神经内科中老年头晕患者临床表现及影像学特征研究

Clinical Manifestations and Imaging Features Study of Middle-aged and Elderly Patients with Dizziness In Neurology Department

目的探究神经内科中老年头晕患者临床表现及影像学特征,为临床头晕的诊治提供理论参考,以此提高头晕的治疗水平。方法选取我院神经内科2019年1月至2019年12月收治的80例主诉为头晕患者的临床资料进行回顾性分析,全部患者均给予颅多普勒超声诊断,分析患者的临床表现和影像学特征。结果中老年患者占比高于青年患者,差异有统计学意义(P<0.05)。单纯性头晕占比高于头晕伴头痛的,差异有统计学意义(P<0.05)。在血流速度增加、血流速度降低、双侧同名血管不对称等占比方面,中老年头晕患者与青年头晕患者差异有统计学意义(P<0.05)。在血流速度增加、血流速度降低、双侧同名血管不对称等占比方面,中老年头晕患者于头晕伴头痛患者差异有统计学意义(P<0.05)。结论中老年头晕患者临床表现有一定的特殊性,加强影像学诊断对其诊治有着十分重要的指导价值。

Objective to explore clinical manifestations and imaging characteristics of middle-aged and elderly patients with dizziness in neurology department,and provide theoretical reference for diagnosis and treatment of dizziness,improve its treatment level.Methods We reviewed and analyzed clinical data of 80 patients with dizziness admitted to neurology department of our hospital from January 2019 to December 2019.Diagnosed them with cranial Doppler ultrasound,and analyzed clinical manifestations and image features of patients.Results proportion of middle-aged and elderly patients was higher than young patients,difference was statistically significant (P<0.05).Proportion of simple dizziness was higher than dizziness with headache,difference was statistically significant (P<0.05).Proportion difference of increased blood flow velocity,decreased blood flow velocity,and bilateral vascular asymmetry of same name between middle-aged and elderly dizziness patients and young dizziness patients was statistically significant (P<0.05).Proportion difference of increased blood flow velocity,decreased blood flow velocity,and bilateral vascular asymmetry of same name between middle-aged and elderly dizziness patients and dizziness with headache patients was statistically significant (P<0.05).Conclusion clinical manifestations of middle-aged and elderly patients with dizziness have some certain degree of particularity,and strengthening imaging diagnosis has important guiding value for their diagnosis and treatment.