Nowadays, there are limitations in the understanding of insomnia in clinical medical science, however, clinical physicians have started to develop “Guidelines for the diagnosis and treatment of insomnia in Chinese adults” based on clinical studies, and in 2012, the Sleep Disorders Group of the Chinese Medical Association’s Neurology Branch developed “Guidelines for the diagnosis and treatment of insomnia in Chinese adults” based on the available evidence-based medical evidence, in which insomnia is a subjective condition in which the patient is not satisfied with the duration and/or quality of sleep and affects daytime social functioning. experience.
I. Diagnostic criteria for insomnia in Chinese adults.
1. difficulty in falling asleep, with sleep duration exceeding 30 minutes.
2. decreased sleep quality, sleep maintenance disorders, ≥2 awakenings throughout the night, early awakenings, decreased sleep quality.
3.Decreased total sleep time, usually less than 6 hours.
2. Concurrent daytime dysfunction on top of the above symptoms. Sleep-related daytime functional impairment includes.
1. fatigue or general malaise.
2. impaired attention, attention maintenance or memory.
3. decreased ability to learn, work, and/or socialize
4. mood swings or irritability.
5. daytime thoughts of sleep.
6. reduced interest and energy.
7. an increased tendency to make mistakes during work or driving
8. tension, headache, dizziness, or other somatic symptoms associated with sleep deprivation.
9, excessive concern about sleep.
Third, insomnia is divided into according to the course of the disease.
1.Acute insomnia, the duration of the disease ≥ 1 month.
2, subacute insomnia, duration of illness ≥ 1 month, < 6 months.
3, chronic insomnia, the duration of ≥ 6 months.
The treatment of insomnia includes pharmacological and non-pharmacological treatments. For patients with acute insomnia, early application of pharmacological treatment is generally recommended, and once insomnia improves patients are not likely to become chronic. However, for patients with subacute or chronic insomnia, pharmacological treatment should be supplemented with psycho-behavioral therapy and physical therapy. Continuous physiotherapy often has an unexpected improvement effect. In the course of treating chronic pain disorders and the accompanying somatic symptoms, the pain department of Gulou Hospital has found that some combination therapies for chronic pain can significantly improve the quality of sleep of patients.