MEDICAL CLINICS OF NORTH AMERICA北美内科临床
MEDICAL CLINICS OF NORTH AMERICA(英文缩写 MED CLIN N AM),ISSN 0025-7125,eISSN 1557-9859,中文译名:北美内科临床 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 6.912 | Q1 |
| 2022 | 5.900 | Q1 |
| 2023 | 3.800 | Q1 |
| 2024 | 4.200 | Q1 |
| 2025 | 4.500 | Q1 |
MEDICAL CLINICS OF NORTH AMERICA 最新收录文献
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1. Diagnostic Tools in Sleep Medicine.
1. 睡眠医学中的诊断工具PMID:日期:2026-05-13[中文摘要] 本文提出了一种结构化、以临床为基础的睡眠障碍诊断方法。阐明了关键的概念性区别，以支持准确描述症状并避免诊断性误分类。综述了经过验证的筛查工具。讨论了客观诊断方法。强调了体格检查和针对性生物标志物的作用，将其作为在特定患者中提高诊断精确度的手段。通过整合临床数据、主观评估和客观测量，经验丰富的临床医生能够准确诊断和管理常见的睡眠障碍，包括失眠、嗜睡障碍、阻塞性睡眠呼吸暂停和昼夜节律睡眠-觉醒障碍，同时提供个体化、以患者为中心的照护。
[英文摘要] This article presents a structured, clinically grounded approach to the diagnosis of sleep disorders. Key conceptual distinctions are clarified to support accurate symptom characterization and avoid diagnostic misclassification. Validated screening instruments are reviewed. Objective diagnostic modalities are discussed. The role of the physical examination and targeted biomarkers is emphasized as a means of enhancing diagnostic precision in selected patients. Through integration of clinical data, subjective assessments, and objective measures, the experienced clinician can accurately diagnose and manage common sleep disorders including insomnia, hypersomnolence disorders, obstructive sleep apnea, and circadian rhythm sleep-wake disorders while delivering individualized, patient-centered care.
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2. Neurodegenerative Diseases and Sleep Disorders: The Bidirectional Relationship.
2. 神经退行性疾病与睡眠障碍：双向关系PMID:日期:2026-04-21[中文摘要] 神经退行性变大多不可逆且呈进行性。神经退行性疾病(NDDs)是一大类具有多样临床和病理表现的疾病,包括阿尔茨海默病、帕金森病、血管性痴呆和肌萎缩侧索硬化等。所有这些神经退行性疾病的一个共同因素是睡眠障碍(SDs)。神经退行性疾病与睡眠障碍呈双向关系。睡眠障碍的筛查应作为神经退行性疾病检查的组成部分。对其中之一的治疗可改善另一者的预后。
[英文摘要] Neurodegeneration is mostly irreversible and progressive. Neurodegenerative diseases (NDDs) represent a large group of disorders that have varied clinical and pathologic representations. These include Alzheimer's disease, Parkinson's disease, vascular dementia, and amyotrophic lateral sclerosis, among others. A common factor in all these NDDs is sleep disorders (SDs). NDDs and SDs are bidirectional. Screening for SDs should be an integral part of a workup of NDDs. Management of one can improve the prognosis of the other.
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3. Movement Disorders: Implications in Sleep Medicine.
3. 运动障碍：对睡眠医学的意义PMID:日期:2026-04-21[中文摘要] 运动障碍是指在无任何无力或痉挛的情况下，自主或不自主运动异常增多或减少。此类患者常因药物副作用、疾病进展中解剖基质受累或运动症状控制不佳而出现睡眠障碍。早期识别和正确治疗是改善患者生活质量的核心。根据受累解剖部位和神经递质的不同，运动减少型和运动增多型障碍均易罹患各类睡眠障碍。睡眠筛查问卷有助于繁忙的门诊发现睡眠障碍。
[英文摘要] Movement disorders are abnormally increased or decreased voluntary or involuntary movement in the absence of any weakness or spasticity. Sleep disorders are commonly seen in these due to either the side effect of medications, anatomic substrate involvement in disease progression, or poor control of motor symptoms. Early identification and correct treatment are central to improving the quality of life of the patient. Both hypokinetic and hyperkinetic disorders have a predilection for various types of sleep disorders depending on the anatomic site and neurotransmitter involved. Sleep screening questionnaires are useful for a busy clinic to detect sleep disorders.
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4. Sleep and Psychiatric Comorbidities: The Clinical Overlap.
4. 睡眠和精神疾病共病：临床重叠PMID:日期:2026-04-21Sleep and psychiatric disorders seem to have strong associations, which are bidirectional. Impaired sleep is a risk factor for psychiatric entities, and conversely, psychiatric symptoms tend to aggravate and perpetuate sleep disturbances. Sleep disorders and psychiatric diseases have other common systemic comorbidities as well. Further, there is mounting evidence to suggest that common underlying factors exist for psychiatric and sleep disorders. This article explores the bidirectional nature of sleep and psychiatric comorbidities and also the overlap in the clinical symptomatology. Insomnia seems to be the most common sleep disorder comorbid with psychiatric disorders.
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5. Sleep Medicine and Dental Medicine: Collaborative Interdisciplinary Care.
PMID:日期:2026-04-21Both sleep medicine and dental sleep medicine have undergone explosive changes over the recent few decades. Newer diagnostic approaches and technological innovations have driven these branches of medicine into the new era of succinct interdisciplinary collaborative care among these specialties. Dental clinicians have a unique opportunity to routinely screen their patients for sleep-disordered breathing and related abnormalities, ensuring prompt referral to the appropriate physician. Furthermore, the dentist has the ability to work as part of the interdisciplinary multispecialty team, addressing the burden of unmet treatment needs. The dental appliance has successfully managed cases of snoring and obstructive sleep apnea.
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6. Systemic Conditions Affecting Sleep: An Overview for the Clinician.
PMID:日期:2026-04-21The impact of sleep on health has been the topic of recent research. Numerous systemic conditions and diseases may have a significant impact on sleep, and vice versa. There are complex interrelationships between sleep and health in special populations as well. This article, therefore, explores and highlights the key elements in this regard. In this article, a few of the systemic factors and conditions with the most robust effect on sleep have been selected. It is obvious that systemic conditions such as cardiovascular, respiratory, endocrine, renal, and other disorders have robust impact on sleep patterns and quality, and vice-versa.
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8. Pediatric Sleep Disorders: Taking Care of Gen Z and Gen Alpha.
8. 儿童睡眠障碍：关爱Z世代和阿尔法世代PMID:日期:2026-03-11[中文摘要] 儿童睡眠障碍是常见但未被充分识别的疾病，对身体健康、神经认知发育、心理健康及家庭功能具有显著的短期和长期影响。本文提供了以临床为重点的儿童睡眠障碍全面概述，特别关注Z世代和Alpha世代群体，这些群体受到数字媒体广泛暴露、昼夜节律紊乱及当代心理社会应激源的独特影响。文中回顾了睡眠结构的正常发育变化，以区分生理性变异与病理状态。讨论了包括失眠、昼夜节律睡眠-觉醒障碍、睡眠呼吸障碍、异态睡眠及睡眠相关磨牙症在内的主要睡眠障碍。
[英文摘要] Pediatric sleep disorders are common, underrecognized conditions with significant short-term and long-term consequences for physical health, neurocognitive development, mental well-being, and family functioning. This article provides a comprehensive, clinically focused overview of pediatric sleep disorders, with particular emphasis on Generation Z and Generation Alpha cohorts who are uniquely shaped by pervasive digital exposure, circadian disruption, and contemporary psychosocial stressors. Normal developmental changes in sleep architecture are reviewed to distinguish physiologic variation from pathology. Key sleep disorders including insomnia, circadian rhythm sleep-wake disorders, sleep-disordered breathing, parasomnias, and sleep-related bruxism are discussed.
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9. Sleep Disorders: Management by Alternative Therapies.
9. 睡眠障碍：替代疗法管理PMID:日期:2026-03-06[中文摘要] 睡眠障碍极为普遍，并显著损害身体、认知和心理功能。传统管理策略如药物治疗和失眠认知行为疗法对许多个体有效，但可能受限于副作用、可及性问题、依从性挑战以及患者对非药物选择的偏好。因此，补充与替代医学方法作为管理睡眠障碍的潜在辅助或替代手段日益受到关注。本综述探讨替代疗法在睡眠障碍管理中的作用，包括但不限于正念与冥想、瑜伽与放松技术、音乐疗法、草药补充剂、芳香疗法和催眠。
[英文摘要] Sleep disorders are highly prevalent and significantly impair physical, cognitive, and psychological functioning. Conventional management strategies such as pharmacotherapy and cognitive behavioral therapy for insomnia are effective for many individuals, but may be limited by side effects, accessibility issues, adherence challenges, and patient preference for non-pharmacological options. Consequently, complementary and alternative medicine approaches have gained increasing attention as potential adjuncts or alternatives for managing sleep disturbances. This review examines the role of alternative therapies, including, but not limited to, mindfulness and meditation, yoga and relaxation techniques, music therapy, herbal supplements, aromatherapy, and hypnosis, in the management of sleep disorders.
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10. Sleep Disorders: The Status and Clinical Significance.
PMID:日期:2026-03-06This article presents an overview of sleep as a vital physiologic state that supports homeostasis, cognitive performance, and overall health. It reviews the epidemiology of sleep, emphasizing standard sleep patterns and the population burden of sleep disorders. The article then summarizes the evolution of sleep medicine, from descriptive clinical observation to experimental and electrophysiological research that established the neural basis of sleep. It concludes with an overview of contemporary management of sleep-related breathing disorders and the role of interdisciplinary sleep care.