Balance Unit, ENT Department, Liverpool University Hospitals, Liverpool, UK.
Br J Hosp Med (Lond). 2020 Dec 2;81(12):1-7. doi: 10.12968/hmed.2020.0469. Epub 2020 Dec 30.
Dizziness and balance disorders are very common problems. Having a structured approach, including adequate history taking and clinical examination, in a multidisciplinary environment allows for effective management of patients with these complex symptoms. Hearing assessment is an integral part of the assessment of patients with dizziness, along with the occasional need for further testing. Identifying red flags, along with the ability to involve different medical specialties, are prerequisites for safe management and a successful outcome. While surgical intervention has a small role in the management of balance disorders, vestibular rehabilitation remains the cornerstone of treatment, along with different supportive measures. This article outlines the approach used in the authors' centre to manage patients with dizziness and balance disorders.
头晕和平衡障碍是非常常见的问题。在多学科环境中采用结构化的方法，包括充分的病史采集和临床检查，可以有效地管理这些复杂症状的患者。听力评估是评估头晕患者的一个组成部分，偶尔还需要进一步的检查。识别危险信号，以及能够涉及不同的医学专业，是安全管理和成功治疗的前提。虽然手术干预在平衡障碍的治疗中作用有限，但前庭康复仍然是治疗的基石，同时还需要采取不同的支持措施。本文概述了作者所在中心管理头晕和平衡障碍患者的方法。
