Riemann D
Abteilung für Psychiatrie und Psychotherapie der Universitätsklinik Freiburg.
MMW Fortschr Med. 2005 May 17;147 Spec No 2:7-11.
Sleep disorders could be the symptoms of organic or non-organic conditions. The diagnostics comprises a detailed medical history of the patient complemented by a sleep diary, as well as organic medical and psychological/psychiatric examinations. For drug therapy benzodiazepine, antidepressants, neuroleptics, antihistamines, plant-based preparations and natural sleep-inducing substances such as L-tryptophan or melatonin are used. Nondrug strategies include sleep hygiene, stimulus control, sleep restriction and cognitive techniques. For sleep disturbances due to a psychological or organic disease, the primary condition must be treated.
睡眠障碍可能是器质性或非器质性病症的症状。诊断包括详细的患者病史,并辅以睡眠日记,以及进行器质性医学和心理/精神科检查。药物治疗方面,使用苯二氮䓬类药物、抗抑郁药、抗精神病药、抗组胺药、植物制剂以及天然助眠物质,如L-色氨酸或褪黑素。非药物策略包括睡眠卫生、刺激控制、睡眠限制和认知技巧。对于由心理或器质性疾病引起的睡眠障碍,必须治疗原发性疾病。