卒中后睡眠障碍(PSSD)是卒中后常见并发症之一，究其病因病机，中医学认为多与五脏气虚、气血两虚、阴阳失调、脾胃不和及痰瘀互结有关，现代医学多认为与发病部位、神经心理因素、神经递质和细胞因子的分泌及社会心理学因素等有关。因其临床表现形式多样，故国内多采用睡眠障碍国际分类诊断标准。在治疗上，西医常选用苯二氮卓受体激动剂，但多有不良反应。中医治疗常选用针灸、中药等不同方法根据不同证型辨证论治，每获良效，且不良反应少，在临床中多有优势。故就PSSD的发病机制、诊断标准及治疗做一阐述。

Post-stroke sleep disorders (PSSD)are common complications after stroke. In view of the pathogenesis, Chinese medicine believes that they are related to deficiency of Qi in five zang organs, deficiency of Qi and blood, imbalance of yin and yang, disharmony between the spleen and stomach, and stagnation of phlegm and blood stasis.Modern medicine believes that they are related to the locations of disease, neuropsychological factors, neurotransmitter and cytokines secretion, as well as social psychological factors and so on.Because of its diverse clinical manifestations, international classification of sleep disovders diagnostic criteria are widely used in China.In treatment, western medicine often uses benzodiazepine receptor agonists, but there are many adverse reactions.Traditional Chinese medicine treatment often selects acupuncture, herbal medicine and other methods according to different types of syndrome, which causes good effects and less adverse reactions, so that ithas many advantages in clinical.This article reviews the pathogenesis, diagnostic criteria and treatment of PSSD.