Becker P M, Jamieson A O
Sleep/Wake Disorders Center, Presbyterian Hospital of Dallas, Texas.
Geriatrics. 1992 Mar;47(3):41-2, 45-8, 51-2.
Insomnia and daytime sleepiness in an elderly patient may be a normal consequence of aging, the result of a primary sleep disorder, or an adverse effect of medication or medical illness. Effective management requires a differential diagnosis. Adjustment sleep disorder, primary snoring, inadequate sleep hygiene, and mood disorders are common in the aged. The physician needs to review the patient history, including stressful events, medications, medical illness, and the possible presence of a psychiatric disorder. Treatment often involves behavioral changes and conservative use of medications, including antidepressants or benzodiazepines.
老年患者的失眠和日间嗜睡可能是衰老的正常结果、原发性睡眠障碍的结果，或者是药物或疾病的不良反应。有效的管理需要进行鉴别诊断。适应性睡眠障碍、原发性打鼾、睡眠卫生不足和情绪障碍在老年人中很常见。医生需要回顾患者的病史，包括应激事件、药物、疾病以及可能存在的精神障碍。治疗通常包括行为改变和谨慎使用药物，包括抗抑郁药或苯二氮䓬类药物。
