However, due to changes in psychological factors, physical diseases, mental disorders (anxiety, depression and other mental diseases, etc.), drug effects (anti-hypertensive drugs, anti-Parkinsonian drugs, endocrine hormones, anti-inflammatory drugs and bronchodilators, etc.), as well as alcohol and coffee drinks, etc. can cause difficulty in falling asleep, early awakening and Insomnia becomes the main problem of patients; they feel that their sleep quality is not good or their sleep time is too short, and it affects their daytime life, social interaction and work and study, such as easy drowsiness, lack of energy, concentration, memory loss, irritability, headache and dizziness during the day. For patients with insomnia in old age, special attention should be paid to the following aspects: 1. Identify the causes and adopt targeted measures: Once the causes affecting sleep are found, they should be addressed separately. If it is caused by physical disease, and it is impossible to be cured in the short term, at least try to control the symptoms to reduce the impact on sleep; if it is related to a certain therapeutic drug, you can change the variety of drugs or add a small amount of sedative and sleeping drugs; if it is caused by mental illness, the original disease must be treated in order to make sleep improve. 2, guide elderly patients to regulate sleep physiology and develop good habits: human sleep is influenced by sleep/wake rhythm, once the habit is formed, it is easy to make the rhythm of sleep and wake fixed, which is conducive to promoting sleep, so we should develop a system of regular sleep and wake up. You should avoid doing other activities in bed, such as watching TV, talking, eating, reading, considering problems, etc. If you can’t fall asleep quickly after lying in bed, you can get up and move a little, and then go to bed when you feel like sleeping again, in order to make the bed and sleep form a conditional connection. Before going to bed, it is best to make some preparatory activities for sleep, such as brushing your teeth, washing your feet or taking a bath, drinking a hot drink, but avoid being too full, not doing strenuous exercise, and not doing a lot of physical and mental activities before going to sleep. In particular, pay attention to even if the first day did not sleep well, but also to avoid daytime make-up sleep. 3, psychological treatment: psychological factors in the formation of insomnia is closely related to the process, often starting with insomnia for some reason, but later anxiety before going to sleep because of the fear of insomnia, which exacerbates the symptoms of insomnia, resulting in a vicious circle. Therefore, the first thing to do is to eliminate anxiety, learn to relax yourself, build self-confidence, insomnia will eventually recover. 4, drug treatment: must be under the guidance of a physician, the application of drugs to treat insomnia, should pay special attention to drug accumulation effect, but also pay attention to drug interactions and withdrawal reactions of some drug dependence, so to avoid long-term use.