失眠患者一般要做哪些检查?

导致失眠的原因很多,许多躯体疾病精神障碍都可伴随失眠(失眠有何危害性?)。因此,对于所有的失眠患者,都应做详细的体检,寻找原因,以免漏诊。

(1)详细了解病史。包括失眠的闰状表现,严重程度,失眠的发生背景,失眠的间接、直接诱因,失眠的伴随症状,既往有无躯体疾患,有无用药史,有无生活、饮食习惯的改变以及失眠时患者的主观体验和心情等情况,才有更有针对性的做其他检查。

(2)根据了解的病史特点对患者进行重点系统的体格检查,明确内脏器官有无疾病;脑神经系统有无异常;有无精神弹碍性疾病。

(3)通过了解病史及体格检查得出一个初步印象后,根据需要再进行相庆检查。对于失眠症重点应用的是脑部疾病及功能状况的检查,其中包括:脑电图、头颅X光片、脑血管造影、脑超声波、脑血流图、同位素扫描、脑CT、磁共振等脑成像技术检查等。如发现有躯体疾病,还需有针对性地进行某些辅助检查或特殊检查等,如血脂、血糖体内药物(定性、定量)检测、脑脊液及异常代谢产物测定、肝功能、心电图等。必要时可做基础代谢率、内分泌测定等。

(4)由于失眠与不良个性,思虑过多,精神创伤等心理因素以及环境因素密切相关,为判明心理生理因素的作用,还须进行心理测验、人格测定、智能检测等,如进行症状自评量表,焦虑、抑郁量表测评,以协助诊断。

具体做上述哪种检查,要根据患者的具体情况而定。

《失眠患者一般要做哪些检查?》有1,287个想法

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