106例老年眩晕症的影响因素临床分析

Clinical analysis of 106 cases of elderly patients with vertigo

目的:探讨临床中导致老年人眩晕发作的特点和诊治方法。方法:回顾性分析106例以眩晕发作为主要临床表现的患者的临床资料。结果:老年患者的眩晕发病年龄以60～70岁多见,女性明显多于男性。在106例眩晕患者中,周围性眩晕33例,中枢性眩晕58例,非系统性眩晕15例。引起老年眩晕症的病因以中枢性眩晕为主,心脑血管病是主要病因,其中最常见病因是椎—基底动脉供血不足。结论:老年眩晕是多种因素协同作用的结果,确定病因,全面检查,多科联合诊治十分必要。

Objective： To investigate the feature, diagnose and treatment methods of vertigo in the elderly. Methods： 106 elderly patients with vertigo were retrospectively analyzed through clinical data. Results： The distribution of ill-age is often between 60 and 70, and female is much more than male. Of 106 patients, 33 of them suffered peripheral vestibular disorders while 58 having cerebral vertigo or dizziness, leaving 15 cases being unclassified. For elderly patients, vertigo were mainly caused by many kinds of cerebral vestibular pathological dysfunctions. The most common etiology of the disease is insufficiency of blood-supply in vertebra-basal artery. The illness is often resulted from many kinds of diseases. The examination can＇t be ignored in the process of diagnosis and treatment in order to reduce missed diagnosis and misdiagnosis. Conclusion： The elderly patients with vertigo are also resulted from many factors. It is necessary to determine the etiology, overall examine and cure the disease with other departments.