Sleepiness in insomnia: evaluation and treatment.
Sleepiness in insomnia: evaluation and treatment.
复制标题
失眠中的嗜睡：评估和治疗。
作者：
Seidel,WF;Dement,WC
本文收集了50例年轻失眠症患者（20例男性，平均年龄43.6岁，30例女性，平均年龄45.3岁）、25例老年失眠症患者（8例男性，平均年龄68.6岁，17例女性，平均年龄69.9岁）和12例无症状睡眠者（6例男性，平均年龄22.8岁，6例女性，平均年龄27.3岁）的数据。失眠症患者抱怨长期睡眠紊乱以及白天功能受损。通常，Ss在实验室睡了1-3晚，并在白天测试前服用苯二氮卓类药物或安慰剂。白天测试包括在一天中不同时间间隔的性能测试和多次睡眠延迟测试。结果显示，29%的失眠症患者白天很少或根本没有睡意，而8名失眠症患者的睡意是病态的。抱怨困倦的学生和不抱怨困倦的学生的睡眠参数有相当大的重叠。使用各种苯二氮卓类药物的实验结果表明，半衰期较长的药物在第二天的镇静作用更强。（31 ref）（PsycINFO Database Record (c) 2017 APA，版权所有）
Presents data gathered over 5 yrs on 50 younger insomniacs (20 men with a mean age of 43.6 yrs and 30 women with a mean age of 45.3 yrs), 25 older insomniacs (8 men with a mean age of 68.6 yrs and 17 women with a mean age of 69.9 yrs), and 12 noncomplaining sleepers (6 men with a mean age of 22.8 yrs and 6 women with a mean age of 27.3 yrs). Insomniacs complained of chronically disturbed sleep as well as impaired daytime functioning. Typically, Ss slept in the laboratory 1–3 nights and were administered benzodiazepines or placebo before daytime testing. Daytime testing consisted of performance testing at various intervals throughout the day and the Multiple Sleep Latency Test. Results show that 29% of insomniacs had little or no daytime drowsiness, while 8 insomniacs evidenced sleepiness that was pathological. There was considerable overlap between the sleep parameters of Ss who complained of sleepiness and those of noncomplainers. Results of experiments in which various benzodiazepines were used indicate that drugs with a longer half-life carried over greater sedative effects into the next day.(31 ref)(PsycINFO Database Record (c) 2017 APA, all rights reserved)