Chinese Expert Consensus on Clinical Management of Menopause-related Insomnia

doi:10.12114/j.issn.1007-9572.2023.0192

Abstract

Abstract:

Menopause-related insomnia is a common symptom of perimenopausal women, which is clinically common but easy to be neglected. Menopause-related insomnia will affect the health of perimenopausal women and even in the old age. There is still a lack of consensus and guidelines on the clinical management of menopause-related insomnia in China. In order to standardize the management of menopause-related insomnia and improve the management of menopause-related sleep health, experts were organized to develop this consensus. The management of menopause-related insomnia mainly includes the establishment of a multidisciplinary expert team, pharmacological and nonpharmacological management, which is expected to play a guiding role in the clinical practice.

Key words: Perimenopause, Menopause, Insomnia, Pharmacotherapy, Non pharmacotherapy, Consensus

摘要：

绝经相关失眠是（围）绝经期女性常见的症状，临床多见却易被忽视，绝经相关失眠会影响女性（围）绝经期甚至老年期的健康水平。国内尚缺乏关于绝经相关失眠临床管理的共识及指南。为规范绝经相关失眠的管理，提高（围）绝经期女性睡眠健康管理水平，组织专家制订本共识。绝经相关失眠管理内容主要包括成立多学科专家团队、药物管理和非药物管理等，希望能对临床实践起到一定的指导作用。

关键词: 围绝经期, 绝经期, 失眠, 药物治疗, 非药物治疗, 共识

Climacteric Health Care Branch of Chinese Preventive Medicine Association,Gynecologic Endocrinology and Fertility Professional Committees of China Association for Promotion of Health Science and Technology,Professional Committees of Beijing Association of the Integrating of Traditional and Western Medicine. Chinese Expert Consensus on Clinical Management of Menopause-related Insomnia[J]. Chinese General Practice, 2023, 26(24): 2951-2958. DOI: 10.12114/j.issn.1007-9572.2023.0192.
中华预防医学会更年期保健分会,中国人体健康科技促进会妇科内分泌和生育力促进专委会,北京中西医结合学会更年期专业委员会. 绝经相关失眠临床管理中国专家共识[J]. 中国全科医学, 2023, 26(24): 2951-2958. DOI: 10.12114/j.issn.1007-9572.2023.0192.

Figures/Tables 4

References 41

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条目	具体内容
A：患者报告，或患者的父母或照顾者观察到以下1条或多条：	（1）入睡困难；（2）难以维持睡眠；（3）醒得比预想的要早；（4）在适当的时间不肯上床睡觉；（5）没有父母或照顾者的干预很难入睡。
B：患者报告，或者患者的父母或照顾者观察到以下1种或多种与夜间睡眠困难有关：	（1）疲劳或萎靡不振；（2）注意力、专注力或记忆力下降；（3）社交、家庭、职业或学业功能受损；（4）情绪紊乱或易激惹；（5）日间瞌睡；（6）行为问题（如活动过度、冲动、攻击性）；（7）动力/精力/工作主动性降低；（8）容易出错/事故；（9）对睡眠的质量非常关切或不满意。
C：报告的睡眠/唤醒主诉不能仅以不合适的睡眠机会（如充足的睡眠时间）或睡眠环境（即环境安全、黑暗、安静和舒适）来解释。
D：睡眠障碍和相关的日间症状每周至少出现3次。
E：睡眠障碍和相关的日间症状已经存在至少3个月。
F：睡眠/觉醒困难不能用另一种睡眠障碍来更好地解释。

条目	具体内容
A：患者报告，或患者的父母或照顾者观察到以下1条或多条：	（1）入睡困难；（2）难以维持睡眠；（3）醒得比预想的要早；（4）在适当的时间不肯上床睡觉；（5）没有父母或照顾者的干预很难入睡。
B：患者报告，或者患者的父母或照顾者观察到以下1种或多种与夜间睡眠困难有关：	（1）疲劳或萎靡不振；（2）注意力、专注力或记忆力下降；（3）社交、家庭、职业或学业功能受损；（4）情绪紊乱或易激惹；（5）日间瞌睡；（6）行为问题（如活动过度、冲动、攻击性）；（7）动力/精力/工作主动性降低；（8）容易出错/事故；（9）对睡眠的质量非常关切或不满意。
C：报告的睡眠/唤醒主诉不能仅以不合适的睡眠机会（如充足的睡眠时间）或睡眠环境（即环境安全、黑暗、安静和舒适）来解释。
D：睡眠障碍和相关的日间症状每周至少出现3次。
E：睡眠障碍和相关的日间症状已经存在至少3个月。
F：睡眠/觉醒困难不能用另一种睡眠障碍来更好地解释。