北京市基层医疗机构失眠诊治及相关药物使用现状调查OA
Investigation of the diagnosis and treatment of insomnia and the use of related drugs in primary medical institu-tions in Beijing
目的 通过调研北京市基层医疗机构,了解其在失眠诊疗及相关药物临床使用方面的现状.方法 采用问卷调查结合面对面访谈的形式,对北京市16个区的基层医疗机构进行分层随机抽样调查.结果 北京市基层医疗机构在失眠患者的长期管理中发挥重要作用,失眠治疗以中西医结合为主.使用频率最高的3种镇静催眠药依次为:艾司唑仑、佐匹克隆、唑吡坦.当前基层医疗机构存在的主要问题集中于睡眠医学知识培训严重不足,以及镇静催眠药品种受到严格限制.结论 北京市基层医疗机构在失眠患者长期管理中具有重要地位,但由于缺乏规范系统的睡眠医学知识培训,加之镇静催眠药品种与数量受限,导致失眠规范化诊疗面临困境,且镇静催眠药使用存在不规范现象.
Objective To investigate the current status of the diagnosis and treatment of insomnia and the clinical use of related drugs in primary medical institutions in Beijing,China through a survey.Methods A questionnaire survey and face-to-face interviews were used to conduct a stratified random sampling survey in primary medical institutions in 16 districts of Beijing.Results The primary medical institutions in Beijing played an important role in the long-term manage-ment of insomnia patients,and integrated traditional Chinese and Western medicine therapy is the main treatment para-digm for insomnia.The three most frequently used sedative-hypnotic drugs are estazolam,zolpidem tartrate.At present,there are still several issues in primary medical institutions,including a lack of training on sleep medicine and strict re-strictions on the types of sedative-hypnotic drugs.Conclusion Primary medical institutions in Beijing play a significant role in the long-term management of insomnia patients.However,due to a lack of standardized and systematic training on sleep medicine and the limited types and quantities of sedative-hypnotic drugs,there are still difficulties in the standard-ized diagnosis and treatment of insomnia,as well as the presence of non-standardized use of sedative-hypnotic drugs.
于逢春;毕齐;周卫东;王赞;孙绍雄
北京神经内科学会,清华大学附属北京清华长庚医院耳鼻喉科睡眠中心,北京 102218北京神经内科学会,清华大学附属北京清华长庚医院耳鼻喉科睡眠中心,北京 102218应急总医院神经内科,北京 100028吉林大学第一医院神经内科,吉林 长春 130021An-napurna Labs,美国 亚马逊 95014
医药卫生
失眠基层医疗机构镇静催眠药调研
InsomniaPrimary medical institutionsSedative-hypnotic drugsResearch and investigation
《中风与神经疾病杂志》 2026 (4)
291-294,4
北京神经内科学会研究项目(2025-01)
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