持续性姿势-知觉性头晕.PDFVIP

中华耳科学杂志2017 年第15卷第1期 ·115 · ·综 述 · 持续性姿势-知觉性头晕 丁韶洸 卢伟 郑州大学第一附属医院耳鼻咽喉科医院耳科（郑州450002 ） 【摘要】2015 年WHO 国际疾病分类ICD-11 beta 草案已将持续性姿势-知觉性头晕（persistent postural-percep⁃ tion dizziness PPPD ）列入。它是一种临床常见的头晕形式，伴有持续非旋转性头晕或主观不稳感，且在直立姿态、 个人运动、环境中物体运动以及复杂视觉刺激的条件下加重。PPPD 的发病机制目前尚未完全阐明，可能的假说 有：①经典和操作性条件反射建立假说②再适应失败假说。治疗包括药物治疗、前庭平衡康复训练和认知行为治 疗。了解PPPD 有助于头晕的诊断和鉴别。本文对PPPD 的研究进展进行综述。 【关键词】慢性头晕; 焦虑; 非旋转性; 不稳感; 持续性 【中图分类号】R764 【文献标识码】A 【文章编号】1672-2922 （2017 ）01-115-5 Persistent Postural-perception Dizziness Ding Shaoguang ，Lu Wei Division of Otology ，Otorhinolaryngology Hospital ，the First Affiliated Hospital of Zhengzhou University ，Zhengzhou 450002 ，China. Corresponding author: Lu Wei Email: luweimd@ 【Abstract 】Persistent Postural-perception Dizziness (PPPD) has been included by the WHO 11th beta draft of Inter- national Classification of Diseases (ICD) in 2015. It is a clinically common form of dizziness, accompanied by persis- tent non-rotational dizziness or subjective sense of instability lasting 3 months or more. It could be exacerbated in the upright posture, movement of the person, movement of the environmental objects, and complex visual stimulation condi- tions. The pathogenesis of PPPD is not yet fully elucidated. The possible hypotheses are: ①Classic and operational con- ditioned reflex hypothesis;②Failure of Re-adaptation. Treatment includes medications ，vestibular rehabilitation therapy and cognitive behavioral therapy. This article reviewed the progress in recent research on PPPD. 【Key