失眠症是一种失眠症
Michael J Sateia1, Peter D Nowell
1Dartmouth Medical School, Dartmouth-Hitchcock Sleep Disorders Center, Lebanon, NH 03756, USA. michael.j.sateia@dartmouth.edu
Lancet (London, England)
|November 30, 2004
概括
有效的失眠管理需要迅速评估和解决潜在的条件. 非药物疗法,如刺激控制,可为条件失眠提供持久改善,而慢性病例的药物作用需要进一步研究.
科学领域:
- 睡眠医学 睡眠医学
- 行为健康 行为健康
背景情况:
- 失眠管理需要医疗保健提供者进行全面评估.
- 识别和治疗并发性疾病 (精神病,医疗,睡眠障碍) 是至关重要的.
研究的目的:
- 概述有效管理失眠的基本步骤.
- 区分失眠的主要和次要原因.
- 评估药理和非药理治疗的作用.
主要方法:
- 审查当前的临床实践和研究证据,以治疗失眠.
- 在初级保健中强调常规睡眠习惯评估.
- 对不同类型的失眠治疗疗效的分析.
主要成果:
- 药物治疗对睡眠测量有短期的好处.
- 非药物干预 (刺激控制,睡眠限制) 对于有条件的失眠是有效的,具有持久的结果.
- 催眠药和镇静性抗抑郁药对慢性失眠的长期疗效需要进一步研究.
结论:
- 关键是综合的方法,包括评估,并发病症的治疗和向治疗.
- 非药理学方法对于解决有条件的失眠至关重要.
- 需要进一步的研究来确定慢性失眠的最佳长期药理策略.
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