intractable insomnia
Introduction
Introduction As a symptom, insomnia is quite common. Chinese scholars speculate that the incidence rate in the population is 10% to 20%. In the classification of insomnia, intractable insomnia is a common disease, and its treatment is more difficult than secondary insomnia. Intractable insomnia is often caused by psychological factors. The main clinical manifestations are difficulty falling asleep and difficulty in maintaining sleep. Daytime fatigue, the more you want to fall asleep at night, the more difficult it is to fall asleep, aggravating psychological conflicts, causing nervous anxiety, emotional instability, excessive worry, and conscious Pain causes insomnia and creates a vicious circle.
Cause
Cause
The cause of intractable insomnia is that refractory insomnia is often caused by psychological factors. 97% of intractable insomnia is anxiety insomnia and depressive insomnia. Anxiety is often the first cause of men's insomnia; depression is often the first cause of women's insomnia. Men's anxiety mainly comes from career, responsibility and competitive pressure; women's depression often occurs in adolescence, maternity and menopause.
Examine
an examination
Related inspection
Trace element examination in human body for routine blood polysomnography
Diagnosis of intractable insomnia:
The main clinical manifestations are difficulty falling asleep and difficulty in maintaining sleep, feeling of fatigue during the day, and the more you want to fall asleep at night, the more difficult it is to fall asleep, aggravating psychological conflicts, causing nervous anxiety, emotional instability, excessive worry, and conscious pain leading to insomnia, forming a vicious circle.
Diagnosis
Differential diagnosis
Differential diagnosis of intractable insomnia:
1) Secondary insomnia. Common causes of secondary insomnia are as follows: 1 any physical disease affecting the central nervous system; 2 physical pain or discomfort, such as itching or pain of skin diseases, cancer pain, etc., often cause insomnia; 3 wine Insomnia caused by coffee, vegetables or drugs; 4 mental disorders. Most people with mental disorders have symptoms of insomnia, especially in patients with anxiety and depression. As long as the clinical manifestations (including medical history, physical examination, and various examination results) are sufficient to diagnose one of the above diseases, the diagnosis of primary insomnia is not considered.
2) Other sleep disorders, such as night terrors, nightmares, patients may have insomnia, if there is a typical night terror and nightmare symptoms, do not consider insomnia.
3) transient insomnia disorder. This is common in daily life, without any treatment, the body can do natural adjustment, so the lack of disease does not diagnose insomnia.
Diagnosis: The main clinical manifestations are difficulty falling asleep and difficulty in maintaining sleep, feeling of fatigue during the day, the more you want to fall asleep at night, the more difficult it is to fall asleep, aggravating psychological conflicts, causing nervous anxiety, emotional instability, excessive worry, and conscious pain leading to insomnia and malignancy. cycle.
