资讯|论坛|资源|病例

搜索

首页 医学新闻 医学考试 医学进展 诊疗指南 专家课件 医周精选 医学论坛 医学资源 医学会议 培训果

您所在的位置:首页 > 儿科诊疗指南 > 2008AASM成人慢性失眠症评价和治疗指南

2008AASM成人慢性失眠症评价和治疗指南

2014-05-27 16:10阅读: 来源:爱爱医责任编辑:张子玲
[导读] Insomnia is the most prevalent sleep disorder in the general popula-tion, and is commonly encountered in medical practices. Insomnia isdefined as the subjective perception of difficulty with sleep initiation,duration.

    《2008AASM成人慢性失眠症评价和治疗指南》内容简介:

    Insomnia is the most prevalent sleep disorder in the general popula-tion, and is commonly encountered in medical practices. Insomnia isdefined as the subjective perception of difficulty with sleep initiation,duration, consolidation, or quality that occurs despite adequate oppor-tunity for sleep, and that results in some form of daytime impairment.1Insomnia may present with a variety of specific complaints and eti-ologies, making the evaluation and management of chronic insomniademanding on a clinician's time.

    《2008AASM成人慢性失眠症评价和治疗指南》内容预览:

    Regardlessofthetherapytype,primarytreatmentgoalsare:

   
(1)toimprovesleepqualityandquantityand(2)toimproveinsomnia related daytime impairments. (Consensus)v Otherspecificoutcomeindicatorsforsleepgenerallyin-cludemeasuresofwaketimeaftersleeponset(WASO)

    sleeponsetlatency(SOL)numberofawakenings,sleeptimeorsleepefficiency,formationofapositiveandclearassociation between the bed and sleeping, and improve-ment of sleep related psychological distress. (Consensus)v Sleepdiarydatashouldbecollectedpriortoandduringthe course of active treatment and in the case of relapse orreevaluationinthelongterm(every6months)。(Consen-sus)

    In addition to clinical reassessment, repeated administra-tion of questionnaires and survey instruments may be use-ful in assessing outcome and guiding further treatment ef-forts. (Consensus)

    Ideally, regardless of the therapy type, clinical reassess-ment should occur every few weeks and/or monthly untiltheinsomniaappearsstableorresolved,andthenevery6months, as the relapse rate for insomnia is high. (Consen-sus)

    Whenasingletreatmentorcombinationoftreatmentshasbeen ineffective, other behavioral therapies, pharmacologi-cal therapies, combined therapies, or reevaluation for oc-cult comorbid disorders should be considered. (Consen-sus)

    点击下载完整版:《2008AASM成人慢性失眠症评价和治疗指南》


分享到:

资讯排行榜

图片新闻

意见反馈 关于我们 隐私保护 版权声明 友情链接 联系我们

Copyright 2002-2017 Iiyi.Com All Rights Reserved