Partinen Markku, Huutoniemi Anne, Kajaste Soili, Lagerstedt Rea, Markkula Juha, Mäkinen Erkki, Paakkari Ilari, Partonen Timo, Polo Päivi, Saarenpää-Heikkilä Outi, Seppälä Maaria, Kukkonen-Harjula Katriina, Tuunainen Arja
Duodecim. 2016;132(3):277-8.
Insomnia symptoms must be differentiated from insomnia disorder. The correct aiagnosis or insomnia aisoraer is important, as insomnia may also be a symptom of many other diseases. Cognitive behavioral methods are recommended as first-line treatment options. Treatment of acute insomnia with hypnotics should not exceed two weeks. In elderly persons adverse effects of hypnotics may exceed their beneficial effects in long-term use. Antidepressive medications acting on the histamine-1 system may be used in very small doses. The new guideline includes e.g. insomnia in pregnant and menopausal women and in cancer patients, and driving issues.
失眠症状必须与失眠障碍相区分。正确诊断失眠障碍很重要,因为失眠也可能是许多其他疾病的症状。推荐认知行为方法作为一线治疗选择。使用催眠药治疗急性失眠不应超过两周。对于老年人,长期使用催眠药的不良反应可能超过其益处。作用于组胺-1系统的抗抑郁药物可小剂量使用。新指南涵盖了例如孕妇、更年期女性和癌症患者的失眠以及驾驶问题。