异睡症

异睡症
异睡症
分类和外部资源
医学专科	睡眠医学、心理学
ICD-10	F51.3、F51.4、F51.5
eMedicine	291931
	[编辑此条目的维基数据]

异睡症（英语：parasomnia）是睡眠障碍的其中一种，涉及异常的动作、行为、情绪、感知和发生在入睡、睡眠、睡眠阶段之间或唤醒时所做的梦。异睡症是游离的睡眠状态，在清醒、非快速动眼睡眠和快速动眼睡眠及其组合之间的过渡过程中是部分唤醒的。

分类

最新版本的《国际睡眠障碍分类》（ICSD，第3版）使用状态分离作为异睡症的范例。^[1]^[2]以往，清醒状态、非快速动眼睡眠和快速动眼睡眠被视为排他性状态，只会个别出现并有明确的界线，但近期研究表明，这些状态彼此之间的组合是可能的，因此可能导致异常的不稳定状态，最终表现为异睡症或意识水平改变。^[1]^[3]^[4]^[5]^[6]^[7]

尽管先前的定义在技术上是正确的，但它仍存在缺陷。对状态分离范例的考虑有助于对睡眠障碍的理解，并提供了10个核心类别的分类。^[1]^[2]

参见

参考资料

^ ^1.0 ^1.1 ^1.2 International Classification of Sleep Disorders. Darien, IL: American Academy of Sleep Medicine. 2014.
^ ^2.0 ^2.1 Kazaglis, Louis; Bornemann, Michel A. Cramer. Classification of Parasomnias. Current Sleep Medicine Reports. 2016, 2 (2): 45–52. ISSN 2198-6401. doi:10.1007/s40675-016-0039-y .
^ Mahowald MW, Schenk CH. Dissociated states of wakefulness and sleep. In: Lydic R, Baghdoyan HA, editors. Handbook of behavioral state control: cellular and molecular mechanisms. Boca Raton: CRC Press; 1999. p. 143-58.
^ Mahowald MW, Schenk CH. dissociated states of wakefulness and sleep. Neurology. 1992; 42(7 Suppl 6):44-51.
^ Nobili, Lino; De Gennaro, Luigi; Proserpio, Paola; Moroni, Fabio; Sarasso, Simone; Pigorini, Andrea; De Carli, Fabrizio; Ferrara, Michele, Local aspects of sleep, Progress in Brain Research (Elsevier), 2012, 199: 219–232, ISBN 9780444594273, PMID 22877668, doi:10.1016/b978-0-444-59427-3.00013-7
^ Nobili, Lino; Ferrara, Michele; Moroni, Fabio; De Gennaro, Luigi; Russo, Giorgio Lo; Campus, Claudio; Cardinale, Francesco; De Carli, Fabrizio. Dissociated wake-like and sleep-like electro-cortical activity during sleep. NeuroImage. 2011, 58 (2): 612–619. PMID 21718789. doi:10.1016/j.neuroimage.2011.06.032.
^ Peter-Derex, Laure; Magnin, Michel; Bastuji, Hélène. Heterogeneity of arousals in human sleep: A stereo-electroencephalographic study. NeuroImage. 2015, 123: 229–244. PMID 26220744. doi:10.1016/j.neuroimage.2015.07.057.

参考书籍

Mahowald & Schenck. Insights from studying human sleep disorders. Nature (2005); 437(7063):1279-85.
Bassetti et al., Lancet (2000); 356: 484–485
Boeve et al. Journal of Geriatr Psychiatry Neurol 2004; 17:146-157
Aurora RN et al. Journal of Clinical Sleep Medicine 2010; 6(1):85-95.
Aurora RN et al. Journal of Clinical Sleep Medicine 2010; 6(4):398-401.

外部链接

[:3-1] 1.0 ^1.1 ^1.2 International Classification of Sleep Disorders. Darien, IL: American Academy of Sleep Medicine. 2014.

[:4-2] 2.0 ^2.1 Kazaglis, Louis; Bornemann, Michel A. Cramer. Classification of Parasomnias. Current Sleep Medicine Reports. 2016, 2 (2): 45–52. ISSN 2198-6401. doi:10.1007/s40675-016-0039-y .

[3] Mahowald MW, Schenk CH. Dissociated states of wakefulness and sleep. In: Lydic R, Baghdoyan HA, editors. Handbook of behavioral state control: cellular and molecular mechanisms. Boca Raton: CRC Press; 1999. p. 143-58.

[4] Mahowald MW, Schenk CH. dissociated states of wakefulness and sleep. Neurology. 1992; 42(7 Suppl 6):44-51.

[5] Nobili, Lino; De Gennaro, Luigi; Proserpio, Paola; Moroni, Fabio; Sarasso, Simone; Pigorini, Andrea; De Carli, Fabrizio; Ferrara, Michele, Local aspects of sleep, Progress in Brain Research (Elsevier), 2012, 199: 219–232, ISBN 9780444594273, PMID 22877668, doi:10.1016/b978-0-444-59427-3.00013-7

[6] Nobili, Lino; Ferrara, Michele; Moroni, Fabio; De Gennaro, Luigi; Russo, Giorgio Lo; Campus, Claudio; Cardinale, Francesco; De Carli, Fabrizio. Dissociated wake-like and sleep-like electro-cortical activity during sleep. NeuroImage. 2011, 58 (2): 612–619. PMID 21718789. doi:10.1016/j.neuroimage.2011.06.032.

[7] Peter-Derex, Laure; Magnin, Michel; Bastuji, Hélène. Heterogeneity of arousals in human sleep: A stereo-electroencephalographic study. NeuroImage. 2015, 123: 229–244. PMID 26220744. doi:10.1016/j.neuroimage.2015.07.057.

[1]

[2]

[3]

[4]

[5]

[6]

[7]

分类	ICD-10：F51.3-F51.4 ICD-10-CM：G47.5 ICD-9-CM：307.47, 327.4, 780.59 MeSH：D020447
外部资源	eMedicine：med/3131