Lamy P P
Am Fam Physician. 1984 Aug;30(2):187-91.
Nearly 40 percent of Americans complain about insomnia. Such complaints are even more common among the elderly, possibly because sleep efficiency decreases with age. As a result, the use of hypnotics in this age group is high--sometimes too high. Hypnotics can be addictive, and many have a low therapeutic index. The benzodiazepine agents are safest for use in the elderly. Many elderly patients exhibit a marked increase in sensitivity to these hypnotics.
近40%的美国人抱怨失眠。这类抱怨在老年人中更为常见,可能是因为睡眠效率会随着年龄增长而降低。因此,该年龄组中催眠药的使用比例很高——有时过高。催眠药可能会成瘾,而且许多药物的治疗指数较低。苯二氮䓬类药物对老年人来说使用最为安全。许多老年患者对这些催眠药的敏感性显著增加。