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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