中风与神经疾病杂志2025，Vol.42Issue(10)：901-903,3.DOI:10.19845/j.cnki.zfysjjbzz.2025.0166
发作性睡病1例诊治过程报告并文献复习
Screening,diagnosis,and rehabilitation process for narcolepsy:A case report and literature review
摘要
Abstract
This article reports the complete screening-diagnosis-rehabilitation process for an Air Force non-commissioned officer diagnosed with narcolepsy(NP)comorbid with obstructive sleep apnea(OSA)and REM sleep behav-ior disorder(RBD).The patient attended the hospital due to uncontrollable daytime sleep for 3 years and one episode of cataplexy,and a confirmed diagnosis was made based on polysomnography,multiple sleep latency test(MSLT),and imag-ing examination,with the exclusion of organic lesions.As for treatment,since the patient showed no response to venlafax-ine alone,the treatment regimen was switched to a comprehensive regimen of behavioral interventions,traditional Chinese medicine syndrome differentiation,and pitolisant.Based on this case report and the literature review,it is proposed that the armed forces should introduce a modern diagnostic and therapeutic mode integrating routine screening(Epworth Sleepi-ness Scale and MSLT),multidisciplinary dynamic assessment,and individualized comprehensive care,in order to pro-vide evidence-based guidance for the early identification,diagnosis,and treatment of sleep disorders in military person-nel.关键词
发作性睡病/多导睡眠监测/病例报告Key words
Narcolepsy/Polysomnography/Case report分类
医药卫生引用本文复制引用
李玉明,戚菲,孙东,韩梦,项瑛,李仑,林志烽,李政..发作性睡病1例诊治过程报告并文献复习[J].中风与神经疾病杂志,2025,42(10):901-903,3.基金项目
军队后勤科研项目保健专项课题(23BJZ47) （23BJZ47）
