神经内科老年眩晕患者的病因分析及治疗  

Etiological Analysis and Treatment of Senile Vertigo in Neurology Department

作　　者：陈臻[1] CHEN Zhen(Dazhou Integrated Chinese and Western Medicine Hospital,Dazhou 635000,China)

机构地区：[1]达州市中西医结合医院,四川达州635000

出　　处：《中外医学研究》2018年第30期8-10,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究神经内科老年眩晕患者的病因分析及治疗。方法:选择2015年4月-2017年4月笔者所在医院收治的神经内科老年眩晕患者94例,随机分为对照组和观察组,每组47例。首先对所有患者进行检查,分析发生眩晕的原因,然后根据不同分组分别治疗。对照组患者急性期使用安定治疗,间歇期使用阿司匹林、丹参治疗;观察组患者急性期使用异丙嗪治疗,间歇期使用西比灵、舒血宁、阿司匹林治疗。对比两组患者治疗效果,以及并发症发生率。结果:神经内科老年眩晕的病因主要有慢性主观性头晕(35.11%)、良性发作性位置性眩晕(28.72%)、后循环缺血(13.83%)、心境障碍(9.57%)、前庭神经元炎(7.45%)、偏头痛(4.26%)、梅尼埃病(1.06%)。观察组患者治疗总有效率为93.62%,高于对照组患者的68.09%,差异有统计学意义(P<0.05)。观察组患者并发症发生率为4.26%,低于对照组患者的23.40%,差异有统计学意义(P<0.05)。结论:神经内科老年患者发生眩晕的病因较为复杂,详细分析病因后,采取有效的治疗措施及时干预,以提高治疗效果,减少并发症,确保患者安全。Objective：To investigate the pathogenic analysis and treatment for elderly patients with vertigo in neurology.Method： A total of 94 elderly patients with vertigo in neurology were selected from the patients that the hospital treated from April 2015 to April 2017.Then they were divided into the observation group and the control group,with 47 cases in each group.All of the patients were firstly checked,and the pathogenies for their vertigo were analyzed,then the patients were treated separately according to different groups.The patients in the control group were treated with diazepam in the acute phase,aspirin and salvia miltiorrhiza in the intermittent period,the patients in the observation group were treated with promethazine in the acute phase,and the patients in the observation group were treated with sibelium,Shuxuening and aspirin in the intermittent period.Clinical efficacy and the rate of complications were then analyzed. Result：The main pathogenies for elderly patients with vertigo in neurology were Chronic subjective dizziness （35.11%）,Benign paroxysmal positional vertigo （28.72%）,Posterior circulation ischemia （13.83%）,Mood disorder （9.57%）,Vestibular neuronitis （7.45%）,Cephalagra （4.26%）,Meniere disease （1.06%）.Thetotal rate of clinical efficacy of the observation group was 93.62%,higher than 68.09% of the control group（P〈0.05）.The rate of complications of the observationgroup was 4.26%,lower than 23.40% of the control group（P〈0.05）.Conclusion： The pathogenies for the elderly patients with vertigo in neurology is complex.After detailed analysis of the pathogenies,efficacious treatments should be adopted in time to intervene,so that the clinical efficacy could be improved, complications could be reduced, and the patients could be protected.

关 键 词：神经内科 老年眩晕患者 病因分析 治疗 

分 类 号：R741[医药卫生—神经病学与精神病学]