【摘要】 失眠作为一种普遍的睡眠障碍，不仅影响患者的夜间休息，也给其日常生活带来深远的负面影响。认知行为疗法和药物治疗是常规治疗手段，而近年来麻醉学在失眠治疗中的应用潜力也日益受到关注。麻醉科医师凭借其对镇静药物的深刻理解，能够为慢性和顽固性失眠患者量身定制治疗方案。已有研究表明，麻醉药物（如丙泊酚、右美托咪定）以及星状神经节阻滞能够有效改善睡眠结构，缓解睡眠剥夺的负面效应。然而，麻醉治疗在失眠管理中的应用仍面临技术要求高、治疗标准不统一等挑战。随着麻醉学治疗体系的不断发展，整合多学科治疗方法并制定规范化治疗标准，将有助于这一领域的拓展和普及。更多还原

【Abstract】 Insomnia is a common sleep disorder that significantly impacts daily functioning and overall health. Traditional treatments, including Cognitive Behavioral Therapy for Insomnia(CBT-I) and pharmacotherapy, are widely used; however, anesthesiology, as an emerging treatment modality, has shown promising potential due to its precise drug management and unique technical advantages. Anesthesiologists can offer personalized treatments using sedative-hypnotic drugs and nerve block techniques, particularly for chronic and refractory insomnia. Innovations such as propofol, dexmedetomidine, and stellate ganglion block have been shown to regulate sleep architecture, improve sleep quality, and quickly reverse sleep deprivation, breaking the vicious cycle of insomnia. Despite these promising results, challenges remain, including technical complexity, the need for standardized protocols, and long-term efficacy evaluation. In the future, with the standardization of anesthetic techniques, multidisciplinary collaboration, and the integration of emerging technologies, anesthesiology is expected to play a greater role in insomnia treatment.更多还原