精神医学64巻1号

2022年01月発行

特集 超高齢期の精神疾患

超高齢期の睡眠障害

著者： 清水徹男¹

所属機関： ¹秋田県精神保健福祉センター

ページ範囲：P.57 - P.64

文献概要

抄録　超高齢期の睡眠障害の発症には，歴年齢よりも併存する心身の疾患や認知機能の低下，心理社会的な要因の関与がより大きい。また，壮年期や初老期では睡眠障害の治療により生命予後の延長や心身の疾患発症リスクの軽減に繋がる可能性があるが，超高齢期の睡眠障害ではそのような可能性は小さい。不眠に対しては，治療の対象とするか否かを慎重に判断し，治療するならば非薬物療法を優先する。睡眠時無呼吸については何らかの自覚症状(昼間の眠気，夜間の窒息感，抑うつ気分，認知機能の低下など)や，身体症状と明確な関連が示唆されたときにn-CPAP療法が適応となる。むずむず脚症候群についてはQOL低下や苦痛が大きいときには超高齢期においても薬物療法の適応となる。

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