Ferré-Masó Alex, Rodriguez-Ulecia Inmaculada, García-Gurtubay Iñaki
Neurofisiología Clínica, Medicina del sueño, La Rotonda consultas médicas, Barcelona, España.
Neurofisiología Clínica, Unidad del sueño, Complejo Hospitalario de Navarra, Pamplona, Navarra, España.
Aten Primaria. 2020 May;52(5):345-354. doi: 10.1016/j.aprim.2019.11.011. Epub 2020 Mar 3.
The "insomnia complaint" currently has a very high prevalence in the medical consulting room. This assumes that any doctor must have some basic notions of how to approach it. But currently, there are certain aspects that hinder this approach, especially when the "insomnia disorder" needs to be ruled out from the rest of the primary sleep disorders. This article aims to break with the terminological confusion that encompasses the concept of "insomnia", providing the definitions of the most correct terms to use. This will provide us with good tools for the correct collection of information, which will be of great help for the application of a clinical diagnostic algorithm of "Chronic adult Insomnia disorder". This will be able to differentiate it mainly from the rest of primary sleep disorders, and thus, apply a specific treatment, which will resolved on the basis of the "insomnia complaint" by the patient.
“失眠主诉”目前在医疗咨询室中具有很高的患病率。这意味着任何医生都必须对如何处理它有一些基本概念。但目前，存在某些因素阻碍了这种处理方式，尤其是当需要从其他原发性睡眠障碍中排除“失眠症”时。本文旨在打破围绕“失眠”概念的术语混淆，提供最正确术语的定义以供使用。这将为我们提供正确收集信息的良好工具，这对于应用“成人慢性失眠症”的临床诊断算法将有很大帮助。这将能够主要将其与其他原发性睡眠障碍区分开来，从而应用特定的治疗方法，该治疗方法将基于患者的“失眠主诉”来解决。
