Zhang X L, Zhang M J, Liu D L, Zhang Q F
Departmant of ENT, Dalian Medical University Affiliated to Dalian City Center Hospital,Dalian, 116033,China.
Departmant of Neurology, Dalian Medical University Affiliated to Dalian City Center Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 May;32(10):758-761. doi: 10.13201/j.issn.1001-1781.2018.10.008.
To analyze the etiological characteristics of patients in department of ENT with chief complaint of vertigo or dizziness in order to reduce the rate of misdiagnosis and wrong treatment. A total of 3 137 patients in department of ENT with chief complaint of vertigo or dizziness from Sep 2015 to Sep 2017 were included and the etiologies were clarified retrospectively. And in which with any of the 8 kinds of disease including benign paroxysmal positional vertigo(BPPV), vestibular neuritis, vestibular migraine (VM), Meiniére disease, recurrent vestibular disease, sudden deafness with vertigo, psychogenic vertigo, posterior circulation ischemia (PCI) together 2 138 patients were further stratified analyzed by gender and age. ①Etiological characteristics of patients with vertigo or dizziness：among the 3 137 patients with vertigo or dizziness in ENT department in our hosipital, the peripheral diseases of vestibular were the most common disease with a total of 1 607 cases, accounting for 51.23%. And there were 506 cases of the central diseases of vestibular accounting for 16.13%, 382 cases of other systemic diseases accounting for 12.18%, 85 cases（2.71%）of psychogenic vertigo, 557 cases （17.76%）of unknown etiology. ②Analysis of the frequent and serious causing of patients with vertigo or dizziness: among the 2 138(68.15%) patients with vertigo or dizziness, BPPV with a total of 827 cases (26.36%) was the most prevalent,while 215(25.99%) of them were diagnosed as self-cured BPPV,vestibular neuritis and VM were the second prevalent with 420 cases (13.39%) and 329 cases (10.49%) respectively, Meiniére disease, recurrent vestibular disease, sudden deafness with vertigo were the third prevalent with 209 cases (6.66%), 144 cases (4.59%), 102 cases (3.25%), respectively; well psychogenic vertigo and PCI were relatively rare, with respectively 85 cases (2.71%) and 22 cases (0.70%). Eotiology analysis stratified by age: The causes of vertigo or dizziness were ranged with age, and patients of 50-70 years old were most common with a total of 1 011 cases, accounting for 49.6%. Etiology analysis stratified by gender: There was gender difference in patients with vertigo or dizziness,such as BPPV, VM, recurrent vestibular disease, sudden deafness with vertigo and psychogenic vertigo were common in female, while PCI in male insteadly. ①Among the patients with vertigo or dizziness, the pheripheral diseases of vestibular are the most prevalent, in which BPPV takes the highest accidence. ②Patients ranging from 50 to 70 years old take the main parts in patients with vertigo or dizziness. And there is an obvious gender difference in patients with BPPV, VM, recurrent vestibular disease, sudden deafness with vertigo, psychogenic vertigo and PCI.
分析耳鼻咽喉科以眩晕或头晕为主诉患者的病因特点，以降低误诊及误治率。纳入2015年9月至2017年9月耳鼻咽喉科以眩晕或头晕为主诉的患者共3137例，对其病因进行回顾性分析，并对其中包括良性阵发性位置性眩晕（BPPV）、前庭神经炎、前庭性偏头痛（VM）、梅尼埃病、复发性前庭疾病、突发性聋伴眩晕、精神性眩晕、后循环缺血（PCI）这8种疾病中的任何一种疾病的2138例患者按性别和年龄进行进一步分层分析。①眩晕或头晕患者的病因特点：我院耳鼻咽喉科3137例眩晕或头晕患者中，前庭周围性疾病最为常见，共1607例，占51.23%。前庭中枢性疾病506例，占16.13%，其他全身性疾病382例，占12.18%，精神性眩晕85例（2.71%），病因不明557例（17.76%）。②眩晕或头晕常见及严重病因分析：在2138例（68.15%）眩晕或头晕患者中，BPPV最为常见，共827例（26.36%），其中215例（25.99%）诊断为自愈性BPPV，前庭神经炎和VM次之，分别为420例（13.39%）和329例（10.49%），梅尼埃病、复发性前庭疾病、突发性聋伴眩晕位列第三，分别为209例（6.66%）、144例（4.59%）、102例（3.25%）；精神性眩晕和PCI相对少见，分别为85例（2.71%）和22例（0.70%）。按年龄分层的病因分析：眩晕或头晕的病因随年龄而异，50～70岁患者最为常见，共1011例，占49.6%。按性别分层的病因分析：眩晕或头晕患者存在性别差异，如BPPV、VM、复发性前庭疾病、突发性聋伴眩晕和精神性眩晕在女性中常见，而PCI在男性中常见。①在眩晕或头晕患者中，前庭周围性疾病最为常见，其中BPPV发病率最高。②50～70岁患者占眩晕或头晕患者的主要部分。并且在BPPV、VM、复发性前庭疾病、突发性聋伴眩晕、精神性眩晕和PCI患者中存在明显的性别差异。
