中国全科医学杂志http/hcwe.chinagpnet E-mailzzgkyx@chinagp.net.en.1.·指南·共识·绝经相关失眠临床管理中国专家共识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【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，绝经相关失眠将影响女性（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【中图分类号】R711.5【文献标识码】AD0I:10.121145.issn.1007-9572.2023.0192【引用本文】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.[Epub ah如adof print .DOI:10.12114/j.issn.1007-9572.2023.0192.www.chinagp.netClimacteric Health Care Branch of Chinese Preventive Medicine Association,Gynecologic Endocrinology and FertilityProfessional Committees of China Association for Promotion of Health Science and Technology,Professional Committees ofBeijing Association of the Integrating of Traditional and Western Medicine [J].Chinese General Practice,2023.[Epub aheadof print ]Chinese Expert Consensus on Clinical Management of Menopause-related Insomnia Cimacteric health care Branch ofChinese Preventire Medicine Association,Gynecologic Endocrinology and Fertility Professional Committees of China Associationfor Promotion of Health Science and Technology,Professional Committees of Beijing Association of the Integrating of Traditionaland Western MedicineCorresponding author:BAI Wenpei,Department of Gynecology.Beijing Shijitan Hospital,Capital Medical University:E-mail:baiwp@bjsjth.cn[Abstract Menopause-related insomnia is a common symptom of perimenopausal women,which is clinicallycommon but easy to be neglected.Menopause-related insomnia will affect the health of perimenopausal women and even in theold age.There is still a lack of consensus and guidelines on the clinical management of menopause-related insomnia in China.Inorder to standardize the management of menopause-related insomnia and improve the management of menopause-related sleephealth,experts were organized to develop this consensus.The management of menopause-related insomnia mainly includes theestablishment of a multidisciplinary expert team,pharmacological and nonpharmacological management,which is expected toplay a guiding role in the clinical practice.Key words Perimenopause;Menopause;Insomnia;Pharmacotherapy;Non pharmacotherapy;Consensus失眠是睡眠不佳的症状之一。当该症状持续不能且上述症状出现频次>3次/周，持续3个月以上[门缓解时，就发展成一种疾病一失眠症。失眠症是绝经相关失眠是指与绝经相关的、不能归因于其指尽管有足够的睡眠机会和环境，但仍有持续的睡他原因的失眠[2]。绝经相关失眠是常见的（围）绝眠障碍，并伴有可归因于睡眠障碍的日间功能受损，经期症状之一，如果不及时干预，会演变成慢性失眠，导致更多的健康问题和更严重的功能损害，给女性基金项目：国家自然科学基金面上项目(82171635)：北京市(围)绝经期甚至老年期生活造成重大困扰。因此，自然科学基金面上项目(7232091)：北京市医院管理中心临床医学绝经相关失眠管理是（围）绝经期健康管理的重要发展专项经费资助(ZYLX202112):北京市医院管理中心“登峰"计划专项经费资助(DFL20190701】内容之一。特组织相关专家，参考美国睡民医学会、通信作者：白文佩，首都医科大学附属北京世纪坛医院妇科：美国精神医学学会、中华医学会神经病学分会、中国E-mail:baiwp@bisjth.cn本文数字出版日期：2023-04-27睡眠研究会、意大利睡眠医学协会发布的最新绝经相
