失眠症(insomnia)PPT英文版

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Insomnia(失眠症)Insomniareferstolackofsleeporpoorqualityofsleep,whichcausesfatigue(疲劳)ordiscomfort,suchasinattention,weakness,pooralertness,lowspirit,headacheandtension.Thepathology(病理)ofinsomniaInsomniadiseasemainlyontheheart,andinvolveinliver(肝),spleen(脾)andkidney(肾).Thebody'sviscerafunctionrunsnormally,ourbodythenrunswell,asaresult,oursleepwillbenormal.Conversely,itwillappearasleepdisorder.Theetiology(病因)ofinsomnia1.Environmentalcause:thesuddenchangeofsleepenvironment;2.Lifestyle:badlivinghabits,suchasdrinkingtea,coffeeoralcoholbeforesleep;3.Emotionalstate:extraordinaryexcitingorsad,ornervous,angry,depressed;4.Healthcondition:likephysicaldiscomfort,sickness;5.Withdrawalreactionofsleepingpillsandalcoholic;6.Drugs:likeanti-cancerdrugs,antiepilepticdrugs(抗癫痫药),thyroidpreparations(甲状腺制剂),centralstimulant(中枢性兴奋剂)andsoon.Clinicalmanifestationsofinsomnia失眠症的临床表现1.Havingdifficultyfallingasleep;2.Havingnoaccesstoheavysleep;3.Wakingupearlyandhavingtroublefallingasleepagain;4.Wakingupfromnightmaresagainandagain,andfeelingallnightinnightmares;5.Stilltiredaftersleep.Consequenceofinsomnia1,amnesia(健忘):meansbeforgetful;2,accelerationofforgettingrate;3,feelinglistless(无精打采的);4,beingabsent-minded.Thetreatmentofinsomnia1.Musclerelaxationtherapy(肌肉松弛治疗)2.Hypnotism(催眠术)3.Psychologicalsuggestion(心理暗示法):languagesuggestion,Scenariosuggestion,conditionsuggestion4.BehaviorTherapy(行为疗法):dosomerelationtrainingDrugsforthetreatmentofinsomnia1.benzodiazepines(苯二氮卓类药物)1)Long-acting:clonazepam(氯硝安定),estazolam(舒乐安定),Lorac(罗拉),diazepam(安定)2)intermediate-acting:Alprazolam(佳乐定)3)Short-termeffect:triazolam(三唑仑)Therapeuticmechanism:anxiolytic(抗焦虑作用),SedativeandHypnoticEffects(镇静催眠作用)2.nonbenzodiazepines(非苯二氮卓类药物):Stilnox(思诺思)3.tricyclicantidepressants(三环类药物):amitriptyline(阿米替林),Doxepin(多虑平)Therapeuticmechanism:blockupHistamineReceptors(组胺受体)andpossessthesedative(镇静)effects.Thepreventionofinsomnia1)keepthefeetwarm;2)Donotopenthewindowwhilesleeping;3)Don’tmakecleaningbeforesleep;4)Donotputflowersinbedroomexcepttulip(郁金香);5)Removeformaldressandornaments;6)Makethebedcomfortable;7)Exerciseregularly;……

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