Insomnia symptoms and treatment?

summary

At present, there are limitations in the understanding of insomnia in clinical medicine. However, clinicians have begun to define insomnia according to clinical research. In 2012, the sleep disorders group of Neurology branch of Chinese Medical Association, based on the existing evidence-based medicine, formulated the guidelines for the diagnosis and treatment of insomnia in Chinese adults, Insomnia is a subjective experience that patients are not satisfied with sleep time and (or) quality and affect daytime social function. Insomnia symptoms and treatment? Let's talk about it

Insomnia symptoms and treatment?

Sleep restriction therapy many insomnia patients try to increase the chance of sleep by increasing the time in bed, but it often backfires, and makes the quality of sleep further decline. Sleep restriction therapy can improve sleep efficiency by shortening the awake time in bed and increasing the driving ability to fall asleep. The specific contents of the recommended sleep restriction therapy are as follows (grade II recommendation): ① reduce the bed rest time to make it consistent with the actual sleep time, and only when the sleep efficiency of one week exceeds 85%, the bed rest time of 15-20 minutes can be increased; ② When the sleep efficiency was lower than 80%, 15-20 minutes of bed rest time was reduced, and when the sleep efficiency was between 80% - 85%, the bed rest time remained unchanged; ③ Avoid daytime naps and get up regularly.

Stimulation control therapy stimulation control therapy is a set of behavioral interventions to improve the interaction between sleep environment and sleep tendency (sleepiness). It can restore the function of bed rest as a sleep inducing signal, make patients easy to fall asleep, and reconstruct sleep wake biological rhythm. Stimulation control therapy can be used as an independent intervention (level I recommendation). Specific contents: 1. Go to bed only when you feel sleepy; ② If you can't fall asleep after 20 minutes in bed, you should get up and leave the bedroom, engage in some simple activities, and then return to the bedroom to sleep when you feel sleepy; ③ Don't do activities unrelated to sleep in bed, such as eating, watching TV, listening to the radio and thinking about complex problems; ④ No matter how long the night before sleep, keep a regular time to get up; ⑤ Avoid naps during the day.

Relaxation therapy stress, tension and anxiety are common factors inducing insomnia. Relaxation therapy can alleviate the adverse effects of the above factors, so it is the most commonly used non drug therapy for insomnia. Its purpose is to reduce the alertness when lying in bed and reduce the night awakening. The skill training of reducing arousal and promoting night sleep includes progressive muscle relaxation, instructive imagination and abdominal breathing training. After the relaxation training, the patients should insist on practicing 2-3 times a day. The environment should be clean and quiet. At the beginning, the relaxation training should be carried out under the guidance of professionals. Relaxation therapy can be used as an independent intervention in the treatment of insomnia (grade I recommendation).

matters needing attention

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