What Is Shift Work Sleep Disorder?

The differential diagnosis of sleep disturbances caused by shift work is: 1. Sleep disturbances before the morning shift may be misdiagnosed as having difficulty falling asleep, and sleep disturbances after the night shift are easily misdiagnosed as sleep maintenance disorders; Sleep apnea syndrome is confusing and narcolepsy; some people who often suffer from insomnia also adjust their sleep by working the night shift; 3. Excessive sleepiness during the day or insomnia may be a periodic sleep disorder with persistent circadian biological rhythm disorders.

Sleep disturbances caused by shift work

Right!

The differential diagnosis of sleep disturbances caused by shift work is: 1. Sleep disturbances before the morning shift may be misdiagnosed as having difficulty falling asleep, and sleep disturbances after the night shift are easily misdiagnosed as sleep maintenance disorders; Sleep apnea syndrome is confusing and narcolepsy; some people who often suffer from insomnia also adjust their sleep by working the night shift; 3. Excessive sleepiness during the day or insomnia may be a periodic sleep disorder with persistent circadian biological rhythm disorders.

Chinese name

Sleep disturbances caused by shift work

Symptom

Narcolepsy

Prevent

Reduce night shifts and keep them away

an examination

Polysomnography, etc.

Prevention of sleep disorders caused by shift work:

Countermeasures to solve shift discomfort:

1. Reduce night shifts, and do not allow continuous night shifts, alternate with continuous day shifts, and shift shifts in the order of day shifts, night shifts, and night shifts.

2. Select people with strong adaptability to work in night shifts.

3. Utilize ultra short acting sleep drugs.

4. Use high-illumination light to make the working environment at night brighter.

Examination of sleep disorders due to shift work

1.1 polysomnography check

For people with sleep disorders, polysomnography can be used to detect sleep disturbances, which can be detected during daytime sleep, but the actual effect is not ideal. The multiple napping test (MSLT) can be performed at the beginning of the shift, the middle of the shift, and the end of the shift.

1.2 Activity record chart

Activity log maps reflect impaired sleep-wake patterns after shifts. 24 hours of body temperature change or changes in peak hormone secretion also have some reference value.

1.3 Sleep Scale

The sleep scale can reflect the quality of sleep and has certain significance for evaluating sleep disorders. For people on shifts, using a sleep diary may more clearly reflect sleep problems.

2.Diagnosis and differential diagnosis

According to the Sleep Disorders International Classification of Sleep Disorders developed by the American Sleep Disorders Association, the diagnostic criteria for sleep disorders caused by shifts are:

2.1 diagnostic criteria

Patients have complaints of excessive drowsiness during the day and insomnia.

Patients have complaints of excessive drowsiness or insomnia during the day during habitual sleep, which is closely related to working hours (usually night shifts);

(3) The patient's polysomnography (PSG) and multiple small sleep latency tests (MSLT) lost normal sleep-wake patterns;

No other medicine or psychiatry can explain the above symptoms;

Patients with excessive drowsiness during the day or insomnia do not meet the diagnosis of other sleep disorders (such as jet lag syndrome);

Minimum diagnostic criteria: +

2.2 Severity criteria

Mild: Mild insomnia or excessive drowsiness during the day, less than 1-2 hours of sleep;

Moderate: Moderate insomnia or excessive sleepiness during the day, less than 2-3 hours of sleep;

Severe: Severe insomnia or excessive sleepiness during the day, less than 3 hours of sleep.

Course standard:

Acute: 7 days;

Subacute:> 7 days, but <3 months;

Chronic: 3 months