通过300例眩晕患者的病因分析再论眩晕的诊治  

Through the Etiological analysis on 300 patients with vertigo, Re-explore The Diagnosis and treatment of vertigo

作　　者：高彩红[1] 裴建基[1] 赵秀欣[1] 

机构地区：[1]北京市门头沟区医院神经内科,北京102300

出　　处：《中外医疗》2015年第14期83-84,共2页China & Foreign Medical Treatment

摘　　要：目的：通过分析眩晕患者的病因分布特点再论眩晕的诊治。方法回顾性分析2012年7月-2014年7月就诊于该院神经内科的300例眩晕患者的病历资料,总结患者常见病因和临床分布特征。结果20~65岁年龄段发病最多,占62.67%；女性多见,占64.67%；前庭性眩晕占75%，非前庭系统性眩晕占20%，前庭周围性眩晕和前庭中枢性眩晕分别占60%和15%。其中BPPV、VN、MD、精神性眩晕、MV、PCI、系统疾病性眩晕/视觉性眩晕/本体觉眩晕发病率较高分别占30%、15%、10%、15%、9%、5%、5%，共占眩晕病因的89%。结论在临床中，以BPPV、VN、MD,精神性眩晕，MV、PCI及系统疾病性眩晕/视觉性眩晕/本体觉眩晕发病率较高，其中以BPPV发病率最高，这为眩晕病因的诊断提供了重要的线索。Objective To analyze the etiological distribution characteristics of vertigo and re-explore the diagnosis and treatment of vertigo. Methods From July 2012 to July 2014 , 300 patients with vertigo from the department of neurology in our hospital were registered. The common etiologies and clinical distribution characteristics were summarized. Results In 300 patients with vertigo , People aged 20~65 have the highest incidence（62.67%）; More common in women（64.67%）; Vestibular vertigo accounted for 75%, Non vestibular system vertigo accounted for 20%, Peripheral vestibular vertigo and central vestibular vertigo accounted for 60%and 15%. BPPV、VN、MD、psychogenic vertigo、MV、PCI、vertigo of Systemic disease /visual vertigo/proprioceptive vertigo were the most common causes of vertigo （respectively accounted for 30%, 15%, 10%, 15%, 10%, 5%, 5%）, All of these constitute the 89%causes of vertigo. Conclusion In clinical, BPPV、VN、MD、psychogenic vertigo、MV、PCI、vertigo of Systemic disease/visual vertigo/proprioceptive vertigo had a higher proportion in vertigo. BPPV accounted for the highest proportion of vertigo. It provides impor-tant clues for the diagnosis of vertigo.

关 键 词：眩晕 头晕 病因分析 诊治 

分 类 号：R441.2[医药卫生—诊断学]