Insomnia you how to do

China's sleep disorders prevalence rate of 42.7 percent, about 300 million middle-aged people suffering from sleep disorders. March 19, the Chinese Medical Association, the Chinese Sleep Research Society organized a forum, Yin Dakui, president of the Chinese Medical Association, the Chinese Academy of Engineering, the Chinese Sleep Research Society Steering Committee chief academic experts Meng Yu Sun, the Beijing Union Medical College Hospital, Professor Li Shunwei , The Beijing Huilongguan Hospital, Professor Chen Yan Fang, Japan Baishou Science Research Institute of China Representative to Germany, attended one. Experts on the treatment of sleep disorders and the rational use of hypnotic issues of the discussion. Sleep is not trivial Reporter: China's concept of people's health, often focus only on diet and exercise, sleep overlooked this important factor, WHO却把"sleep-" as the most important health indicators one of the objective, why » Yin Dakui: WHO definition of health is a four-dimensional standards, including physical health, psychological (mental) health, good ability to adapt to the social and moral health. Here and sleep related to accounting for three, is directly related to physical health and mental health, is indirectly linked to poor social adjustment. For example, the mortality rate caused by traffic accidents in fifth place, and not sleep or eat sleeping pills is one of the reasons leading to the crash. Many children did not sleep seriously, I have to tell you: sleep problems is not an ordinary issue, Do not sleep did not seriously infants. To maintain health, it is important to sleep, can not sleep-induced diseases such as cardio-cerebral vascular diseases, cancer, respiratory diseases, diabetes, etc.. Germany to one: Japan is the same in the past, we believe that insomnia is the ideological problems, lack of energy is. Through more than 10 years of education, we sleep and healthy relations with the new understanding. Sun Yu dream: the health and safety at work of sleep also has a lot. For example, in order to avoid a major accident, the pilot requested the plane opened the night before to ensure that sleep four to six hours. Insomnia is a time of continuing the quality of sleep and / or is not satisfied with the amount of the symptoms. In insomnia patients, the most common chief complaint is difficult to sleep, followed by sleep maintenance difficulties and Zaoxing. Many of these patients is above coexist. We can use instruments to detect sleep, by measuring the quality of sleep (sleep structure) and to various physiological function confirmed, such as the use of the most sleep is more derivative instrument, it can also record in sleep when the brain waves, heart rate , Respiration, oxygen saturation, radio and eye muscle activity data, through the automatic analyzer to measure people's sleep is normal or not normal. The biggest misunderstanding is blind to take medicine Reporter: China's sleep disorder patients are generally taken in the method of treatment » Li Shunwei: These two groups of patients, is part of their choice to take medicine; other part is to choose medical treatment. Choice of medical treatment of these people, most of them because of fear of wearing the label of mental illness, a doctor reluctant to specialist hospitals, but to the general hospital treatment of different sections. This part also facing a lack of standardized treatment. Therefore, China's huge population of sleep disorders, truly regulate the treatment of only a small part, the irrational use is widespread. Chen Yan side: In patients with sleep disorders in the biggest problem is blind medication, sleepless nights would have to eat two and stability, while stability and a kind of drug addiction. To our hospital patients, is basically ill for some time, all have eaten the drug. Some patients have had to rely on drugs or drug resistance. Yin Dakui: sleep disorder patients, we should first analyze the causes and not to use, especially children, and some people suffering from sleep disorders are caused by psychological factors. Physicians should first understand the causes of patients, according to the individual patients choose medication. Certainly have an adverse drug reaction, there is an old saying in China, is the third drug toxicity. For example, belong to the spirit of hypnotic drugs, drugs for mental state of the management is very strict, why do » First of all because of drugs are prescription drugs, is based on prescribing the treatment in patients with the disease and secondly, the spirit of drugs can constitute a restriction on people's behavior; Third, such as hypnotic drugs can have a drug-dependent people. Li Shunwei: I encountered a university student, he told me that three of their insomnia is a painful throughout the Beijing hospital, eating all the sleeping pills are not Guan Shier. I told him to chat about his heart is what let him uncomfortable. Finally, he finally married his girlfriend said, he is not the groom. I say, you open a prescription, he opened a look, there are above four words: "find one!" Is actually told him that you do not have the disease, should not Luanchi sleeping pills! The principle is that doctors can not take medicine not to take medicine, doctors of the current lack of education, one that opened two sleeping on the stability and eat. Doctors must first understand medicine drugs, such as the stability of the onset time, the length of half-life, drugs in the body where decomposition, where metabolism, we must pay attention to the metabolic activity of drugs such as. You open the two stability, and stability of the half-life is 50 hours, the patient the day before Chile Yao, also Hunhunchenchen the next day, how work » Hypnotic drug dependence and also have sleep disorders, most of the drugs involved mainly benzodiazepines (Caozi to early Jiazhuo) category (such as Li Mianning, stability, and stability of clonazepam, Jingan good set, etc.) and barbiturates drugs (Such as pentobarbital, amobarbital, speed can sleep, etc.). As the dose increases, the residual effects of the drug during the day increased, the patient may appear too much sleep, unresponsive, vague language, the evening emotional disturbance or tension, at this time, patients often mistakenly believe that these symptoms are due to insomnia at night Due to treatment everywhere, constantly receiving more hypnotic drug treatment. Such treatment should be developed under the guidance of professional doctors withdrawal plan and treatment measures, must not be drug abuse. Chen Yan Fang: We sleep disorder treatment of the basic principles of treatment, in addition have said the reasons for the determination and psychological treatment, the long-term treatment of chronic insomnia to the method, especially for long-term insomnia, who repeatedly relapse, it will be combined More on preventive measures, the use of drug therapy and behavior intervention. For example, the control method used to stimulate: This is a顺其自然sleep attitude and allow the natural approach of sleep, it is a behavioral therapy. Only in Xiangshui go to bed only when, if go to bed about 20 minutes later can not sleep, we should get out of bed去干some feel dull, Xiangshui again when the time to return to bed. Shorten the time to clear the bed to ensure that the time in bed at least 85 percent for sleep. On drug treatment, the first choice should be faster onset of action, the hypnotic effect a short time, using the lowest effective dose, to reduce the sedation during the day. The current trend is a treatment to reduce the use of benzodiazepines (Caozi to early Jiazhuo) drugs will zaleplon and new drugs such as antidepressants and other new SSRI antidepressants (such as triadimefon, etc.) for Treatment of sleep disorders. Second, benzodiazepines (Caozi to early Jiazhuo) drugs should be short-term application (for drugs not more than four weeks), barbiturates has been basically do not have to. Third, dressing in the process of withdrawal and under the guidance of doctors. Fourth, the administration also must not drink tea, drink coffee, etc. Otherwise, it will increase the danger of drug addiction. Fifth, melatonin, the Chinese name of the United States Melatonin (China's trade names Melatonin, sleep-and so is the main ingredient in melatonin), can be used to sleep rhythm obstacles, including delayed sleep phase, the time difference unusual, shift operations from The sleep disorders, melatonin for the world for the treatment of insomnia did not confirm conclusions. Children should use caution Reporter: Talking about melatonin to note that health care products, health products do not have to doctor prescribing, you can not buy, children can not take it » Yin Dakui: sleep disorders in children, more attention should be paid to security. First of all children because of psychological factors cause sleep disorders in more, families, schools, and social reasons for children to the pressure, so that they sleep well, now the school taking sleeping pills were also very common. I think if need medication, doctors must be under the guidance of medication. Melatonin's main role is to add melatonin, secreted in their own children in general is a lot of melatonin. If you let the children added melatonin to treat insomnia, what consequences it will bring » The result is inhibiting the secretion of its own, may also lead to the shrinkage function, bone, muscle and connective tissue growth and development and offal no good. So far, no one is no side-effects of sleeping pills. The past that no side-effects of Chinese medicine, now we all recognize that the medicine has side effects. Doctor urgent need to re-education Reporter: in the treatment of sleep disorders, our doctors are very important position. How to re-education of doctors? » Yin Dakui: We have to educate doctors, first of all, let them know that the treatment of sleep disorders and medication principles and secondly, to understand the psychological state of patients. Have expertise and experience of doctors will consider the patients with psychological treatment, rather than directly prescribed to patients. Li Shunwei: drug education for doctors is very important, doctors must learn how to correctly use of sleeping pills. Because of sleeping pills on the central nervous system can be inhibited, so the use of such drugs, particularly to be careful. Reporter: foreign companies forecast to sleep drug market in 2008 the sales income will reach 3.26 billion U.S. dollars. China's great market of sleep medicine, the patient is looking forward to the ideal of what kind of drugs » Chen Yan side: the ideal sleep drug should be this: the onset fast, flexible use, side effects, such as small