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Sleep:震惊!梦游时就算受伤也不会感觉到疼痛!

2015-11-07 MedSci译 MedSci原创

Pain in Sleepwalking: A Clinical EnigmaSleepwalkers 'feel no pain' in accidents



梦游是常见的睡眠障碍,归类为“深眠状态“,影响了近4%的成年人。该状态下患者不会完全醒来,也称短波睡眠(SWS)。

研究者进行了一项研究,纳入100名梦游症患者,100名对照组。梦游组中55名为男性,45名为女性,中位数年龄30岁。

通过临床表现、自我报道的问卷调查收集患者的疾病特征、睡眠模式、慢性疼痛、头痛、偏头痛、抑郁症状、生活质量等数据。

研究数据显示,47%的梦游患者在睡眠中受伤!!!

梦游组与对照组相比,头痛频率高4倍,偏头痛频率高10倍,慢性疼痛、白天嗜睡、抑郁和失眠症状也更高。校正相关因素后,梦游组仅仅在头痛和偏头痛发生频率上高于对照组。

在梦游组,有47名患者经历了至少一次的受伤的梦游过程。只有10名患者因为疼痛即刻醒来;还有37名患者认为梦游期间没有痛苦,但是在稍晚或早晨会感觉到疼痛。

有一名患者梦游时从三楼跳下,导致严重骨折,但是患者并没有感觉到疼痛,直到醒来。

还有一名患者爬到屋顶然后摔下,导致摔断了腿,但是他都没有感觉,直到早晨才醒来。

与非疼痛的梦游患者相比,感受到慢性疼痛的梦游患者通常更老,白天嗜睡、失眠和抑郁症状更明显。

该研究最令人震惊的结果便是梦游过程中患者疼痛感觉的丧失。不过两者间为什么会出现这样的联系,还需要进一步的机制研究。

原始出处:

Regis Lopez et al.Pain in Sleepwalking: A Clinical Enigma.Sleep, doi.org/10.5665/sleep.5144, published November 2015

MNT:Sleepwalkers 'feel no pain' in accidents

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  2. [GetPortalCommentsPageByObjectIdResponse(id=1344919, encodeId=60b01344919b6, content=<a href='/topic/show?id=cf721640495' target=_blank style='color:#2F92EE;'>#SLE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=16404, encryptionId=cf721640495, topicName=SLE)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/kbRUeosenzlejlNGWXdWjSYhBKL1QYGQwfehJOkMXHiavh5wl7pKeju5Kcxdvr50ic6FWML3x6NMCxhG1bOaVjyA/132, createdBy=20872500216, createdName=ms4657536712156177, createdTime=Mon Nov 09 08:17:00 CST 2015, time=2015-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42867, encodeId=0b8e4286e42, content=好可怕, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150727/IMG55B6351B01B245855.jpg, createdBy=25e01636172, createdName=ling418, createdTime=Sun Nov 08 23:16:00 CST 2015, time=2015-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42819, encodeId=92424281979, content=梦游就像丧尸, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150625/IMG558B8C995D7262168.jpg, createdBy=36ad1623080, createdName=cyzj007, createdTime=Sun Nov 08 11:05:00 CST 2015, time=2015-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42811, encodeId=c888428112c, content=梦游从三楼摔下来没有骨折吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=169, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Sun Nov 08 10:29:00 CST 2015, time=2015-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42810, encodeId=6f8942810ff, content=怎么梦游也有那么危险的真实动作吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=140, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Sun Nov 08 10:28:00 CST 2015, time=2015-11-08, status=1, ipAttribution=)]
    2015-11-08 ling418

    好可怕

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1344919, encodeId=60b01344919b6, content=<a href='/topic/show?id=cf721640495' target=_blank style='color:#2F92EE;'>#SLE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=16404, encryptionId=cf721640495, topicName=SLE)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/kbRUeosenzlejlNGWXdWjSYhBKL1QYGQwfehJOkMXHiavh5wl7pKeju5Kcxdvr50ic6FWML3x6NMCxhG1bOaVjyA/132, createdBy=20872500216, createdName=ms4657536712156177, createdTime=Mon Nov 09 08:17:00 CST 2015, time=2015-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42867, encodeId=0b8e4286e42, content=好可怕, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150727/IMG55B6351B01B245855.jpg, createdBy=25e01636172, createdName=ling418, createdTime=Sun Nov 08 23:16:00 CST 2015, time=2015-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42819, encodeId=92424281979, content=梦游就像丧尸, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150625/IMG558B8C995D7262168.jpg, createdBy=36ad1623080, createdName=cyzj007, createdTime=Sun Nov 08 11:05:00 CST 2015, time=2015-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42811, encodeId=c888428112c, content=梦游从三楼摔下来没有骨折吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=169, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Sun Nov 08 10:29:00 CST 2015, time=2015-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42810, encodeId=6f8942810ff, content=怎么梦游也有那么危险的真实动作吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=140, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Sun Nov 08 10:28:00 CST 2015, time=2015-11-08, status=1, ipAttribution=)]
    2015-11-08 cyzj007

    梦游就像丧尸

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1344919, encodeId=60b01344919b6, content=<a href='/topic/show?id=cf721640495' target=_blank style='color:#2F92EE;'>#SLE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=16404, encryptionId=cf721640495, topicName=SLE)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/kbRUeosenzlejlNGWXdWjSYhBKL1QYGQwfehJOkMXHiavh5wl7pKeju5Kcxdvr50ic6FWML3x6NMCxhG1bOaVjyA/132, createdBy=20872500216, createdName=ms4657536712156177, createdTime=Mon Nov 09 08:17:00 CST 2015, time=2015-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42867, encodeId=0b8e4286e42, content=好可怕, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150727/IMG55B6351B01B245855.jpg, createdBy=25e01636172, createdName=ling418, createdTime=Sun Nov 08 23:16:00 CST 2015, time=2015-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42819, encodeId=92424281979, content=梦游就像丧尸, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150625/IMG558B8C995D7262168.jpg, createdBy=36ad1623080, createdName=cyzj007, createdTime=Sun Nov 08 11:05:00 CST 2015, time=2015-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42811, encodeId=c888428112c, content=梦游从三楼摔下来没有骨折吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=169, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Sun Nov 08 10:29:00 CST 2015, time=2015-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42810, encodeId=6f8942810ff, content=怎么梦游也有那么危险的真实动作吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=140, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Sun Nov 08 10:28:00 CST 2015, time=2015-11-08, status=1, ipAttribution=)]
    2015-11-08 三三五五

    梦游从三楼摔下来没有骨折吗?

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1344919, encodeId=60b01344919b6, content=<a href='/topic/show?id=cf721640495' target=_blank style='color:#2F92EE;'>#SLE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=16404, encryptionId=cf721640495, topicName=SLE)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/kbRUeosenzlejlNGWXdWjSYhBKL1QYGQwfehJOkMXHiavh5wl7pKeju5Kcxdvr50ic6FWML3x6NMCxhG1bOaVjyA/132, createdBy=20872500216, createdName=ms4657536712156177, createdTime=Mon Nov 09 08:17:00 CST 2015, time=2015-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42867, encodeId=0b8e4286e42, content=好可怕, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150727/IMG55B6351B01B245855.jpg, createdBy=25e01636172, createdName=ling418, createdTime=Sun Nov 08 23:16:00 CST 2015, time=2015-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42819, encodeId=92424281979, content=梦游就像丧尸, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150625/IMG558B8C995D7262168.jpg, createdBy=36ad1623080, createdName=cyzj007, createdTime=Sun Nov 08 11:05:00 CST 2015, time=2015-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42811, encodeId=c888428112c, content=梦游从三楼摔下来没有骨折吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=169, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Sun Nov 08 10:29:00 CST 2015, time=2015-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42810, encodeId=6f8942810ff, content=怎么梦游也有那么危险的真实动作吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=140, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Sun Nov 08 10:28:00 CST 2015, time=2015-11-08, status=1, ipAttribution=)]
    2015-11-08 三三五五

    怎么梦游也有那么危险的真实动作吗?

    0

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