Sleeplessness caused by short sleep time in the elderly
summary: the patient had insomnia 5 years ago, accompanied by obvious depression, diagnosed as.Quot; depression.Quot; after systematic treatment, emotion and energy were improved, but sleep time could not be restored to normal. In recent 3 years, sleep time is usually 3~4 hours, and almost all sedative hypnotics have been taken, but the sleeping time has not been prolonged significantly.
male elderly, 61 years old, complained of short sleep duration and short sleep time. The patient complained of a short sleep duration. The age of
5 years ago, patients with insomnia, accompanied by significant depression, were diagnosed as.Quot; depression.Quot; after systematic treatment, emotion and energy were improved, but sleep time could not be restored to normal. In recent 3 years, sleep time is usually 3~4 hours, and almost all sedative hypnotics have been taken, but the sleeping time has not been prolonged significantly. Patients with
had no physical sleep and no sensation of lack of sleep after awakening. The mood was stable during the day, without obvious sleepiness and fatigue. Her grandmother died at the age of 97, and her sleep time was shorter. Her father was 91 years old and slept 5 hours a day.
evaluation: the individual difference in sleep time
although the patient has a short sleep time complaint, it does not fully meet the diagnostic requirements of insomnia.
for patients who complain of insomnia, doctors should not only inquire about the length of sleep in detail, but also pay attention to whether the patients feel awake, fatigue relieved, and how their mood and working life are in the daytime after the end of sleep. If the patient has no obvious sleep deprivation and no obvious abnormal or painful day state, it is not suitable to diagnose insomnia. It is not suitable to prescribe sedative hypnotics and should take active treatment in time.