medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2018-18-30-33medsovet-2790Research ArticleНЕРВНО-ПСИХИЧЕСКИЕ РАССТРОЙСТВАNEUROPSYCHIATRIC DISORDERSВлияние нарушений сна на здоровье и возможности их коррекцииThe effect of sleep disorders on health and the possibility of correction of sleep disordersЦентерадзеС. Л.TsenteradzeS. L.

Центерадзе Серго Леванович – врач отделения медицины сна УКБ №3 Сеченовского университета

ПолуэктовМ. Г.PoluektovM. G.

Полуэктов Михаил Гурьевич – доцент, кандидат медицинских наук, доцент кафедры нервных болезней и нейрохирургии Первого МГМУ им. И.М. Сеченова, заведующий отделением медицины сна университетской клинической больницы №3

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский университет)РоссияSechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)Russian Federation2018161120180183033Copyright © Центерадзе С.Л., Полуэктов М.Г., 20182018Центерадзе С.Л., Полуэктов М.Г.Tsenteradze S.L., Poluektov M.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/2790

Лечение инсомнии представляет собой важную медико-социальную проблему в связи с широкой распространенностью и выраженным отрицательным влиянием на здоровье человека. В развитии инсомнии важную роль играет состояние хронической церебральной гиперактивации, имеющее когнитивные, электрофизиологические и метаболические проявления. Доказано, что расстройства сна – фактор риска развития артериальной гипертензии, метаболического синдрома, расстройства иммунитета и когнитивной сферы. В лечении инсомнии используют нелекарственные и лекарственные средства. В качестве психотерапии эффективна когнитивно-поведенческая терапия. Из лекарственных препаратов для лечения хронической инсомнии наиболее часто применяют небензодиазепиновые агонисты ГАМК-рецепторов, а при острой инсомнии – блокаторы гистаминовых рецепторов.

Treatment of insomnia is an important medical and social problem due to its widespread prevalence and significant negative impact on human health. The state of chronic cerebral hyper-activation, which has cognitive, electrophysiological and metabolic manifestations, plays an important role in the development of insomnia. The sleep disorder has been proven to be a risk factor for the development of arterial hypertension, metabolic syndrome, immunodeficiency disorder and cognitive impairment. Nonmedicinal and medicinal products are used to treat insomnia. Cognitive-behavioural therapy may be effective as a psychotherapy.  Non-benzodiazepine GABA-receptors agonists are most often used to treat chronic insomnia and histamine receptor blockers to treat acute insomnia among the other drugs of this group.

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The authors declare that there are no conflicts of interest present.