Department of Psychology, Queen's University, Kingston, ON, Canada.
Obstet Gynecol Clin North Am. 2009 Dec;36(4):831-46, x-xi. doi: 10.1016/j.ogc.2009.10.004.
This article describes the circumstances under which women may develop insomnia and the various treatment options, including hypnotic medication and nonpharmacologic approaches. The efficacy and safety of these treatments are reviewed. The choice of treatment depends on the nature of the insomnia, the stage of a woman's life, the presence of medical or mental health conditions, the availability of treatments, and personal preference. For immediate, short-term relief of acute insomnia, hypnotic medication, especially the nonbenzodiazepines (zolpidem, zopiclone, eszopiclone) are options. For chronic insomnia, insomnia-specific cognitive and behavioral therapies are generally the interventions of choice.
本文介绍了女性可能出现失眠的情况，以及各种治疗选择，包括催眠药物和非药物方法。本文还回顾了这些治疗方法的疗效和安全性。治疗选择取决于失眠的性质、女性所处的生命阶段、是否存在医疗或心理健康状况、治疗方法的可及性以及个人偏好。对于急性失眠的即刻、短期缓解，催眠药物，特别是非苯二氮䓬类药物（唑吡坦、佐匹克隆、右佐匹克隆）是可选方案。对于慢性失眠，特定于失眠的认知和行为疗法通常是首选干预措施。
