《中国失眠症诊断和治疗指南(2025版)》解读

Interpretation of “Guidelines for the diagnosis and treatment of insomnia disorder (2025 edition)”

摘要:

失眠症是最常见的睡眠障碍。中国睡眠研究会联合睡眠医学领域专家于2025年9月对2017年制订的《中国失眠症诊断和治疗指南》进行了全面更新。新版指南制订过程规范、内容全面，涉及失眠症的定义、流行病学、病理机制、评估、诊断及治疗，并对儿童青少年、成年女性、老年人等特殊人群的特点单独阐述。本文就该指南主要内容和更新要点作逐一解读，以便于临床人员参考。

Abstract:

Insomnia is the most prevalent sleep disorder. The Chinese Sleep Research Society comprehensively updated the 2017 edition of “Chinese Guidelines for the diagnosis and treatment of insomnia” in collaboration with experts in sleep medicine in September, 2025. The new edition of the guideline was developed following a standardized process and offers comprehensive content that covering the definition, epidemiology, pathophysiology, assessment, diagnosis, and treatment of insomnia. Separate sections addressed the unique characteristics of special populations, including children and adolescents, adult women, and older adults. This article provides a point-by-point interpretation of the guideline(2025 edition) contents and key updates to serve as a clinical reference for practitioners.