慢性失眠的评价和治疗

被引：32

作者：

田海军

黄流清

赵忠新

机构：

[1] 第二军医大学长征医院神经内科

来源：

第二军医大学学报 | 2006年 / 05期

关键词：

入睡和睡眠障碍; 诊断; 治疗学; 综述文献;

D O I：

10.16781/j.0258-879x.2006.05.021

中图分类号：

R740 [];

学科分类号：

1002 ;

摘要：

慢性失眠是一种严重影响人类健康的病症,大约有10%15%的成年人患有慢性失眠。关于慢性失眠病因的研究尚不能得出明确结论,可能与遗传、激素分泌水平以及日常生活习惯有关。失眠不仅可以引起各种并发症,影响患者生活质量,还给社会、家庭和个人带来了一定的经济负担。慢性失眠的诊断应根据患者的睡眠史、用药史、精神疾病史及各种检查结果,有条件时结合国际通用的诊断标准进行评价。目前对于失眠的治疗主要包括非处方药物（OTC）的服用、处方类药物的使用、自服酒精类饮料、认知行为疗法以及褪黑素和一些传统医药疗法。有关慢性失眠的研究资料还比较有限,仍需进行大量的实验室、临床研究工作才能进一步深入了解并解决这一社会公共问题。

引用

页码：538 / 540

页数：3

共 20 条

[1]

The clinical effectivenessof cognitive behaviour therapy for chronic insomnia:imple-mentation and evaluation of a sleep clinic in general medicalpractice. Espie CA,Inglis SJ,Tessier S,et al. Behaviour Research and Therapy . 2001

[2]

An evaluation of the effi-cacy and safety of eszopiclone over 12 months in patients withchronic primary insomnia. Roth T,Walsh JK,Krystal A,et al. Sleep Medicine . 2005

[3]

Family studies ininsomnia. Dauvilliers Y,Morin C,Cervena K,et al. Journal of Psychosomatic Research . 2005

[4]

Current patterns and future directions inthe treatment of insomnia. Winkelman J,Pies R. Annals of Clinical Psychiatry . 2005

[5]

Correlates and consequences of chronic insomnia. Thase ME. General Hospital Psychiatry . 2005

[6]

Chronicbenzodiazepine usage and withdrawal in insomnia patients. Poyares D,Guilleminault C,Ohayon MM,et al. Journal of Psychiatry Research . 2004

[7]

Cognitive behavior therapyfor chronic insomnia occurring within the context of medicaland psychiatric disorders. Smith MT,Huang MI,Manber R. Clinical Psychology Review . 2005

[8]

Cognitive be-havior therapy and pharmacotherapy for insomnia:a random-ized controlled trial and direct comparison. Jacobs GD,Pace-Schott EF,Stickgold R,et al. Archives of Internal Medicine . 2004

[9]

Socioeconomic impact of in-somnia in working populations. Metlaine A,Leger D,Choudat D. Industrial Health . 2005

[10]

Sleep durationand caffeine consumption in a French middle-aged workingpopulation. Sanchez-Ortuno M,Moore N,Taillard J,et al. Sleep Medicine Reviews . 2005

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