宋长曌

【摘要】 目的：分析头晕在临床中的鉴别诊断与治疗效果。方法：选取2017年1月-2019年10月本院收治的96例头晕患者，均进行磁共振、超声、CT检查。对疾病进行鉴别诊断，根据鉴别诊断结果进行对症治疗，统计治疗效果，比较治疗前、治疗1周后DHI、DARS、BBS评分。结果：96例患者经对症治疗后，因脑血管疾病引起头晕患者总有效率90.91%，因精神障碍引起头晕患者总有效率94.44%，良性阵发性位置性眩晕患者总有效率93.33%，前庭性眩晕患者总有效率92.00%，梅尼埃病患者总有效率92.86%，突聋患者总有效率100%。治疗1周后DHI、DARS评分比治疗前均降低，BBS评分明显比治疗前均提高，差异均有统计学意义（P<0.05）。结论：磁共振、超声、CT等检查可对眩晕病情做出准确的诊断，根据诊断结果予以对症治疗，有助于减轻患者眩晕症状，提高平衡能力，值得借鉴。

【关键词】 头晕 脑血管疾病 良性阵发性位置性眩晕 前庭性眩晕 梅尼埃病

Differential Diagnosis and Effect Analysis of Treatment of Dizziness in Clinic/SONG Changzhao. //Medical Innovation of China， 2021， 18（07）： 0-036

[Abstract] Objective： To analyze the differential diagnosis and treatment of dizziness in clinic. Method： A total of 96 patients with dizziness admitted to our hospital from January 2017 to October 2019 were selected. They were examined by MRI， ultrasound and CT to make differential diagnosis of the disease. According to the results of differential diagnosis， symptomatic treatment was carried out， statistical treatment effect was made， before and after treatment， DHI， DARS， BBS score were evaluated. Result： After symptomatic treatment of 96 patients， the total effective rate of patients with dizziness caused by cerebrovascular disease was 90.91%， the total effective rate of patients with dizziness caused by mental disorders was 94.44%， the total effective rate of patients with benign paroxysmal positional vertigo was 93.33%， the total effective rate of patients with vestibular vertigo was 92.00%， the total effective rate of patients with Meniere disease was 92.86%， the total effective rate of patients with sudden deafness was 100%. The scores of DHI and DARS were lower after 1 week of treatment than before， the scores of BBS were significantly higher after 1 week of treatment than before， the differences were statistical significance （P<0.05）. Conclusion： MRI， ultrasound， CT and other examinations can make accurate diagnosis of vertigo， according to the diagnosis results， it helps patients with dizziness and improve the balance ability of patients， which is worth learning.

[Key words] Dizziness Cerebrovascular disease Benign paroxysmal positional vertigo Vestibular vertigo

Menieres disease

First-authors address： Sanhe Hospital， Huizhou 516211， China

doi：10.3969/j.issn.1674-4985.2021.07.008

頭晕是一种临床常见病，大部分人一生中均会有头晕经历，是一种外界或自身物体的运动性幻觉，是指对自身平衡感觉、空间想象的自我感知错误，外界或自身物体的运动性幻觉，例如物体倾斜或升降等。在我国人口老龄化进程推进、人们生活节奏加快的背景下，长期性低头工作、玩手机、坐姿不良等，导致头晕的发生率明显增高[1-2]。头晕发作时患者会出现冒冷汗、呕吐、恶心、天旋地转等症状，上述症状均属于自主神经功能失调，严重影响了患者正常的生活。当前，在临床工作中，由于医生对头晕的发病原因、治疗方案不熟悉，往往无法明确头晕发生的真正原因，普遍认为头晕的发生于交感神经、颈椎生物力学失衡、颈椎退行性病变等引发的血管痉挛、椎动脉压迫、刺激等有着极为密切的联系，对于眩晕的治疗存在一定的盲目性。……