失眠症是一种难治性疾病,其治疗主要分为药物治疗和非药物治疗两大类.通过对近年失眠症治疗相关文献的整理研究表明,失眠症西药治疗主要有苯二氮卓类药物、非苯二氮卓类药物、褪黑色素类药物及抗抑郁药物等,中药治疗包含辨证论治、专方治疗及采用单味中药制剂治疗.针灸推拿治疗、认知行为与物理、音乐治疗等非药物疗法亦取得一定的进展.西药治疗见效快,催眠效果明显,但长期服用有一定副作用.中药治疗灵活,疗效明确、稳定,能调节患者负面情绪,但临床治疗中对患者体质、个性方面关注少,中医治疗的辨证分型及疗效标准不完全统一.非药物疗法具有较好的研究前景.多种治疗手段联合应用治疗失眠症有待进一步探讨研究.%Insomnia is a refractory disease. Its treating includes medication and non-medicine therapy. By analyzing the research literature in recent years, we found that all these medicines contain benzodiazepines, non-benzodiazepine melatonin, antidepressant drugs and Chinese medical treatments.Chinese medical treatments include treatment based on syndrome differentiation, special prescription and single drug. Meanwhile non-medicine therapy, such as acupuncture, moxibustion, massage, cognitive behavior -therapy, naturopathy and musical treatment have made some progress. The western drugs have quick and significant effects but it also has side-effects after long-term use. Chinese medicine is flexible in treatment, and it not only has specific stable effects, but also could regulate the negative emotions of the patients. The deficiencies of Chinese medicine are that little attention is paid to patients'physique and personality, the differentiation of symptoms and signs and treating criterions are not standardized. The nonmedicine therapy has a bright future in treating insomnia. The combined therapy needs to be further studied.
展开▼
