今日文獻聚焦於睡眠障礙的神經機制與客觀評估,特別是注意力不足過動症(ADHD)兒童的睡眠介入、阻塞性睡眠呼吸中止症(OSA)的腦白質修復,以及頑固型失眠的非藥物治療,展現了精準睡眠醫學與跨領域治療的趨勢。
Sleep medicine reviews · The influence of existing interventions on sleep of youth with attention-deficit/hyperactivity disorder: A meta-analysis of randomized controlled trials.
行為睡眠介入是減少ADHD青少年睡眠困擾的最佳選擇,而安眠藥物則最能縮短入睡潛伏期,建議採用多成分且量身定做的個人化策略。
Sleep medicine · White matter plasticity and cognitive improvement in obstructive sleep apnea following CPAP therapy: an automated fiber quantification study.
中重度OSA患者經短期CPAP治療後,大腦特定白質微結構可獲得部分修復,且與認知功能的改善相關。
Nature and science of sleep · Effectiveness and Safety of Electroacupuncture in Patients with Treatment-Resistant Insomnia: A Randomized, Assessor-Blinded, Waitlist-Controlled Pilot Trial.
針對對藥物無效的頑固型失眠患者,電針治療能顯著改善主觀睡眠品質與生活品質,可作為有效的互補替代療法。
Sleep health · Wrist-worn accelerometer measured sleep fragmentation and obesity risk: Socioeconomic gradients and mediation by allostatic load.
睡眠片段化與肥胖風險增加顯著相關,且在高社經地位族群中,此關聯部分由慢性生理壓力(變動負荷)所中介。
Sleep medicine · Enhanced structure-function coupling of the sensorimotor network following partial sleep deprivation and its correlation with baseline vigilance: A combined DWI and fMRI study.
睡眠不足會增強大腦感覺運動網絡的結構與功能連結,且此增強程度與個體的基線警覺度脆弱性有關,可作為預測指標。
Chronobiology international · Chronotype and health outcomes in shift-working healthcare professionals: Associations with eating attitudes, depressive symptoms, and quality of life.
晚型人在輪班工作中面臨較差的生理健康相關生活品質,但節律型態對憂鬱症狀與飲食態度無顯著影響。
Nature and science of sleep
醫學生的夜食症候群與較差的睡眠品質及過重狀態顯著相關,未來可透過睡眠干預來改善。
Nature and science of sleep
情緒障礙患者有極高的睡眠障礙盛行率,其中吸菸與慢性疾病是影響睡眠衛生與睡眠努力的最重要因子。
Nature and science of sleep
厭食症患者普遍存在睡眠品質不佳與晝夜節律紊亂,將睡眠評估纳入治療計畫有助於提升復健成效。
Nature and science of sleep
夜間垂直方向的物理震動會顯著增加睡眠覺醒次數,並導致隔日早晨的認知警覺度下降。