麻醉科医师在睡眠医学中的作为

作为人类最重要的生命活动之一,睡眠对人类的身体健康具有至关重要的作用。近年来,随着经济社会的飞速发展,快节奏生活的到来,罹患睡眠障碍的患者越来越多,失眠作为最常见的睡眠障碍之一,其病患率近年来呈明显上升趋势,与此同时,睡眠医学的重要性也日益凸显。我国睡眠医学发展迅速,已经由最初的睡眠实验室发展成为如今拥有5 000多家的睡眠诊疗中心,虽已初具规模,但仍存在诸多问题,如学科整合度不高,对于顽固性失眠缺乏有效治疗方案等。由于医学学科分类越来越细,麻醉科医师目前多专注于事临床麻醉,虽局限于手术室,但在某些疑难杂症的治疗上,麻醉科医师却拥有先天优势,如针对顽固性失眠,麻醉科医师可利用熟练掌握的麻醉技术及麻醉药物帮助患者迅速纠正睡眠债务、斩断恶性循环;此外,由失眠的认知行为疗法、星状神经节阻滞、针灸、麻醉睡眠、康复理疗等多种治疗方案构成的多模式睡眠治疗,为临床上经传统药物治疗效果不佳的失眠患者提供了有效、可靠的选择。在社会飞速发展的新时代,麻醉科医师应当充分利用自身优势,在更广泛的领域有所作为。

Role of anesthesiologists in sleep medicine

Sleep is one of the most essential critical life activities of human beings and plays a vital role in human health. With the rapid development of the economy and society and the fast pace of life, more and more patients suffer from sleep disorders. As the most common sleep disorder, the prevalence of insomnia has increased significantly in recent years, and the importance of sleep medicine has gradually become prominent. Sleep medicine in China has developed rapidly, from the initial sleep laboratory to more than 5 000 sleep diagnosis and treatment centers today. Although it has begun to take shape, there are still such problems, as the low degree of discipline integration and the lack of effective treatment for intractable insomnia etc. With the increasingly detailed classification of medical disciplines, anesthesologists are currently focused on clinical anesthesia. Although limited to the operating room, anesthesiologists have innate advantagesin the treatment of such difficult diseases as of intractable insomnia, anesthesologists can use their skilled anesthesia technology and anesthesia drugs to help patients quickly correct sleep debt and cut off the vicious cycle, besides, multimodal sleep therapy consists of cognitive and behavioral therapy for insomnia, stellate ganglion block, acupuncture, anesthesia sleep, and rehabilitation physiotherapy, which provides an effective and reliable choice for insomnia patients who have poor clinical treatment with traditional drugs. In the new era of rapid social development, anesthesiologists should make full use of their advantages and make a difference in a broader field.