| 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. |
| 关键词: 入睡和睡眠障碍、诊断、治疗学、综述文献 |
| DOI：10.3724/SP.J.1008.2006.00538 |
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| 基金项目: |
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| Assessment and treatment of chronic insomnia |
| 田海军,黄流清,赵忠新,TIAN Hai-jun,HUANG Liu-qing,ZHAO Zhong-xin |
| () |
| Abstract: |
| Chronic insomnia is a severe disease that seriously influence the human health, and about 10%-15% of the adults suffer from it. No definite conclusion has been made about its etiology up to now, possibly associated with heredity, hormone secretion and living habits. Insomnia not only decreases the patients＇ quality of life,but also adds burden to society, families and individuals. The diagnosis of chronic insomnia should be based on the patients＇ sleep history, medication history, psychiatric history and necessary examinations. International diagnosis criteria should be combined if possible. Presently the treatments for chronic insomnia mainly include the OTC medicine, prescription drugs,self-medication with alcoholic beverage, cognitive behavior therapy, melatonin and some traditional herbal therapies. Limited information is available presently about insomnia and a large amount of laboratory and clinical research need to be done to further understand and solve this public problem |
| Key words: sleep initiation and maintenance disorders diagnosis therapeutics review literature |
