Lüscher M, Theilgaard S, Edholm B
ENT practices, Park Allé, Aarhus, Denmark.
ENT practices, Trangstrædet, Randers, Denmark.
J Laryngol Otol. 2014 Feb;128(2):128-33. doi: 10.1017/S0022215114000188. Epub 2014 Feb 13.
To determine the prevalence and characteristics of various diagnostic groups amongst patients referred to ENT practices with the primary complaint of dizziness.
A prospective, observational, multicentre study.
Consecutive patients presenting with dizziness to the participating ENT practices were enrolled. Seven ENT specialists at three clinics participated.
Benign paroxysmal positional vertigo was diagnosed in 53.3 per cent of the 1034 study patients. Fifty-nine per cent of these experienced night-time awakening with dizziness, which was a significant proportion in comparison to the other diagnostic groups. Benign paroxysmal positional vertigo was the most frequent diagnosis in all age groups, including those over 70 years.
In this study of patients referred to ENT for dizziness, benign paroxysmal positional vertigo was the dominant diagnostic entity, in all age groups and overall. All clinicians in contact with dizzy patients must consider benign paroxysmal positional vertigo, especially in the elderly.
确定以头晕为主诉转诊至耳鼻喉科诊所的患者中各类诊断组别的患病率及特征。
一项前瞻性、观察性、多中心研究。
纳入连续就诊于参与研究的耳鼻喉科诊所且有头晕症状的患者。三家诊所的七位耳鼻喉科专家参与了研究。
在1034例研究患者中，53.3%被诊断为良性阵发性位置性眩晕。其中59%的患者经历过因头晕导致夜间惊醒，与其他诊断组相比，这一比例相当高。良性阵发性位置性眩晕在所有年龄组中都是最常见的诊断，包括70岁以上的人群。
在这项针对因头晕转诊至耳鼻喉科的患者的研究中，良性阵发性位置性眩晕在所有年龄组及总体上都是主要的诊断病种。所有接触头晕患者的临床医生都必须考虑良性阵发性位置性眩晕，尤其是在老年患者中。
