鏈€鐪侀挶鐪佹椂闂寸殑鏂板啝搴峰鏂规硶锛氬鐫¤
更新时间:2022-12-28
| 澶暱涓嶇湅鐗?/strong>
濂ュ瘑鍏嬫垘妯锛屾渶鐪侀挶銆佹渶鐪佷簨鐨勫寮哄厤鐤姏鎵嬫鏄粈涔堬紵 鐫¤锛?/strong> 鐫＄湢瀵圭淮鎸併€佹彁鍗囧厤鐤姏鑷冲叧閲嶈銆備粖澶╂垜缁欏ぇ瀹朵粙缁嶄竴涓嬫劅鏌撶梾鍘熶綋涔嬪墠涓庝箣鍚庯紝鐫＄湢鏄€庝箞鏀寔鎴戜滑鐨勫厤鐤姏鐨勶紝鏈€鍚庤繕浼氱粰澶у涓€浜涚潯鐪犲缓璁紝璁╁ぇ瀹剁潯寰楅銆佽韩浣撳€嶅効妫掋€?/p> 骞虫椂鐫″緱濂斤紝鐤剧梾涓嶇埍鎵?/p> 浣犳槸鍚︽湁杩囪繖鏍风殑缁忓巻锛氱啲澶滃伐浣滀簡涓€瀹匡紝绗簩澶╃壒瀹规槗鎵撳柗鍤忔祦榧绘稌锛熷勾搴曞姞鐝紝姣忔櫄鐫′笉澶?灏忔椂锛岀劧鍚庣獊鐒跺氨鎰熷啋浜嗭紵 杩欎簺鎯呭舰锛屽緢鍙兘灏辨槸鍥犱负缂哄皯鐫＄湢锛屽鑷存垜浠厤鐤姛鑳藉彈鎹燂紝璁╃梾鍘熶綋瓒佽櫄鑰屽叆浜嗐€?/p>
鍥句辅鍥捐櫕鍒涙剰 浜嬪疄涓婏紝宸茬粡鏈夊ぇ閲忕殑鐮旂┒琛ㄦ槑锛?strong>鏃ュ父鐫＄湢鏃堕棿鐭€佹偅鏈夌潯鐪犻殰纰嶏紝鎴栨姳鎬ㄧ潯鐪犺川閲忎笉浣崇殑浜猴紝鏇村鏄撴劅鏌撳懠鍚搁亾鐤剧梾[1]銆?/p> 鏈変竴椤圭爺绌讹紝缁欏仴搴风殑蹇楁効鑰呬滑鎺ョ浜嗘櫘閫氭劅鍐掔殑鐥呮瘨銆傛帴绉嶅墠涓€鍛ㄦ瘡鏅氶兘鐫′笉澶?灏忔椂鐨勫織鎰胯€咃紝璺熸帴绉嶅墠涓€鍛ㄦ瘡鏅氱潯璧风爜8灏忔椂鐨勪汉鐩告瘮锛?strong>鎮ｆ劅鍐掔殑椋庨櫓瓒宠冻鏈変笁鍊嶄箣澶?/strong>[2]銆?/p> 鍚屾牱鐨勭粨璁猴紝涔熼€傜敤浜庢柊鍐犵梾姣掋€傛湁鐮旂┒鏄剧ず锛?strong>鑷垜鎶ュ憡鐫＄湢鏃堕暱杈冮暱鐨勪釜浣擄紝鎰熸煋鏂板啝鐥呮瘨鐨勬鐜囦篃灏忓緢澶?/strong>[3]銆?/p> 娌℃劅鏌撶殑鍚勪綅锛岃刀绱у幓鐫¤鍚э紒 鐥呮椂鐫″緱濂斤紝搴峰鏉ュ緱鏃?/p> 濡傛灉宸茬粡鎰熸煋浜嗙柧鐥咃紝濂藉ソ鐫¤涔熻兘璁╁厤鐤郴缁熸洿寮哄ぇ銆?/p> 鎴戜滑鐨勫厤鐤郴缁熼噷锛屾湁浣嶉噸瑕佹垚鍛橈紝鍙玊缁嗚優銆傚畠浠礋璐ｅ共鎺夋劅鏌撴甯哥粏鑳炵殑鐥呭師浣擄紝姣斿娴佹劅鐥呮瘨绛夈€?/p> 鐚庢潃鐥呭師浣撶殑绗竴姝ワ紝灏辨槸鈥滅瀯鍑嗏€濄€?strong>鍦ㄢ€滅瀯鍑嗏€濈梾鍘熶綋鐨勮繃绋嬩腑锛岄渶瑕佷緷闈犱竴绉嶅彨鏁磋仈铔嬬櫧鐨勭墿璐?/strong>鈥斺€旀暣鑱旇泲鐧介粡鎬ц秺寮猴紝T缁嗚優灏辫兘瓒婂ソ鍦扮矘闄勫湪琚劅鏌撶粏鑳炵殑琛ㄩ潰杩涜鐚庢潃宸ヤ綔銆?/p> 杩戞湡鐨勪竴椤圭爺绌惰瘉鏄庯紝鐫＄湢鍙互澧炲己鏁磋仈铔嬬櫧鐨勯粡鎬?/strong>锛氳窡娌＄潯濂界殑蹇楁効鑰呯浉姣旓紝鐫′簡涓€澶滃畨绋宠鐨勫織鎰胯€咃紝浣撳唴T缁嗚優涓婏紝鏈夋洿濂芥椿鎬х殑鏁磋仈铔嬬櫧[6]銆?/p> 鐮旂┒璁や负锛岀潯鐪犲噺灏戜簡浣撳唴濡ㄧ鏁磋仈铔嬬櫧娲绘€х殑鐗╄川锛屽寘鎷帇鍔涙縺绱犮€佸墠鍒楄吅绱犵瓑銆?/p> 鍥句辅鍥捐櫕鍒涙剰 灏辨柊鍐犵梾姣掕€岃█锛屼篃鏈夌爺绌惰〃鏄庝簡鐫¤瀵规偅鑰呯殑甯姪銆?/p> 涓€绡囪繎鏈熺殑鏂囩珷鎸囧嚭锛?strong>鍦ㄦ劅鏌撴柊鍐犲墠鐨勭潯鐪犻殰纰嶏紝涓庢劅鏌撴柊鍐犵梾姣掑悗鐨勬偅鐥呯▼搴︽湁鍏?/strong>[4]锛涘鏋滄劅鏌撳墠鐫＄湢鏃堕棿鍑忓皯锛屼篃璺熷彂鐢熶弗閲嶆劅鏌撶殑椋庨櫓锛屼互鍙婃劅鏌撻鍚庡樊鐨勬儏鍐垫湁鍏炽€?/p> 绠€鍗曟潵璇村氨鏄細濡傛灉骞虫椂灏辩潯寰椾笉濂斤紝鎰熸煋鏂板啝鍚庡彲鑳芥洿闅惧彈銆佹洿涓ラ噸锛屼篃涓嶅お瀹规槗濂介€忋€?/p> 鎬讳箣锛屾劅鏌撶柧鐥呭悗鐫′釜濂借锛岃兘璁╀綘鏇村揩鎭㈠銆?/p> 鎵撳畬鐤嫍鐫″ソ瑙夛紝闀挎湡鍏嶇柅鏇村彲闈?/p> 涓婇潰璁茬殑锛屼竴涓槸闈㈠鎰熸煋椋庨櫓鏃剁潯鐪犵殑甯姪锛屼竴涓槸宸茬粡鎰熸煋鍚庣潯鐪犵殑浣滅敤銆?/p> 鎺ヤ笅鏉ユ垜浠啀璇磋锛岀潯鐪犲浜庨暱鏈熷厤鐤殑鏀寔鈥斺€?strong>瀹冭兘甯姪鐤嫍鏇村ソ鍦拌捣浣滅敤銆?/p> 瀹為獙鏄繖鏍风殑锛氱爺绌惰€呯粰蹇楁効鑰呬滑娉ㄥ皠浜嗙敳鑲濈柅鑻楋紱涓€缁勫織鎰胯€呭綋澶╄兘姝ｅ父鐫¤锛屽彟涓€缁勫織鎰胯€呰杩潯寰椾笉濂姐€?/p> 缁撴灉浣犵寽鎬庝箞鏍凤紵鐫″緱濂界殑蹇楁効鑰咃紝鍦?涓槦鏈熷悗锛屼綋鍐呬骇鐢熶簡鏇村鐨勬姉浣擄紝鏄潯涓嶅ソ鐨勯偅缁勭殑涓ゅ€嶅[7]銆?/p> 涓ゅ€嶅鐨勬姉浣撹繕涓嶆槸鏆傛椂鐨勩€傚悗缁爺绌舵樉绀猴紝鐫＄湢瀵圭柅鑻楃殑鍔犳寔浣滅敤锛岀敋鑷冲彲浠ラ暱杈句竴骞?/strong>[8]銆?/p> 鍥句辅鍥捐櫕鍒涙剰 鍊煎緱涓€鎻愮殑鏄紝杩樻湁鐮旂┒鏄剧ず锛屽苟涓嶆槸鎺ョ鐤嫍鐨勫綋澶╁ソ濂界潯瑙夊氨澶熶簡銆?strong>鎯宠鐤嫍鍙戞尌鏇村ぇ鐨勪綔鐢紝鍦ㄦ帴绉嶅畬鐤嫍鍚庝竴娈垫椂闂撮噷锛岄兘闇€瑕佷繚璇佸厖瓒崇殑鐫＄湢銆?/p> 涓€椤瑰叧浜庢祦鎰熺柅鑻楃殑瀹為獙鍙戠幇锛屽湪娉ㄥ皠鐤嫍鍚庣殑6澶╁唴鏅氫笂鍙兘鐫?涓皬鏃剁殑蹇楁効鑰咃紝灏辩畻涔嬪悗涓€鍛ㄦ瘡澶╃潯12涓皬鏃讹紝鍦?0澶╁悗锛?strong>浠栦滑浣撳唴鐨勬祦鎰熸姉浣撲篃姣旀瘡鏅氱潯8灏忔椂鐨勫織鎰胯€呭皯杩戜竴鍗?/strong>[9]銆?/p> 鏄庣櫧浜嗗悧锛?strong>浣犱负浜嗛暱鏈熺殑鍋ュ悍鍘绘墦鐤嫍锛岀粨鏋滄墦瀹屽張涓嶅ソ濂界潯瑙夛紝杩欓拡鐤嫍鐨勬晥鏋滃氨浼氬ぇ鎵撴姌鎵?/strong>銆?/p> 浣犵潯寰楀鍚楋紵 閭ｆ€庢牱鎵嶇畻鐫″緱濂藉憿锛熸垜浠彲浠ュ弬鑰冧笅闈㈣繖寮犲浘銆?/p> 杩欏紶鍥剧殑妯潗鏍囨槸骞寸邯锛屼粠宸﹀埌鍙冲垎鍒槸锛?/p> 3涓湀浠ュ唴鐨勬柊鐢熷効锛?/p> 4鍒?1涓湀鐨勫┐鍎匡紱 1鍒?宀佺殑骞煎効锛?/p> 3鍒?宀佺殑瀛﹂緞鍓嶅効绔ワ紱 6鍒?3宀佺殑瀛︾锛?/p> 14鍒?7宀佺殑闈掑皯骞达紱 18鍒?5宀佺殑闈掑勾锛?/p> 26鍒?4宀佺殑鎴愬勾浜猴紱 65宀佷互涓婄殑鑰佷汉銆?/p> 绾靛潗鏍囨槸鐫＄湢鏃堕暱锛屽叾涓繁钃濊壊琛ㄧず寤鸿鐨勭潯鐪犳椂闀匡紝娴呰摑鑹茶〃绀哄彲鑳藉悎閫傜殑鐫＄湢鏃堕暱銆?/p>
鍥句辅SleepFoundation.org 鐫″お灏戠殑鍚庢灉鏄弗閲嶇殑锛屼笉浠呬細鍍忎笂鏂囪鐨勶紝骞叉壈鍒板厤鐤郴缁熷伐浣?/strong>锛岄暱鏈熷皯浜?灏忔椂鐨勭潯鐪犱細鏈?strong>澧炲姞浣撳唴鍘嬪姏婵€绱犵瓑鍗卞锛岃€岄暱鏈熷皯浜?灏忔椂鐨勭潯鐪犲垯鍜岄珮姝讳骸鐜囩浉鍏?/strong>[10]銆?/p> 鑷充簬鐫″お澶氣€︹€﹀杺鍠傦紝鍜辫繕瑕侀啋鐫€鏉ュ伐浣滃涔犵帺鑰嶅憿锛?/p> 鐫′釜濂借 锛?/p> 寰堝浜虹煡閬撶潯鐪犵殑濂藉锛屼篃寰堟兂濂藉ソ鐫′竴瑙夛紝浣嗗氨鏄潯涓嶇潃銆佺潯涓嶅ソ銆傚湪鏂板啝鑲嗚檺鐨勬棩瀛愰噷锛屽ご鐤笺€佸彂鐑с€佸挸鍡界瓑鐥囩姸锛岃鐫＄湢璐ㄩ噺鍙堜笅婊戜簡寰堝銆?/p> 瀵逛簬琚柊鍐犳姌纾ㄥ緱闅句互閰ｇ潯鐨勬湅鍙嬶紝鎴戝缓璁ぇ瀹惰兘鐫″敖鐫?/strong>銆?/p> 鎴戜滑鏁村鐨勭潯鐪狅紝鏄敱鍑犱釜鐫＄湢鍛ㄦ湡缁勬垚鐨勩€?strong>涓€鑸?0鍒?0鍒嗛挓鐨勭潯鐪狅紝灏辫兘鍖呮嫭涓€涓浉瀵瑰畬鏁寸殑娣卞害鐫＄湢闃舵浜嗐€傝€岀潯鐪犲鍏嶇柅鍔涚殑淇冭繘锛屽氨鍙戠敓鍦ㄦ繁搴︾潯鐪犻樁娈?/strong>銆?/p> 鍥犳锛?strong>鍝€曚綘鏃犳硶杩炵潃鐫″嚑涓皬鏃讹紝鍝€?涓皬鏃堕啋涓€娆★紝涔熷ソ杩囦竴鐩翠笉鐫?/strong>銆傞啋鏉ュ埆鐜╂墜鏈猴紝鍐嶇户缁潯灏辨槸浜嗭紝鍚庨潰杩樻湁娣卞害鐫＄湢鐨勬満浼氥€?/p> 鏈€鍚庯紝缁欏ぇ瀹舵彁渚涗竴浠芥柊鍐犳祦琛屾湡闂寸瀛﹀缁欏ぇ瀹剁殑鐫＄湢寤鸿[12,13]锛岀澶у閮借兘鏃╂棩搴峰銆?/p> 闄愬埗瀵艰嚧浣犵劍铏戠殑淇℃伅鎽勫叆 蹇冩儏鐒﹁檻鎴栬繃浜庡叴濂嬶紝鏄潯鐪犵殑澶╂晫銆傚鏋滅ぞ浜ゅ獟浣撱€佹柊闂诲獟浣撲笂鐨勬秷鎭浣犳劅鍒扮劍铏戯紝閭ｅ氨灏戠湅銆佸埆鐪嬩簡銆?/p> 鍥句辅鍥捐櫕鍒涙剰 瑙勫緥浣滄伅锛岀瀛︹€滄洕鍏夆€?/p> 灏介噺姣忓ぉ鍦ㄥ悓涓€鏃堕棿璧峰簥鍜屽叆鐫?/strong>锛岃韬綋閬典粠鍥哄畾鐨勬樇澶滆妭寰嬨€?/p> 娉ㄦ剰鍦ㄧ櫧澶╁浣胯嚜宸辨毚闇擦湪鈥?strong>鑷劧鍏?/strong>鈥濅腑锛屽洜涓烘棩鍏夊彲浠ュ己鍖栫潯鐪犲懆鏈熺殑鈥滄竻閱掆€濋樁娈碉紝杩欐牱浣挎櫄涓婃洿瀹规槗鍏ョ潯銆?/p> 鍙﹀锛屾墜鏈恒€佺數鑴戞樉绀哄睆绛変細璁╀綘鐨勫ぇ鑴戣浠ヤ负杩樺湪鐧藉ぉ锛屼粠鑰屽噺灏戜簡鏈夊姪浜庣潯鐪犵殑婵€绱犲垎娉屻€?strong>鐫″墠涓€涓皬鏃跺氨鍒帺鐢靛瓙浜у搧鍟?/strong>銆?/p> 鍥句辅鍥捐櫕鍒涙剰 绉戝灏忕潯 鏃堕棿鎭板綋鐨勫崍鐫℃湁鍒╀簬鎭㈠绮惧姏鍜屼綋鍔涳紝浣嗛潬杩戝鏅氱殑灏忕潯鍒欏彲鑳借浣犳櫄涓婄潯涓嶇潃銆?/p> 鍥句辅鍥捐櫕鍒涙剰 鍑忓皯闃荤鐫＄湢鐨勯ギ椋?/p> 鏅氶涓嶈鏆撮ギ鏆撮锛屼篃鏈€濂戒笉瑕佸枬閰?/strong>锛屽洜涓洪厭绮句細骞叉壈姝ｅ父鐨勭潯鐪狅紝璁╀綘棰戠箒閱掓潵锛堢敓鐥呫€佹湇鑽湡闂存洿瑕佺閰掞級[14]銆?/p> 涓嬪崍涓ょ偣浠ュ悗閬垮厤鎽勫叆鍜栧暋鍥?/strong>锛堝挅鍟°€佽尪銆佷竴浜涘姛鑳芥€чギ鏂欙級锛屽畠浠細闄嶄綆浣犺繘鍏ユ繁搴︾潯鐪犵殑鍙兘[15]銆?/p> 鍥句辅鍥捐櫕鍒涙剰 鑹ソ鐫＄湢鐜 瀹夐潤锛?/p> 瓒冲鏆?/strong>锛屼笉澶熸殫鐨勮瘽锛屽彲浠ヨ€冭檻閬厜绐楀笜鍜岀溂缃╋紱 娓╁害鐣ヤ綆锛氱暐浣庝簬浜轰綋娓╁害锛屾瘮濡?5鈩冨埌20鈩冧箣闂达紝鏇存湁鍒╀簬鐫＄湢锛?/p> 娓呮磥锛氬畾鏈熸竻娲楀拰鏅炬檼搴婂搧锛岄槻姝㈠皹鍦熷拰铻ㄨ櫕鍒烘縺鍛煎惛閬撳拰鐨偆瀵艰嚧鐫′笉濂斤紱 鑸掗€?/strong>锛氭壘鍒颁竴涓€傚悎鑷繁銆佽蒋纭€備腑銆佷环鏍煎悎鐞嗙殑搴婂灚涓嶆槸浠€涔堥毦浜嬶紱 鏈夐晣瀹氫綔鐢ㄧ殑瑙嗚棰滆壊锛屽钃濊壊鍜岀豢鑹层€?/p> 鍥句辅鍥捐櫕鍒涙剰 鍙傝€冩枃鐚?/p> [1]Prather A.A., Leung C.W. Association of Insufficient Sleep With Respiratory Infection Among Adults in the United States.聽JAMA Intern. Med.聽2016;176:850鈥?52. [2]5 Prather, A. A., Janicki-Deverts,D., Hall, M. H. & Cohen, S. Behaviorally Assessed Sleep and Susceptibility to the Common Cold.Sleep38, 1353-1359, (2015). [3]Rizza S., Coppeta L., Grelli S., Ferrazza G., Chiocchi M., Vanni G., Bonomo O.C., Bellia A., Andreoni M., Magrini A., et al. High Body Mass Index and Night Shift Work Are Associated with COVID-19 in Health Care Workers.聽J. Endocrinol. Investig.聽2021;44:1097鈥?101. [4]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8954484/ [5]Huang B., Niu Y., Zhao W., Bao P., Li D. Reduced Sleep in the Week Prior to Diagnosis of COVID-19 Is Associated with the Severity of COVID-19.聽Nat. Sci. Sleep.聽2020; [6]Dimitrov, S.et al.G伪s-coupled receptor聽signaling and sleep regulate integrin activation of human antigen-specific T聽cells.Journal of Experimental Medicine216, 517-526,聽锛?019锛?/p> [7]Lange, T., Perras, B., Fehm, H. L.& Born, J. Sleep enhances the human antibody response to聽hepatitis聽Avaccination.Psychosom Med65,聽831-835, (2003). [8]Lange, T., Dimitrov, S.,Bollinger, T., Diekelmann, S. & Born, J. Sleep after vaccination boosts immunological memory.J Immunol187, 283-290, (2011). [9]Spiegel, K., Sheridan, J. F. &Van Cauter, E. Effect of聽sleep deprivation聽on response to immunization.Jama288, 1471-1472, (2002). [10]Cappuccio, F. P., D'Elia, L.,Strazzullo, P. & Miller, M. A. Sleep duration and all-cause mortality: a systematic review and聽meta-analysis聽of prospective聽studies. Sleep 33, 585-592, (2010). [11]https://pubmed.ncbi.nlm.nih.gov/35174134/ [12]www.sleepfoundation.org [13]https://www.ifm.org/news-insights/good-sleep-hygiene-may-help-protect-infectious-diseases/ [14]https://www.sleepfoundation.org/nutrition/alcohol-and-sleep [15]https://sleepeducation.org/sleep-caffeine/ 浣滆€咃細绔炰竴 缂栬緫锛氭潕灏忚懙 棰樺浘鏉ユ簮锛氬浘铏垱鎰?/p> 涓€涓狝I 杈涜嫤浜嗗疄楠屼腑鐫′笉濂借鐨勫織鎰胯€呫€?/p>
|
