Hilty Donald, Young Julie S, Bourgeois James A, Klein Sally, Hardin Kimberly A
Department of Psychiatry and Behavioral Sciences;
Patient Prefer Adherence. 2009 Nov 3;3:9-20. doi: 10.2147/ppa.s2670.
Insomnia is a leading cause of sleep disturbance in primary care practice affecting >30% of people in the United States and can result in psychological and physiological consequences. We aim for a focused discussion of some of the underpinnings of insomnia and practical tips for management (eg, algorithms). A PubMed search was conducted using English language papers between 1997-2007, with the terms "sleep," "insomnia"; "primary care" and "clinics"; "comorbid conditions"; "treatment" and "management." Sleep, psychiatric and medical disorders significantly affect sleep, causing patient suffering, potentially worsening of other disorders and increasing the use of primary care services. We provide an outline for practical assessment and treatment of insomnia in primary care, including the strengths and weaknesses of medications.
失眠是初级医疗实践中睡眠障碍的主要原因，在美国影响超过30%的人群，并可能导致心理和生理后果。我们旨在重点讨论失眠的一些潜在因素以及管理的实用技巧（如算法）。利用1997年至2007年间的英文论文在PubMed上进行了检索，检索词为“睡眠”“失眠”；“初级医疗”和“诊所”；“共病情况”；“治疗”和“管理”。睡眠、精神和医学疾病会显著影响睡眠，导致患者痛苦，可能使其他疾病恶化，并增加初级医疗服务的使用。我们提供了初级医疗中失眠的实用评估和治疗概述，包括药物的优缺点。
