Martínez-Manzano C, Levario-Carrillo M
Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar 33, Chihuahua.
Gac Med Mex. 1997 Jan-Feb;133(1):3-6.
In order to compare the efficacy of sleep hygiene to the effect of a placebo and to a treatment with benzodiazepines in psychophysiologic insomnia. We performed a clinical assay in 150 patients from a primary care unit in Chihuahua, Chih. Patients were allocated in three groups according to a non-systematic random procedure. Patients from group I received an instructive booklet with 10 recommendations about sleep hygiene, group II received placebo, and group III benzodiazepines. Patients were interviewed three weeks after the maneuver was delivered. The effect of the maneuver was classified as success or failure. In Group I, the result was of 65% success vs 35% failure; in Group II. 50% success vs. 50% failure; and group III, 73% success vs. 23% failure (p = 0.06). In conclusion, all three types of treatment have similar efficacy in the management of insomnia. Sleep hygiene is effective and does not have risk of secondary effects. Thus, we recommend sleep hygiene as the therapy of first choice for insomnia.
为比较睡眠卫生疗法与安慰剂及苯二氮䓬类药物治疗对心理生理性失眠的疗效，我们在奇瓦瓦州奇瓦瓦市一家初级保健机构的150名患者中进行了一项临床试验。根据非系统随机程序将患者分为三组。第一组患者收到一本包含10条睡眠卫生建议的指导手册，第二组患者服用安慰剂，第三组患者服用苯二氮䓬类药物。在采取措施三周后对患者进行访谈。将措施的效果分为成功或失败。第一组中，结果为65%成功，35%失败；第二组中，50%成功，50%失败；第三组中，73%成功，23%失败（p = 0.06）。总之，所有三种治疗方法在失眠管理方面具有相似的疗效。睡眠卫生疗法有效且无副作用风险。因此，我们推荐睡眠卫生疗法作为失眠的首选治疗方法。
