Sleep walking (Somnambulism) is a common sleep disorder, commonly known as "sleepwalking". The event usually occurs in the first 1/3 of the main sleep period and refers to walking out of bed that occurs during sleep. Even running out of bed quickly. The activity can terminate on its own, and sleep can continue after the attack.

Patients are usually not easily awakened during an attack, and if awakened, they are in a state of confusion. Appearing to be very confused and confused, with partial or no memory of what happened.

Prevalence

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Current findings suggest that factors that may be associated with sleepwalking include:

Lack of sleep or sleep disorders: sleep deprivation, staying up late for a long time, Bad sleep habits such as repeated jet lag may cause sleepwalking.

Mental factors: high life pressure, emotional depression, post-traumatic stress disorder, panic disorder, Being anxious for a long time or suffering from an anxiety disorder can also increase the risk of developing sleepwalking disorder.

Obstructive sleep apnea: Obstructive sleep apnea that is untreated or newly started on continuous positive airway pressure therapy.

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Neurological disorders: Conditions such as migraine, traumatic brain injury, encephalitis, and epilepsy may cause sleepwalking.

Genetics: Family members of people with sleepwalking are also susceptible to the disease, and research suggests there may be a genetic link. At present, some scholars have proposed the hypothesis of genetic predisposition, and some studies have also identified different genetic loci and inheritance patterns.

There are many triggers for sleepwalking.

Sleep deprivation.

Situational stress.

Use of drugs: sedative-hypnotics, neurosedatives, anxiolytics, central stimulants, Antihistamines, such as zolpidem and other benzodiazepine receptor agonists, lithium preparations, phenothiazines, etc.

Changes in sleeping environment: such as traveling and changing sleeping environment.

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Vigorous physical activity.

Stimulus (such as noise or light).

Traditional Chinese medicine believes that the cause and pathogenesis of sleepwalking are mainly due to exposure to fear and strong mental stimulation...

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Typical symptoms

With sleepwalking, the behavior involved can be routine but occur at the wrong time. However, Inappropriate behaviors more often occur during sleepwalking, such as urinating in trash cans and moving furniture carelessly. Or climb out the window. Patients can move around familiar environments and avoid obstacles or falls.

Adults with sleepwalking disorder, especially men, may engage in violent behavior. The targets of violence are usually unselected; It will be attacked when it attempts to block, control, restrain, guide or awaken a sleep terror patient. Family and friends are no exception. Violence mainly takes the form of defensive attacks, such as pushing, hitting, kicking or throwing objects.

Psychiatry, psychology, and sleep medicine.

·First, the doctor will ask the patient’s medical history in detail, including symptoms during the attack, Frequency, duration of attacks, general health status and medication history, family history, etc.

·Secondly, the doctor will conduct detailed examination through inspection, palpation, percussion and auscultation. Check the patient's various organs and systems to determine the patient's overall health.

·Then, after taking a history and performing a physical examination, the doctor may recommend

Physical examination

special inspection

This disease is associated with sleep terrors, nightmares, and abnormal REM sleep behavior. The diseases have similarities, and doctors will identify them through many aspects.

sleep terror

nightmare

Abnormal REM sleep behavior

Due to large individual differences, there is no absolute best or best medication. The fastest and most effective. In addition to commonly used over-the-counter drugs, it should be taken under the supervision of a doctor. Under guidance, choose the most appropriate drug based on your personal situation.

If drug treatment is used, benzodiazepines (BZRA), Tricyclic antidepressants (TCA), selective serotonin reuptake inhibitors (SSRI). Clonazepam or temazepam is preferred to be taken 1 hour before bed. It should be emphasized that the above-mentioned drugs must be Take it before bed to prevent the onset of slow waves during the first sleep cycle.

Patients with sleepwalking combined with sleep apnea, After effective treatment of apnea, sleepwalking episodes are significantly reduced.

If there are potentially violent or harmful actions, obvious distress to other family members, or excessive daytime Sleepiness or unusual clinical features should be reported to a sleep center for formal evaluation to rule out psychiatric disorders.

The general treatment principle: adjust the yin and yang of the internal organs, soothe the soul, calm the mind and improve the mind.

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Liver stagnation turns into fire

Gastrointestinal disharmony

Phlegm stagnation and heat knot

Blood stasis blocking orifices

Heart, liver and blood deficiency

Heart and spleen deficiency

Heart and kidney deficiency

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massage therapy

·Family members should do a good job in psychological work for the patient and appease the patient’s anxiety and The negative emotions of tension and fear can help them establish a correct understanding of the disease.

·Family members should take protective measures to avoid accidental injuries caused by disease attacks during sleep.

·Supervise patients to develop good lifestyle and sleep habits.

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lifestyle

Emotional Psychology

If sleepwalking occurs less frequently, close observation is enough. If attacks occur frequently, Patients should pay close attention to the frequency, duration and circumstances of disease attacks. And pay attention to observe whether new symptoms appear, and go to the sleep center for diagnosis and treatment in time.

It is recommended that patients live in a room on a low floor and try to close doors and windows to prevent falling. Danger occurs. Patients who suffer from nocturnal wandering during sleep at night should be supported in time as soon as they are discovered. Wake up patients, help avoid danger and prevent accidents.

The following measures can help prevent the onset of sleepwalking:

·Maintain a positive and healthy mental state: correctly understand the disease, release stress reasonably, and avoid anxiety, tension, depression and other emotions.

·Develop good work and rest habits: go to bed and get up on time, avoid staying up late, and ensure adequate sleep.

·Create a good sleeping environment: keep the bedroom clean and quiet.

·Remove bad triggering factors: avoid heavy meals, smoking, drinking alcohol, tea, coffee, etc. before going to bed.