老年人的背痛與睡眠障礙

Back Pain and Sleep Disorders in the Elderly

陳彥宇(Yan-Yu Chen) ； 簡裕明(Yu-Ming Jian) ； 楊榮森(Rong-Sen Yang)

《台灣老年醫學暨老年學雜誌》 4卷4期 (2009/11) Pp. 222-230

https://doi.org/10.29461/TGG.200911.0002

摘要

背痛是老年族群中相當常見的健康議題，在老年人的背痛評估中，更重要的是其他嚴重器質性病變的可能性，以及併發的心理議題等。慢性背痛患者常伴隨的睡眠障礙有夜眠中斷、提早清醒、與未充足之睡眠。持續疼痛刺激會引發各種睡眠障礙，而睡眠障礙也會增加疼痛感知度。鑑於疼痛與睡眠的雙向影響關係，臨床上治療老年背痛患者時，應著眼於睡眠障礙的改善，應可提高背痛治療成效；改善睡眠障礙也可取代繁瑣的綜合評估工具，作爲評估背痛治療效果的功能性指標。

關鍵字

背痛 ； 睡眠障礙 ； 老年人

並列摘要

Back pain and sleep disorders are both common complaints in the elderly. Sleep is a complex issue reflecting psychosocial health, and comorbid psychosocial disorders are importment in the evaluation of senile patients with back pain aside from musculoskeletal systems. There has been evidence that persistent pain stimulation will induce sleep disorders and sleep deprivation will decrease pain threshold. To avoid this vicious cycle, focus on sleep disorders when managing senile patients with back pain may improve the treatment response. Furthermore, considering the simplexity and convinence, the improvement of sleep disorders may also be used as a functional indicator for evaluating the treatment effect of back pain, in place of the complicated comprehensive functional evaluation tools.

並列關鍵字

back pain ； sleep disorders ； elderly