中华耳科学杂志2017，Vol.15Issue(6)：670-674,5.DOI:10.3969/j.issn.1672-2922.2017.06.013
耳鼻咽喉科专病门诊8310例眩晕患者的病因学分析
Etiology of vertigo and Dizziness in 8,310 Patients
摘要
Abstract
Objective We aimed to report the spectrum of causes of vertigo and dizziness in patients in an attempt to reduce misdiagnosis and inappropriate treatment.Methods Clinical data from patients complaining of vertigo and diz-ziness seen by the authors were retrospectively reviewed,including medical histories,presenting symptoms,physical ex-amination and lab tests results.Diagnoses were based on standardized diagnostic criteria widely accepted in China and internationally.Results A total of 8,310 cases seen by the authors from January 2013 to July 2017 were included.The male to female ratio was 1:2.09,and the age ranged from 7 to 89 years.Identified etiologies were:benign paroxysmal positional vertigo(n=2,846,34.25%),vestibular migraine(n=2,033,24.46%),Meniere's disease(n=819,9.86%),sud-den deafness (n=650,7.82%),persistent postural-perceptual dizziness (n=407,4.90%),vestibular neuritis(n=325,3.91%),delayed endolymphatic hydrops (n=306,3.68%),other peripheral vestibular vertigo (n=154,1.85%),central vestibular vertigo(excluding vestibular migraine(n=76,0.91)and vertigo of unknown causes(n=694,8.35%).Conclu-sions Our study indicates that the predominant three causes for vertigo or dizziness are benign paroxysmal positional vertigo,vestibular migraine and Meniere's disease,followed by sudden deafness,persistent postural-perceptual dizzi-ness,vestibular neuritis,delayed endolymphatic hydrops and other peripheral vestibular vertigo.Central vestibular verti-go(not counting vestibular migraine)is relatively infrequent.Etiology cannot be determined in a small proportion of pa-tients.关键词
眩晕/病因学/回顾性分析Key words
Vertigo/Etiology/Retrospective Analysis分类
医药卫生引用本文复制引用
王海涛,薛轶文,刘永胜,李凤茹,汤勇..耳鼻咽喉科专病门诊8310例眩晕患者的病因学分析[J].中华耳科学杂志,2017,15(6):670-674,5.基金项目
吉林省卫生计生委科研项目资助(2015Z090)This work was supported by grant from the Health and Family Planning Research Project of Jilin Province( 2015Z090) （2015Z090）
