6056例住院眩晕病例的临床流行病学分析  

Clinical epidemiological analysis of vertigo in 6056 hospitalized patients

作　　者：单希征[1] 石丽亚[1] 王恩彤[1] 孙勍[1] 张清华 高云[1] 戴静[1] 王辉兵[1] 李健[1] 王宁[1] 韩晓阳 Shan Xizheng;Shi Liya;Wang Entong;Sun Qing;Zhang Qinghua;Gao Yun;Dai Jing;Wang Huibing;Li Jian;Wang Ning;Han Xiaoyang(Institute of Vertigo Diseases,General Hospital of Chinese People's Armed Police Forces,Beijing 100039,China)

机构地区：[1]武警总医院眩晕病研究所,北京100039

出　　处：《北京医学》2019年第1期46-51,共6页Beijing Medical Journal

摘　　要：目的总结住院眩晕病例的临床流行病学特点。方法回顾性分析2011年4月至2017年12月武警总医院眩晕科住院治疗的眩晕病例,分析其临床流行病学特点。结果共收治6 056例眩晕患者,其中男2 249例(37.1%),女3 807例(62.9%);年龄2~94岁,平均(53.3±13.8)岁,以50~59岁者居多(28.7%),其次为60~69岁者(23.2%)和40~49岁者(21.2%)。疾病诊断数6 325例次,其中前庭外周性眩晕4 722例次(74.7%),包括良性阵发性位置性眩晕(benign paroxys?mal positional vertigo, BPPV)2 376例次(37.6%)、梅尼埃病(Meniere disease, MD)1 447例次(22.9%)、前庭神经炎(vestibu?lar neuritis, VN)383例次(6.1%)、突发性聋(sudden hearing loss, SHL)伴眩晕277例次(4.4%)等;前庭中枢性眩晕910例次(14.4%),包括前庭性偏头痛(vestibular migraine, VM)528例次(8.4%)等;非前庭性眩晕391例次(6.2%);无确切的疾病诊断者302例次(4.8%)。结论住院眩晕患者中女性占60%以上,50~59岁者占比最大;外周性眩晕、中枢性眩晕和非前庭性眩晕分别占75%、14%和6%,约5%的患者未能获得确切的疾病诊断;BPPV、MD、VM、VN、SHL为5种常见的眩晕疾病,占眩晕例次的79.2%。Objective To evaluate epidemiologic characteristics of hospitalized patients with vertigo.Methods The data of the patients with vertigo between April 2011 and December 2017 were reviewed and the epidemiologic characteristics were analyzed.Results A total of 6 056 hospitalized patients with vertigo were enrolled.There were 2 249 males(37.1%)and 3 807 females(62.9%).The average age was(53.3±13.8)years old.The patients aged 50-59 years accounted for 28.7%,followed by 23.2%for those aged 60-69 years and 21.2%for those aged 40-49 years.The number of diagnoses was 6 325,of them 4 722(74.7%)cases for peripheral vestibular vertigo,including 2 376(37.6%)cases for benign paroxysmal positional vertigo,1 447(22.9%)cases for Meniere disease,383(6.1%)cases for vestibular neuritis,277(4.4%)cases for sudden hearing loss with vertigo;910(14.4%)cases were central vestibular vertigo,including 528(8.4%)cases for vestibular migraine;391(6.2%)cases were non-vestibular vertigo;and no definite diagnosis was found in 302(4.8%)cases.Conclusions Among hospitalized vertigo patients,more than 60%are female,and those patients aged 50-59 years account for the largest proportion.Peripheral vertigo,central vertigo and non-vestibular vertigo account for 75%,14%and 6%,respectively.Five percent of patients haven’t received definite diagnosis.BPPV,MD,VM,VN and SHL are the five common vertigo diseases.

关 键 词：眩晕 头晕 平衡障碍 住院患者 临床流行病学 病因学 

分 类 号：R741[医药卫生—神经病学与精神病学] R181.3[医药卫生—临床医学]