| 黄魏宁,徐进,高波,周金梅,刘桂芳.118例老年人眩晕和平衡障碍的病因及其影响因素分析[J].Chinese journal of Epidemiology,2005,26(9):720-722 |
| 118例老年人眩晕和平衡障碍的病因及其影响因素分析 |
| Study on the causes and risk factors on vertigo and balance disorders in 118 elderly patients |
| Received:February 05, 2005 |
| DOI： |
| KeyWord: 眩晕 平衡紊乱 老年人 |
| English Key Word: Vertigo Balance disorders Elderly |
| FundProject: |
| Author Name | Affiliation | E-mail | | HUANG Wei-ning | Department of Otorhinolaryngology, Beijing Hospital, Beijing 100730, China | | | XU Jin | Department of Otorhinolaryngology, Beijing Hospital, Beijing 100730, China | xujin136@163.com | | GAO Bo | Department of Otorhinolaryngology, Beijing Hospital, Beijing 100730, China | | | ZHOU Jin-mei | Department of Otorhinolaryngology, Beijing Hospital, Beijing 100730, China | | | LIU Gui-fang | Department of Otorhinolaryngology, Beijing Hospital, Beijing 100730, China | |
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| Abstract: |
| 目的 了解临床中导致老年人眩晕和平衡障碍的病因及其影响因素。方法 回顾性分析118例眩晕或平衡障碍老年患者的临床症状和听前庭功能,颅脑、内耳及颈椎部位的X线摄像、CT或MRI,头颈部血管彩超、TCD或MRA等检查结果。结果 在118例眩晕或平衡障碍老年患者中, 周围性眩晕70例,中枢性眩晕29例,诊断不明19例。81%的患者同时合并一种或多种不同的疾病。结论 不同的中枢性和周围性的前庭病理改变是老年人眩晕和平衡障碍的主要病因;年龄的老化导致的前庭系统功能衰退、全身性疾病以及环境、心理等因素可能直接或间接地影响老年人眩晕和平衡障碍的患病情况。 |
| English Abstract: |
| Objective To understand the various factors causing vertigo and balance disorders in the elderly. Methods 118 elderly patients (aged equal or older than 60 years of age) with vertigo or balance disorders were retrospectively analyzed through clinical symptoms, audio-vestibular function tests, X-ray, CT scan or MRI in cervical vertebras, brain and inner ears, ultrasonography, transcranial doppler(TCD) or magnetic resonance angiography(MRA) in blood vessels on head and neck. Results Of 118 patients, 70 (23%) of them suffered perip heral vestibular disorders while 29(58%) having cerebral vertigo or dizzness, leaving 19 cases(16%) as unclassified. Conclusion For elderly patients, vertigo and balance disorders were commonly caused by many kinds of peripheral and cerebral vestibular pathological disfunctions while the functional weakness of vestibular organs and systems affected by the physiological process of ageing and different concommitant diseases as well as environmental, psychogenic factors should also be considered. |
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