Sloane P D
Department of Family Medicine, University of North Carolina at Chapel Hill, 27599, USA.
Clin Geriatr Med. 1996 Nov;12(4):785-801.
The increased prevalence of dizziness with advancing age is the result of specific disease processes superimposed on normal aging physiology. The first step in evaluating dizziness in older persons is a careful clinical history, focusing on the type, temporal pattern, onset, associated symptoms, and the patient's overall physical health. Common dizziness problems in this age group are postural dizziness without postural hypotension, positional vertigo, cerebrovascular disease, a variety of acute and recurrent labyrinthine problems, neck problems, physical deconditioning, and medications. Often, multiple problems coexist, and secondary psychologic disability results. Treatment should aim at identifying and managing remediable problems.
随着年龄增长，头晕患病率增加是特定疾病过程叠加于正常衰老生理之上的结果。评估老年人头晕的第一步是详细的临床病史，重点关注类型、时间模式、发作情况、相关症状以及患者的整体身体健康状况。该年龄组常见的头晕问题包括无体位性低血压的体位性头晕、位置性眩晕、脑血管疾病、各种急性和复发性迷路问题、颈部问题、身体机能下降以及药物因素。通常，多种问题并存，继而导致继发性心理障碍。治疗应旨在识别并处理可纠正的问题。
