treatment of sleep problems 睡眠障碍的治疗 - 老年病临床与康复 .ppt

老年人睡眠障碍 哈里森.布鲁姆医学博士 国际老年医学临床教育中心主任 国际长寿中心，纽约 老年睡眠障碍评估和治疗的共识和指南 2007年12月6~7日 “If sleep doesn’t serve an absolutely vital function it is the biggest mistake that evolution has ever made.” 如果睡眠不能完全恢复人体的活力和机能将是极大的错误，而这种错误在不断发生。 Goal Develop consensus guidelines that are practical and relevant to the primary care practitioner in an ambulatory setting. 目标 形成和初级保健医生共识的医疗开发的实用性与基础护理相关的治疗背景 Guidelines Evidence Based Best Practices 指导思想 以实践为依据 Gallup Survey on Sleep and Healthy Aging October, 2005 睡眠和健康的民意调查 2005年10月 Gallup Survey Objective Document older adults’ awareness and attitudes on a range of issues: Knowledge of the importance of sleep Sleep behaviors and coping mechanisms Attitudes toward sleep and aging 民意调查目的 老年人对睡眠问题的意识和态度： 睡眠的重要性 睡眠行为和应对机制 对于睡眠和衰老的态度 Survey Goal Use survey results to help encourage discussion among healthcare professionals about sleep problems within the aging population. 调查目的 通过调查结果鼓励医疗保健专家关注讨论老年人睡眠障碍 Methodology The Gallup Organization interviewed 1,003 Americans 50 years of age and older via random telephone surveys. Results are nationally representative of all adults age 50 and older. 方法学 盖洛普通过电话随机调查了1003位50岁以上的美国老年人 调查结果能够代表美国50岁以上人群的意见 Summary of Findings: Older adults recognize the importance of sleep… 研究结果摘要： 睡眠的重要性 Sleep Patterns One in two (47%) report they are getting less then seven hours a sleep a night One in three (34%) feel they need more sleep than they are currently getting 睡眠模式 二分之一(47%)的老年人一夜睡眠不足7小时 三分之一(34%)的老年人认为他们需要比现在睡眠时间更长的睡眠 Attitudes Toward Sleep 睡眠的态度 45%的人感觉需要比他们年轻时更多的睡眠 24%的人认为睡眠时间超过9个小时是懒惰的表现 Reported use of “sleep aids” One in three (33%) report using at least one “sleep aid” in the past month 18% reported using the respective “sleep aid” every night 辅助睡眠方法的应用 三分之一（33%）的人在过去一个月内至少一次使用过辅助睡眠方法 18%的人每晚使用各种辅助睡眠方法 Respondents reported usage of seven OTC antihistamines or cold meds OTC sleep aids Melatonin Herbal remedies Alcohol Audio tapes Rx meds not prescribed to