主客观结合的失眠日间功能障碍多维评价研究进展
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R740

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北京市自然科学基金资助项目(No.7232289); 首都卫生发展科研专项项目(2024-3-7039); 北京中医药大学揭榜挂帅项目(2023-JYB-JBZD-001);


Research advances in multidimensional assessment of daytime dysfunction in insomnia using integrated subjective and objective approaches
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    摘要:

    日间功能障碍是失眠症诊断的核心要素,日间过度嗜睡、疲劳、情绪异常等也是失眠人群的典型症状表现,给患者和社会都造成了巨大的经济负担和安全危害。数千年前《黄帝内经》就提出了“昼精夜暝”的理论,现代医学也认为人体具有以睡眠-觉醒周期为核心的昼夜节律活动。随着经济社会的迅猛发展,倒班制、轮班制等工作的盛行使昼夜节律失调的人群越来越多,现代医学也更加重视失眠导致的日间功能障碍,强调失眠的诊疗应关注患者日间状态和生活质量,这与《黄帝内经》中“昼精夜暝”理论不谋而合。目前临床对于失眠日间功能障碍评价手段多样,但缺乏系统规范地应用。本综述基于主客观量化模型,对失眠日间功能的多维评估手段进行系统梳理,并深度探析和总结不同的失眠人群日间功能的评价方法,旨在探讨不同评价标准的适用人群和应用场景,这对推进日间功能障碍在失眠临床诊疗中的研究具有重要的意义。

    Abstract:

    Daytime dysfunction is a core element in the diagnosis of insomnia. Excessive daytime sleepiness, fatigue, emotional disturbances and other manifestations are typical symptoms among individuals with insomnia, imposing substantial economic burdens and safety hazards on both patients and society. Thousands of years ago, Huangdi Neijing (The Yellow Emperor's Internal Classic) put forward the theory of "being Energetic in Daytime and Sleeping at Night" (zhou jing ye ming), aligning with modern medicine's recognition of circadian rhythm regulation centered on the sleep-wake cycle. With the rapid development of the economy and society, the prevalence of shift work and rotating work schedules has led to a growing population with circadian rhythm disorders. Modern medicine has consequently attached greater importance to insomnia-induced daytime dysfunction, emphasizing that the diagnosis and treatment of insomnia should focus on patients' daytime functioning and quality of life—a view that aligns well with the "vigorous during the day and tranquil at night" theory in Huangdi Neijing. Currently, a variety of assessment tools are available for the clinical evaluation of daytime dysfunction in insomnia, yet their application lacks systematic standardization. Based on subjective and objective quantitative models, this paper systematically reviews multidimensional assessment instruments for diurnal function in insomnia, and conducts an in-depth analysis and summary of evaluation methods applicable to different populations with insomnia. It aims to explore the target populations and application scenarios of different assessment criteria, which is of great significance for advancing research on daytime dysfunction in the clinical diagnosis and treatment of insomnia.

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扈琨;贺婕;宋才佳;张诗艺;夏语;李亚萤;张骋宇;田钰;萧子衿;王喆;冯鑫玉;李峰;.主客观结合的失眠日间功能障碍多维评价研究进展[J].川北医学院学报,2026,41(9):1147-1152.

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  • 在线发布日期: 2026-10-09
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