中国成人失眠诊断与治疗指引解读.pdf

中国现代神经疾病杂志2013 年5 月第13卷第5 期 Chin J Contemp Neurol Neurosurg, May 2013, Vol. 13, No. 5 · 363 · ·标准与指南· 《中国成人失眠诊断与治疗指南》解读 张鹏 赵忠新 【摘要】 为规范我国成人失眠的诊断与治疗，中华医学会神经病学分会睡眠障碍学组邀请相关专 家经多次研讨，最终形成《中国成人失眠诊断与治疗指南》（《指南》）。该《指南》既遵循循证医学原则，又 兼顾我国国情，可以作为一部实用性和权威性兼具的临床失眠诊断与治疗范本供临床医师参考。本文 将就《指南》制定过程中囿于篇幅限制未尽事宜和一些可能存在分歧的问题进行解释和说明。 【关键词】 入睡和睡眠障碍； 指南； 成年人； 中国 Interpretation of Guidelines for the diagnosis and treatment of adult insomnia in China 1 2 ZHANG Peng , ZHAO Zhong⁃xin 1DepartmentofNeurology,No. 91HospitalofChinesePLA,Jiaozuo 454003,Henan,China 2Department of Neurology, Changzheng Hospital, the Second Military Medical University of Chinese PLA, Shanghai 200003,China Correspondingauthor:ZHAOZhong⁃xin(Email:zhaozx@) 【Abstract】 In order to standardize the diagnosis and treatment of adult insomnia in China, the sleep disorder study group of Chinese Medical Association Neuropathy Branch invited experts to discuss the issue repeatedly and compile the Guidelines for the diagnosis and treatment of adult insomnia in China. The guideline was written on the basis of the principle of evidence⁃based medicine and also in consideration of our national conditions. It can be used as a practical and authoritative model of clinical diagnosis and treatment of insomnia for clinicians to refer. This article will illustrate some unstated problems due to space limitation and some differences of opinion that may exist in the guideline. 【Keywords】 Sleep initiation and maintenance disorders; Guidebooks; Adult; China 为规范我国成人失眠的诊断与治疗，中华医学 眠诊断和治疗相关的循证资料进行了回溯分析。 会神经病学分会睡眠障碍学组邀请相关专家经多 因此在《指南》制定过程中，参编专家在原有循证资 次研讨，最终形成《中国成人失眠诊断与治疗指南》 料的基础上主要考证和补充了2004-2011 年公开发 （以下简称《指南》），并刊登于《中华神经科杂志》 表的循证医学证据，主要来源于PubMed 数据库，同 2012 年第45 卷第7 期。《指南》既遵循循证医学原