Smith Emily, Narang Puneet, Enja Manasa, Lippmann Steven
Department of Family Medicine, North Memorial Hospital, University of Minnesota, Minneapolis.
University of Minnesota and Regions Hospital, Minneapolis-St Paul.
Prim Care Companion CNS Disord. 2016 Mar 17;18(2). doi: 10.4088/PCC.16br01930. eCollection 2016.
Pharmacotherapy for insomnia in primary care settings can be challenging. Frequently, there are multiple coexisting medical and psychiatric conditions, drug interactions, concern regarding use of habit-forming sleep aids, and paucity of time in office visits to discuss management of sleep difficulties. This article reports the results of a literature search related to pharmacotherapy for insomnia and presents 4 clinical vignettes with corresponding treatment options.
在基层医疗环境中，失眠的药物治疗可能具有挑战性。通常会存在多种并存的医学和精神疾病、药物相互作用、对使用成瘾性助眠药物的担忧，以及门诊就诊时用于讨论睡眠问题管理的时间有限。本文报告了一项与失眠药物治疗相关的文献检索结果，并呈现了4个临床案例及相应的治疗方案。
