文档介绍：中医药针灸治疗睡眠障碍的进展河南中医学院第一临床医学院教授河南中医学院第一附属医院脑病科主任李燕梅主任医生TreatmentDevelopmentofSleepingDisorder(SD)byTraditionalChineseHerbalMedicine(TCHM)andAcupuncture(ACU)ProfessorYanmeiLi,,HenanTCMUniversityChiefandSeniorAttendingPhysicianBrainDiseasesTheFirstTeachingHospitalofHenanTCMUniversityZhengzhou,Henan,China睡眠障碍SD一、睡眠生理Physiology二、睡眠障碍的定义及分类-顽固性DefinitionandclassificationofSD,mainlyaboutthechronicaspect三、失眠的定义及分类Definitionandclassificationofinsomnia四、失眠的病因及发病机制Causeandpathogenesisofinsomnia五、失眠的临床表现Symptomsofinsomnia六、失眠的治疗Treatmentofinsomnia七、临床体会ClinicalExperience睡眠Sleep(一)形成Formation1、上行抑制系统Ascendinginhibitorysystem2、丘脑网状核、下丘脑及杏仁簇Reticularofthalamus,plex3、抑制性神经递质Inhibitoryneurotransmitter一、睡眠生理(西医)SleepPhysiology(WesternMedicine)睡眠Sleep(二)position非快速眼动睡眠(NREM)或称慢波睡眠Slowwavesleep80%快速眼动睡眠(REM)或称快波睡眠Fastwavesleep20%一、睡眠生理(西医)SleepPhysiology(WesternMedicine)睡眠Sleep(一)阴阳论Yinyang(二)营卫论Yingwei(三)心神论HeartSpirit/Shen一、睡眠生理(中医)SleepPhysiology(TCM)二、睡眠障碍的定义及分类DefinitionandclassificationofSD(一)定义Definition:睡眠量、质的异常或睡眠时发生某些临床症状如睡眠减少或睡眠过多,睡行症等,其中以失眠症最为常见Abnormalinbothquantity&plaintssuchaslesssleeportoomuchsleep,:附表一、美国睡眠障碍联合会(ASDA)睡眠障碍国际分类(ICSD)2005年PleaseChecktheTablefromASDAICSD2005二、睡眠障碍的定义及分类DefinitionandclassificationofSD定义Definition:分类Classification:入睡困难difficulttofallasleep睡眠维持障碍difficulttomaintainasleep早醒wakingupearly三、失眠的定义及分类DefinitionandClassificationofinsomnia四、失眠的病因及发病机制(西医)Cause&Pathogenesisofinsomnia(ModernWesternMedicine)病因Cause(一)asionally(二)短期失眠Shortterm(三)长期失眠Chronic