Diagnostic and treatment procedure for sleep complaints
Pchelina P.V., Poluektov M.G.
Sechenov University, Moscow
Sleep complaints are common for a wide variety of sleep disorders and require a competent differential diagnostic procedure. Although these complaints are most common in insomnia, the other widespread sleep disorders should be excluded: obstructive sleep apnea syndrome, sleep related movement disorders (restless leg syndrome, periodic limb movement disorder), parasomnias. After the syndrome is identified, its etiology should be specified and etiopathogenetic treatment should be assigned. In the diagnosis of sleep disorders, various questionnaires and scales are widely used: (Insomnia Severity Index, Pittsburgh sleep questionnaire, questionnaire of subjective sleep characteristics, Epworth Sleepiness Scale, sleep apnea screening scale), instrumental methods (polysomnography, cardiorespiratory monitoring, pulse oximetry), analysis of concomitant diseases. The range of treatment options is very broad as well: from psychotherapy at chronic insomnia to laryngeal surgery. The article presents an algorithm for questioning and examining patients with complaints of sleep disorders and therapeutic tactics, including medication and non-drug treatment.
Key words: insomnia, obstructive sleep apnea syndrome, restless legs syndrome, parasomnias, polysomnography, cognitive-behavioral therapy, СPAP-therapy.
For citation: Pchelina P.V., Poluektov M.G. Diagnostic and treatment procedure for sleep complaints // RMJ. Medical Review. 2018. № 4 P. 18–24.
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