Chronic insomnia how to treat?

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Patient: description of the disease (time of onset, the main symptoms, hospital etc.): long-term insomnia 93 years incidence has not been go

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Patient: description of the disease (time of onset, the main symptoms, hospital etc.): long-term insomnia 93 years incidence has not been good, eat a variety of insomnia and gloomy medicine began to eat for a period of time have improved, now do not take medicine for a while also can't sleep how to quickly cure me

Department of Neurology, Qilu Hospital, Shandong University, Wang Cuilan: Insomnia (insomnia) is one of the most common sleep disorders. It is a common clinical manifestation of a variety of physical, mental and behavioral disorders. Chronic sleep disorder is one of the most common clinical symptoms and complaints. The current treatment of chronic insomnia are: 1 to arrange the right time, to develop good sleep habits, to eliminate the interference of daytime alertness and nocturnal sleep quality of the day activities. For example: 4~6 hours before bedtime to stop drinking coffee and tea before going to bed and wake up at night; avoid smoking; alcohol can accelerate sleep, but can make people wake up at night before going to bed; proper diet; exercise before sleep 3~4 hours; during sleep as much as possible to avoid noise, light and high temperature. 2 cognitive behavioral therapy, including before they go to sleep in the bed; and the bedroom only for sleep, don't read in bed, watching TV or work; no matter how long sleep at night, early morning should get up on time; during the daytime nap, in order to improve the efficiency of sleep. 3 drug treatment: under the guidance of doctors. In recent years, WHO and many experts at home and abroad have put forward the principle of "taking on demand" and "small dosage interval" in the treatment of insomnia. When mood disorder patients have symptoms of insomnia, tricyclic additive with sedative antidepressants such as doxepin, amitriptyline, clomipramine, etc.; can also be used in small doses of new antipsychotics, such as risperidone, olanzapine etc.. At present, more and more clinicians are using antidepressant drugs in the treatment of non depression insomnia.

 

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