Hanley K, O'Dowd T, Considine N
Trinity College, Dublin, Ireland.
Br J Gen Pract. 2001 Aug;51(469):666-71.
The symptom of vertigo is usually managed in primary care without further referral. This review examines the evidence on which general practitioners can base clinical diagnosis and management of this relatively common complaint. Research in this area has in the main been from secondary and tertiary centres and has been of variable quality. Indications are that the conditions that present in general practice are most likely to be benign positional vertigo, acute vestibular neuronitis, and Ménière's disease; however, vascular incidents and neurological causes, such as multiple sclerosis, must be kept in mind. An important practice point is that vestibular sedatives are not recommended on a prolonged basis for any type of vertigo. There is a need for basic epidemiological and clinical management research of vertigo in general practice.
眩晕症状通常在初级保健中进行处理，无需进一步转诊。本综述探讨了全科医生可据此对这一相对常见病症进行临床诊断和管理的证据。该领域的研究主要来自二级和三级医疗中心，质量参差不齐。有迹象表明，全科医疗中出现的病症最有可能是良性阵发性位置性眩晕、急性前庭神经炎和梅尼埃病；然而，必须牢记血管事件和神经学病因，如多发性硬化症。一个重要的实践要点是，不建议对任何类型的眩晕长期使用前庭镇静剂。需要在全科医疗中开展关于眩晕的基础流行病学和临床管理研究。
