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[关于睡眠医学中失眠症的药物治疗和非药物治疗]

[Pharmacological and nonpharmacological treatment of insomnias with regard to sleep medicine].

作者信息

Faludi Béla, Rozgonyi Renáta

机构信息

Pécsi Tudományegyetem, Neurológiai Klinika, Pécs.

出版信息

Ideggyogy Sz. 2018 May 30;71(5-06):149-159. doi: 10.18071/isz.71.0149.

Abstract

Insomnia - one of the most prevalent sleep complain - has a great impact on the everyday life. Basically two different form of insomnia can be defined: the insomnia disorder and the co-morbid insomnias. To treat adequately determination of background pathology is essential, which is based on the help of Sleep Medicine Centers. According to the newest guidelines, the treatment of insomnia disorder is based on cognitive behavioural therapies followed by pharmaceutical intervention. In this review we provide the short description of cognitive behavioural therapies and basic principles of hypnotic drugs. Despite the availability of insomnia guidelines the huge variation of the insomnia medication can be seen in the daily practice. Due to the above mentioned reasons we summarize the good clinical practice of hypnotic drug administration for insomnia patients.

摘要

失眠是最常见的睡眠问题之一,对日常生活有很大影响。基本上可以定义两种不同形式的失眠:失眠症和共病性失眠。为了进行充分治疗,确定背景病理状况至关重要,这需要睡眠医学中心的帮助。根据最新指南,失眠症的治疗基于认知行为疗法,随后是药物干预。在本综述中,我们简要介绍了认知行为疗法和催眠药物的基本原则。尽管有失眠指南,但在日常实践中仍可看到失眠药物的巨大差异。由于上述原因,我们总结了失眠患者催眠药物给药的良好临床实践。

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