70% of patients with Parkinson’s disease have sleep disorders (including insomnia, allergic sleep and narcolepsy) 1. Insomnia Symptoms: difficulty falling asleep, frequent awakenings, early awakenings. Causes: Parkinson’s disease with anxiety and depression is an important factor leading to difficulty in falling asleep and early awakening. This is followed by increased nocturnal urination, difficulty turning over, painful twitching, and severe tremors that affect sleep quality. Treatment: Regarding anxiety and depressive mood, some patients are caused by poor symptom control, this can be controlled by medication regulation or brain pacemaker surgical treatment, the mood is then relieved and sleep is relieved, the above methods can also improve the sleep problems caused by poor symptom control. Some patients are anxious and depressed, then they can take anti-anxiety and depression medications and take them under the guidance of a doctor to improve their mood. There is another method that can also be tried, namely cognitive behavioral therapy. When the night comes and all is quiet, the patient wants to fall asleep but has difficulty falling asleep late, which can make the patient feel anxious and irritable. Cognitive behavioral therapy is to remind the patient not to force himself to fall asleep as soon as possible, and can maintain an awake state, or practice meditation, engage in imaginative imagery, divert attention from excessive focus on insomnia, keep muscles relaxed, practice Abdominal breathing, breathing in a slower, more relaxed manner. Give up the effort to fall asleep so that you don’t feel anxious and actually fall asleep more easily and stay asleep well. 2, daytime sleepiness Symptoms: daytime sleepiness, about 30% of people with Parkinson’s disease have daytime sleepiness, mostly in the late stages of the disease. Causes: There are many causes of daytime sleepiness in Parkinson’s disease, with drug side effects and nighttime insomnia being the main causes of daytime sleepiness. Treatment: Daytime sleepiness caused by side effects of medications, try not to sleep, if you sleep too much during the day, you will have insomnia at night, and by the next day you will be sleepy during the day, and so on, black and white. During the day, you can chat with people, play games (mahjong, chess), watch TV and other activities to stimulate patients, or drink tea, coffee, etc. Try to wake up, do not want to sleep too much. Secondly, at night, do not drink tea, coffee, alcohol, etc. within a few hours before bedtime, and do not drink a lot of water, because drinking more water may lead to frequent urination at night and affect sleep. 3, heteronormative sleep Symptoms: This heteronormative sleep, also known as rapid eye movement sleep behavior disorder, often manifested as a variety of dream-related rough behavior during sleep, such as punching, kicking, rolling, jumping, screaming and other violent actions, can lead to their own or co-sleeper injury, the patient often complains of nightmares appear. It is most common in elderly patients, and once diagnosed, prompt treatment is required to reduce the patient’s risk of injury. Causes: Research has found that REM sleep behavior disorder is closely associated with co-occurring neurodegenerative diseases. Treatment: There are currently medications available for treatment, melatonin and clonazepam, which are effective in the initial treatment of most patients. 4, restless legs syndrome Symptoms: mainly manifested in the resting state, especially when sleeping, there is an unnameable leg discomfort, and force the limb involuntary movement, this feeling like pulling, tugging, creeping, insect bites, drilling, ants feeling, this hearing, numbness, tremors, heaviness, cramps and swelling, etc., there is this abnormal feeling will make the patient feel restless throughout the body, difficult to sleep. Causes: Most of the causes are unknown, and a few are related to certain diseases such as uremia, iron deficiency anemia, folic acid deficiency, pregnancy, rheumatoid arthritis, Parkinson’s disease, multifocal neuropathy, metabolic diseases Treatment: Bedtime doses of Xanax, Senflor, Tysudar, etc. can be effective, and the dose depends on the severity of the patient’s condition.