急诊老年眩晕症的病因和治疗策略.docVIP

PAGE 4 - 急诊老年眩晕症的病因及治疗策略 ——附86例临床分析 台州市中心医院 陈世宏 马宇庆 （浙江 台州 318000） 摘要 目的 分析引起老年人急性眩晕症的常见病因和发病机理，探讨老年眩晕症的诊断、治疗方法，提出可能有效的治疗措施。 方法 对以急性眩晕为主症就诊的86例老年患者，通过临床症状、体征及辅助检查结果，进行病因分析。结果 发病年龄以60－69岁最多见，女性多于男性。以颈椎病、高血压病、脑动脉硬化、脑血管病、糖尿病和高脂血症、植物神经功能紊乱为多见，且多种疾病合并存在。结论 引起急诊老年眩晕症的常见病因是椎基底动脉系统供血不足，占本组资料的90％以上。致病因素中，往往有两个以上的病因同时存在，对症治疗是老年眩晕症的基本治疗方法。 关键词 眩晕症 老年 椎基底动脉供血不足 临床分析 Etiological Analysis and Therapy Strategies of Vertigos in elderly patients for Emergency: Report of 86 Cases CHEN Shi-Hong MA Yu-Qing Zhejiang Province Taizhou Central Hospital, Taizhou 318000,China Abstract：Objective To analyze the causes and possible mechanisms of vertigo for emergency, discuss the diagnosis and therapy methods, furthermore, the possible effective preventions were suggested. Methods 86 elderly patients with vertigo for emergency were enrolled to analyze the causes by symptoms, signs and accessory examinations. Results The majority of the patients fell within the age range between 60～69, it occurred more frequently in female patients than in male．The main causes were cervical vertebra disease，hypertension atherosclerosis，acute cerebrovascular disease，hyperlipidemia，diabetes mellitus and autonomous nerve function disorder. Conclusion The mechanisms which induce vertigo in elderly patients are concerned with disturbance of vertebra-basal and blood supply system．It is not only resulted from single disease，but also from several factors．Moreover, it often co-exist with multi-diseases ,which shows that symptomatic treatment is still the essential method for curing vertigo in elderly patients for emergency． Key Words：Vertigo , Elderly ,Vertebral Basilar Artery Insufficiency, Clinical Analysis 作者简介 陈世宏（1970――），男，副主任医师， 硕士，主要从事中西医结合老年病的研究 联系地址:318000 浙江省台州市中心医院中西医结合科 手机E-mail:doctorcsh@163.com 眩晕是机体对于空间关系的定向或平衡感觉障碍，是一种运动幻觉，表现为周围环境和(或)自身旋转、直线运动感、不稳定或头重脚轻感 。眩晕是急诊患者最常见的主诉之一，老年人以突发眩晕而就诊者更常见。现将我院急诊科及病房2005—2007年已确诊的86例老年眩晕症进行分析。 1 临床资料与统计 1.1 一般资料 86例患者中男36例，女50例。年龄60—69岁41例，70～79岁29例，80岁