Schmitt L, Dessibourg C, Raynaud J P
Service universitaire de psychiatrie et de psychologie médicale, Toulouse.
Rev Prat. 1994 Jun 1;44(11):1436-8.
Insomnia dominates the sleep disorders of the elderly. Sleep apnea, the restless legs syndrome and nocturnal agitation represent other facets. After eliminating the possibility of painful or degenerative organic disease, iatrogenic cause and mode of life, other symptoms should be sought, namely mental and personality-related. Investigation requires polysomnogram recording, supported by careful history-taking, including objective and subjective factors. Treatment includes notions of diet, biological rhythm and desynchronisation. It should take into consideration the deleterious effects of prolonged use of certain psychotherapeutic agents.
失眠在老年人睡眠障碍中占主导地位。睡眠呼吸暂停、不宁腿综合征和夜间烦躁是其他方面的表现。排除疼痛性或退行性器质性疾病、医源性原因和生活方式等可能性后，应寻找其他症状，即与精神和性格相关的症状。调查需要进行多导睡眠图记录，并辅以详细的病史采集，包括客观和主观因素。治疗包括饮食、生物节律和去同步化等概念。应考虑长期使用某些心理治疗药物的有害影响。
