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目的:分析西宁地区神经内科门诊头晕患者病因构成特点。方法:回顾性分析2012年—2013年院神经内科门诊头晕为主症的300例患者临床资料,分析临床特点、辅助检查、治疗转归,总结病因构成。结果:300例患者中女性多见,男女比例为1∶1.5,45~60岁年龄段最多见,共142例(47.33%),常见病因依次为精神心理性头晕115例(38.33%),良性发作性位置性眩晕(BPPV)102例(34.00%),偏头痛性眩晕31例(10.33%)。结论:西宁地区门诊头晕患者以精神心理性头晕和BPPV为主,偏头痛性眩晕不少见。70%头晕患者通过病史询问即可诊断,加强学习头晕患者病史询问方法很重要,焦虑、抑郁评分及Dix-Hallpike试验不容忽视。
Objective: To analyze the etiology and characteristics of dizziness in neurology outpatients in Xining area. Methods: The clinical data of 300 patients with dizziness mainly from 2012 to 2013 in our hospital were retrospectively analyzed. The clinical features, auxiliary examinations and treatment outcomes were summarized. Results: Among the 300 patients, the female was more common, the ratio of male to female was 1: 1.5, the highest was seen in 45 to 60 years old, a total of 142 cases (47.33%). The common causes were psychopathic dizziness in 115 cases (38.33% There were 102 cases (34.00%) of paroxysmal positional vertigo (BPPV) and 31 cases (10.33%) of migraine vertigo. Conclusion: Dizziness patients in Xining area are mainly mental dizzy and BPPV. Migraine headache is not uncommon. 70% of patients with dizziness can be diagnosed by medical history inquiry. It is very important to study the medical history of patients with dizziness. The anxiety and depression scores and the Dix-Hallpike test should not be overlooked.