L3A hospitals are required to equip with PSG by MoH
问题
认识睡眠低通气: 慢性呼吸衰竭的新视角
➢ 低氧与高CO2 ➢ 睡眠与清醒 ➢ 上气道与下气道 ➢ 新的监测和治疗手段 ➢ 院内与院外？ 长程管理的
问题
28
CO2升高对机体的损害机制
高碳酸血症损害肺泡上皮功能
高碳酸血症导致呼吸机相关的肺损伤
29
Vadász, István, et al. American journal of respiratory cell and molecular biology 2012
健康睡眠重要性
健康睡眠浙江博爱家纺有限公司导出“博爱”健康睡眠关爱您的一身"Take Care of Your Sleep" ――Bedding products presented by Zhejiang Boaim Home Textiles Co., LTD.行业背景人类健康由睡眠、运动、饮食三大支柱构成，睡眠质量的好坏直接影响健康甚至寿命。
健康睡眠，是现代生活对人们提出的新要求。
在发达国家，各种改善睡眠的产品层出不穷。
福布斯估计：睡眠产业销售额每年有100亿至120亿美元，而且这项产业正在不断壮大。
据世界卫生组织对14个国家、15个地区的25916名在基层医疗就诊的病人进行调查，发现有27%的人有睡眠问题，据报道美国的失眠率高达32%-50%，英国10%-14%，日本20%，法国30%，据中国睡眠研究会抽样调查：我国成年人失眠发生率已达38.2%，其中老年人失眠发病率高达60%。
由于人口基数庞大，我国失眠者已占全球第一。
例如广州，上海，北京等作为现代化的大都市，工作、生活的节奏日益加快，各种压力越来越大，越来越多的人饱受睡眠障碍问题的困扰。
有关专家反映，睡眠障碍已成为神经科门诊的第二大疾病。
睡眠健康在全球越来越引起世界各国的重视，许多国家的政府部门、企业和科学家纷纷想办法，从时间、质量和观念三方面入手，改善民众、尤其是上班族的睡眠，由此带动的睡眠产业逐渐成为一种具有广阔发展前景的产业。
睡眠产业是个覆盖全民的、快速发展的新兴产业，有关专家预测，我国睡眠产业增长潜力巨大并且发展迅速，据不完全统计，目前我国的睡眠产业已达1200亿元人民币。
浙江博爱家纺有限公司已跻身于这一朝阳产业当中，并已是这一领域产品销售量的佼佼者，为您的睡眠健康做出应有的贡献。
Sleep, exercise and diet constitute the three pillows of human health. The quality of sleep directly affects the quality of health and even life. Health sleep is the new requirements among the people in the modern life. In developedcountries, a variety of products which can improve the quality of the sleep emerge in endlessly. It is estimated in Forbes that the sale for sleep industry reaches 10-12 billion U.S. dollars each year, furthermore, this industry is growing in full strength. It is founded that there are 27% of the population in the world have the sleep problem through the survey by WTO. It is reported that the rate of insomnia in U.S.A. come up to 32%-50%, 10%-14% in the U.K., 20% in Japan, 30% in France. China sleep research association has done a spot check, and the result shows that the rate of insomnia among the Chinese adults has come up to 38.2% in which the incidence of insomnia of the elderly reaches as high as 60%. Due to the huge population, China accounts for the largest part of the world’s insomnia populati on.Now, big cities such as Guangzhou，Shanghai and Beijing have transformed into modern cities. As the increasing speed of work and life, agrowing number of people under kinds of pressure are suffering from sleep disturbance. Sleep Disturbance has become the second largest disease in the neurosurgery clinic, expressed by related experts.The world is paying more and more attention to healthy sleep. The governmental departments, enterprises and scientists from many countries are trying to work out a way to improve the sleep quality of common people, especially the office workers in time, quality and perception, making a broad prospect for sleep industry. Sleep industry is an emerging industry that covers all people and is developing rapidly. Professionals estimate that the sleep industry of our nation has a great potential and is developing quickly. According to incompletely statistics, currently the turnover of sleep industry of our nation is RMB 120 billion. By now, Zhejiang Boaim Home Textiles Co., LTD. has stepped into this promising industry. As aleading manufacturer in the field of functional bedding products, Boaim Textiles is making more and more contribution to your health sleep.睡眠医学篇经临床实践证实：诸如高血压、心律失常、冠心病、肺心病、糖尿病、肾病、肥胖、癫痫、性功能障碍、植物神经功能紊乱、红细胞增多症、心肌梗塞、脑血栓、脑猝死、猝死等常见疾病均与睡眠疾患有着密切的联系，其中许多病症是由睡眠疾病特别是睡眠呼吸障碍引起的。
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Introduction to Images in Sleep Medicine
This section,IMAGES IN SLEEP MEDICINE,is intended to tap a rela-tively unique feature of sleep science:images that have great educa-tional and conceptual content.These could be,for example, electroencephalograms,electromyograms,polysomnograms,porta-ble devices,actigrams,scans including functional images,pathology specimens,brain slice preparations,fluorescent microscopy and other cutting edge techniques.The source may be human or non-hu-man,but the clinical relevance should be clear.Illustrations must consist of clear and high-quality,black-and-white or color-digitized images.At this stage,videos can be submitted only for online publication.
The message accompanying the picture may be a maximum of 500words,with no more than5references.It is especially impor-tant not to try and make a case report out of these submissions, and detailed clinical(as contrasted to image)analysis should be avoided.The material should be submitted on the Sleep Medicine website(/sleep).Images can be embedded within a text document such as Microsoft Word,a slide program such as Microsoft PowerPoint,or converted to Acrobatfiles.
Authors should expect that the images will be available for use(with acknowledgement)to the general sleep community for teaching purposes,and so copyrighted/patentable material should be avoided.In itsfinal form,these images will be a freely available,searchable digital teaching image -ments regarding the images should be sent by e-mail to the section co-editors within a month of the publication date. These comments will be summarized and posted,if deter-mined to be of educational content,with the original image on the journal’s web site,expected to be active for content soon.
We hope this section will be enriched by the contributions of our colleagues who wish to offer stimulating opportunities for dis-cussion and new insights in thefield of sleep.
Liborio Parrino
E-mail address:liborio.parrino@unipr.it
Robert Thomas
E-mail address:rthomasl@ doi:10.1016/S1389-9457(09)00204-4
Propriospinal myoclonus at sleep onset causing severe insomnia: A polysomnographic and electromyographic analysis
See Meng Khoo a,*,Joo Hui Tan b,Dong Xia Shi a,Hajjah Khalizah Haji Jamil a, Nallathamby Rajendran c,T.K.Lim a
a Division of Respiratory,Critical Care and Sleep Medicine,National University Hospital,5Lower Kent Ridge Road,Singapore119074,Singapore
b Division of Neurology,National University Hospital,5Lower Kent Ridge Road,Singapore119074,Singapore
c Raja Isteri Pengiran Anak Saleha Hospital,BSB,Brunei Darussalam
a r t i c l e i n f o
Article history:
Received30July2008
Received in revised form12September 2008
Accepted16September2008 Available online18February2009
Keywords:
Propriospinal
Myoclonus
Sleep onset
Sleep-wake transition
Insomnia
Sleep
1.Introduction
A44-year-old woman presented with a1-month history of new-onset severe insomnia.On further questioning,she de-
scribed the symptoms of muscular twitching and involuntary
jerks of the trunk and limbs that occurred whenever she was
in bed,drowsy and ready to fall asleep.As a result,sleep be-
came impossible.The twitching started in her abdomen and
was immediately followed by jerking of both upper and lower
limbs.However,if the patient opened her eyes and became
fully awake,the jerks actually disappeared.The jerks also dis-
appeared if the patient managed to fall asleep.
Sleep Medicine10(2009)
686–688
Contents lists available at ScienceDirect
Sleep Medicine
journal homepage:www.else v i e r.c o m/lo c a t e/s l e e
p。