矛盾性失眠

Paradoxical Insomnia

失眠是指患者对睡眠时间和/或睡眠质量不满足,且影响日间社会功能的一种主观体验。2014年睡眠障碍国际分类第3版(ICSD-3)将失眠分为慢性失眠、短期失眠及其他类型失眠共三大类,其中矛盾性失眠是慢性睡眠障碍的一个亚型,以主诉夜间睡眠障碍严重与客观检查结果明显不符为主要临床特征。本研究对矛盾性失眠的流行病学、发病机制、辅助检查、临床表现、诊断及治疗进行综述,旨在提高临床医生对该类疾病的认识。

Insomnia refers to patients being not satisfied with sleep time and/or sleep quality,and it is subjective perception which influences patients＇ daily social function. 2014 International Classification of Sleep Disorders- the Third Edition（ ICSD- 3） divided insomnia into three diagnostic categories： chronic insomnia disorder,short- term insomnia disorder,and other types of insomnia disorder. Paradoxical insomnia is a subtype of chronic sleep disorder,which has a marked discrepancy between the subjective perception of sleep and objective measurement of sleep. We made a review of the epidemiology,pathogenesis,auxiliary examination,clinical manifestation,diagnosis and treatment of paradoxical insomnia. The study aims to improve the understanding of clinical doctors of this disease.