特发性过度睡眠10例临床分析

目的探讨特发性过度睡眠的诊断方法及临床特征.方法对10例特发性过度睡眠患者进行多导睡眠仪检测及多次小睡潜伏期试验检查,结合临床特点进行诊断.结果10例患者均有过度或发作性的白天睡眠,多导睡眠仪检测及多次小睡潜伏期试验显示10例患者平均睡眠潜伏期为10min,睡眠始发的快速眼动相睡眠时段均＜2个,日间睡眠主要由非快速眼动睡眠相组成.结论特发性过度睡眠是一种不同于发作性睡病的独立疾病,可根据临床特点及多导睡眠仪检测等辅助检查结果进行诊断.

Clinical analysis of 10 cases idiopathic hypersomnia

Objective To investigate the diagnostic methods and clinical manifestations of idiopathic hypersomnia. Methods 10 patients with idiopathic hypersomnia were monitored polysomnography(PSG) and multiple sleep latency test(MSLT). Diagnosis was made by analyzing the results of PSG and MSLT as well as clinical manifestation. Results All patients had excessive daytime sleepiness. Results of PSG and MSLT showed short mean sleep latency(<10min) in 10 patients. There were less than 2 sleep onset rapid eye movement(REM) periods(SOREMPs) in all patients. Conclusions Idiopathic hypersomnia is a independent disease which is different from narcolepsy. Diagnosis can be made based on of clinical manifestation and the results of PSG monitoring and MSLT.