耳鼻喉科眩晕住院病例199例诊疗体会

Experience of Diagnosis and Treatment of 199 Inpatients with Vertigo in Department of Otolaryngology

目的总结耳鼻喉科住院眩晕病例的疾病构成,并对诊疗措施进行研究。方法回顾性分析2018年9月至2020年3月京东中美医院耳鼻喉科住院治疗的眩晕病例,分析其疾病构成,并对不同疾病的诊疗措施进行研究。结果199例眩晕患者中前庭外周性眩晕比例最多,其中最多见的5大类眩晕病种为良性阵发性位置性眩晕、梅尼埃病、前庭神经炎、突发性耳聋伴眩晕及良性复发性眩晕,前庭中枢性眩晕中发病率最高的是前庭性偏头痛。不同病种治疗策略不同。结论眩晕通常采取综合治疗,多数主要采用药物治疗,物理治疗也是某些眩晕疾病的有效手段。另外,外科手术也是治疗眩晕疾病的手段之一。

Objective To investigate the constituent ratio of hospitalized vertigo cases in the Department of Otolaryngology,and to study the diagnosis and treatment strategies.Methods A retrospective analysis of vertigo cases hospitalized in the Department of Otolaryngology,Jingdong Zhongmei Hospital from September 2018 to March 2020,analyzed the constituent ratio,and studied the diagnosis and treatment measures for different diseases.Results Among the 199 patients with vertigo,the proportion of peripheral vestibular vertigo was the largest,and the five most common types of vertigo were benign paroxysmal positional vertigo,Meniere’s disease,vestibular neuritis,sudden deafness with vertigo and benign recurrent vertigo;the highest incidence of vestibular central vertigo is vestibular migraine.Different treatment strategies adopted for different diseases.Conclusion Vertigo cases are usually treated with comprehensive strategies,most of which are with drug therapy.Physical therapy is also an effective method for certain vertigo cases.In addition,surgery is an alternative method to treat vertigo disease.