1000例眩晕患者的疾病谱

The spectrums of 1000 patients with vertigo

目的明确眩晕门诊中,引起眩晕症状的各类疾病所占的比例。方法以1000例眩晕患者为研究对象,通过病史,查体和辅助检查明确临床诊断,统计各类疾病所占的比例。结果 1000例患者中,43.7%诊断为精神因素诱发眩晕,后循环缺血性眩晕占28.8%,不明原因的前庭周围性眩晕12.1%,良性位置性眩晕10.8%,其他原因占4.6%,其中包括美尼尔病、多系统萎缩,颈性眩晕,前庭神经元炎,晕厥和癫痫。结论在我们眩晕门诊患者中,精神因素诱发眩晕所占比例最高,其次是后循环缺血性眩晕,再次是不明原因的周围性眩晕和良性位置性眩晕。

Objective To make clear the ratio of the diseases caused vertigo in 1000 patients with vertigo. Methods Diagnosed patients with vertigo by examination and test,and classified the patients. Results There were 367 males and633 females and the mean age was 54. 1-year-old in the study,437 patients with vestibular symptoms and anxiety disorders were diagnosed as psychological dizziness; 288 patients suffered with posterior circulation ischemia; 121 patients suffered with peripheral vertigo without cause; 108 patients suffered with benign positional vertigo. Conclusion Psychological dizziness was the common cause for patients with vertigo; Posterior circulation ischemia and peripheral vertigo were common reasons for vertigo.