通过300例眩晕患者病因分析再论眩晕诊治.docVIP

通过300例眩晕患者病因分析再论眩晕诊治 　　[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。 　　[关键词] 眩晕；头晕；病因分析；诊治 　　[中图分类号] R441.2 [文献标识码] A [文章编号] 1674-0742（2015）05（b）-0083-02 　　Through the Etiological analysis on 300 patients with vertigo， Re-explore The Diagnosis and treatment of vertigo 　　GAO Cai-hong，PEI Jian-ji，ZHAO Xiu-xin 　　Department of Neurology. Beijing Mentougou District Hospital ，Beijing， 102300 China 　　[Abstract] 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 important clues for the diagnosis of vertigo. 　　[Key words] Vertigo； Dizziness； Etiological analysis； Diagnosis and treatment 　　眩晕（verti