Место физиотерапии в немедикаментозном лечении инсомнии: современные представления. (Обзор литературы)

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В научной среде все больше появляется информации о влиянии расстройств сна на течение сердечно-сосудистых, эндокринных, неврологических заболеваний и даже заболеваний мочеполовой сферы. По этой причине лечению инсомний уделяется все больше внимания. В клинических рекомендациях разных стран предусмотрено медикаментозное и немедикаментозное лечение этой патологии. Прием снотворных препаратов связан с рядом проблем, а когнитивная терапия, стоящая на первом месте среди немедикаментозных методов лечения инсомнии, у 1/3 пациентов неэффективна. Современная физиотерапия предлагает большой выбор методов с высоким уровнем доказательности. Представленная статья подготовлена на основе систематических обзоров исследований, в которых физиотерапия использовалась как немедикаментозный метод лечения инсомнии. Научный поиск был выполнен в базах данных MedLine ALL, PubMed, Embase и PsycINFO с момента их создания до 30 мая 2024 г. Результаты поиска были переведены соответствующим образом на русский язык и адаптированы к нашим условиям оценки. Показано, что многие зарубежные методики соответствуют российским разработкам и даже уступают им по некоторым характеристикам, однако нехватка доказательной базы часто не дает возможность упоминать их как методы с доказанной эффективностью.

Ключевые слова:

физиотерапия инсомнии

расстройства сна

немедикаментозная терапия инсомнии

Авторы:

Кирюхин О.Л.

ФГБОУ ВО «Рязанский государственный медицинский университет им. акад. И.П. Павлова» Минздрава России

SPIN РИНЦ: 4528-9553
ORCID: 0009-0005-2624-8201

Урясьев О.М.

ФГБОУ ВО «Рязанский государственный медицинский университет им. акад. И.П. Павлова» Минздрава России

ORCID: 0000-0001-8693-4696

Дата поступления:

16.06.2024

Дата принятия в печать:

24.08.2024

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