摘要
失眠症是常见的睡眠障碍,主要表现为入睡困难、睡眠维持困难或早醒,并伴有日间功能损害。自2017年《中国失眠症诊断和治疗指南》出版至今,失眠症的分类和诊断标准有所变更,临床诊疗规范不断更新,失眠症的诊疗指南需要进一步修订和补充以更好地指导临床实践。因此,中国睡眠研究会组织国内相关领域专家遵循临床实践指南制订方法学制订了《失眠症诊断和治疗指南(2025版)》。本指南系统阐述和更新了失眠症的流行病学、病理机制、诊断标准、临床评估、鉴别诊断和治疗方法,并针对女性、老年人、儿童/青少年等特殊人群提出具体建议,最终确定32条推荐意见,为失眠症的临床诊疗提供了系统性循证指导。
Insomnia disorder is a common sleep disturbance,primarily characterized by difficulties in sleep initiation,sleep maintenance,or early morning awakening,accompanied by impaired daytime functioning.Since the publication of the Chinese Guidelines for Diagnosis and Treatment of Insomnia in 2017,classifications and diagnostic criteria for insomnia have evolved,and clinical management protocols have been continuously updated,necessitating guideline revisions to better inform clinical practice.Therefore,the Chinese Sleep Research Society organized domestic experts in relevant fields to develop the Guidelines for the diagnosis and treatment of insomnia disorder(2025 edition)following established clinical practice guideline development methodology.It comprehensively addresses and updates the epidemiology,pathophysiological mechanisms,diagnostic criteria,clinical assessment,differential diagnosis,and treatment approaches for insomnia,with specific recommendations for special populations(women,older adults,children/adolescents).The guideline establishes 32 evidence-informed recommendations to standardize the clinical management of insomnia disorder.
作者
中国睡眠研究会
张斌
Chinese Sleep Research Society;Zhang Bin(不详;Department of Psychiatry(Sleep Medicine Center),Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)
出处
《中华医学杂志》
北大核心
2025年第34期2960-2981,共22页
National Medical Journal of China
基金
国家重点研发计划 (2021YFC2501500)。
关键词
失眠症
诊断
治疗
指南
Insomnia
Diagnosis
Therapy
Guideline
