340例眩晕患者的病因分析  

An etiological analysis in 340 patients with vertigo

作　　者：胡联国[1,2] 孙敬武 

机构地区：[1]安徽医科大学附属省立医院耳鼻咽喉头颈外科,安徽230001 [2]安徽省铜陵市人民医院耳鼻咽喉头颈外科,安徽244000

出　　处：《中华耳科学杂志》2015年第4期700-703,共4页Chinese Journal of Otology

摘　　要：目的分析眩晕患者的常见病因,减少临床误诊和漏诊。方法收集340例以眩晕为主诉的耳鼻咽喉头颈外科就诊患者,根据病史、临床症状和体征、相应的辅助检查结果,分析确定病因。结果眩晕发生于各个年龄段,成人多见,亦可见于儿童,周围性眩晕占77.05%,其中BPPV占28.23%,中枢性眩晕占8.82%,非前庭系统性眩晕占10.30%,其中精神性眩晕占5.59%,原因不明者占3.82%。结论眩晕常见病因是周围性眩晕,BPPV最为常见,但随着年龄的增加,中枢性眩晕在病因所占的比例逐渐增加,而中青年患者精神性眩晕发病率亦较高。临床医师应提高对BPPV和精神性眩晕的认识,同时也不可忽视发生率低的一些疾病的存在。Objective To report etiology results in ENT patients with a chief complaint of vertigo in order to reduce the rate of misdiagnosis and inappropriate treatment. Methods A total of 340 ENT patients with a chief complaint of vertigo were included. Medical histories, presenting symptoms, physical examination and lab tests results were collected and analyzed. Results Vertigo was present in all cases, and included peripheral vestibular vertigo （77.05 % ）, BPPV （28.23%）, central vestibular vertigo （8.82%）, non-vestibular vertigo （10.30%）, psychogenic vertigo （5.59%） and vertigo of unknown causes （3.82%）. Conclusions The most common etiology of vertigo is of peripheral vestibular origin, with BPPV being the most common. Central vestibular vertigo appears to gradually increase along with age, while psychogenic vertigo usually occur in young and middle-aged patients. Clinicians needs to be highly aware of BPPV and psychogenic vertigo, although those dizziness diseases of low incidence should not be ignored.

关 键 词：眩晕 病因 BPPV 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]