失眠治疗的现在和将来

Insomnia therapy: today and tomorrow Department of Neurology

失眠具有反复发作和慢性化倾向。慢性失眠可导致明显日间功能损害,产生明显痛苦。但目前对慢性失眠缺乏行之有效的治疗方法。目前提倡的方法包括非药物治疗和药物治疗2大类。前者包括认知行为治疗和多数补充和替代治疗方法,但目前开展并非普及。后者为目前国内主流治疗措施,但也存在许多问题。本文综述了失眠治疗的研究进展,重点介绍了目前处理方法所存在的问题以及将来可能的发展方向。

Insomnia is a disorder with the characters of highly recurrent and chronic tendency.Chronic insomnia can lead to the significant impairment of daytime functions and obvious distress.However,the effective and easy methods to treat the chro-nic insomnia are lack.Currently,the proposal therapies include two kinds：non -pharmacotherapy and pharmacotherapy.For the former,there are two kinds of methods,including cognitive -behavioral therapy and most methods of complementary and alterna-tive medicine,with non -universal application for the chronic insomnia.Up date,the later （pharmacologic treatment）is still the mainstream measure for this type of insomnia.However,there are a lot of troubles for using hypnotic medicines,including cogni-tive impairment,addiction,toleration,fall,driving impairment,etc.In this paper,we made a systematic review about the recent lit-eratures for the studies of insomnia treatments,focusing on the existing issues for the current treatments and further direction for development of insomniac treatment strategies.