CAJ | 학술논문

目的：总结社区门诊眩晕患者的常见病因及临床特点。方法：回顾性分析2012年01月至2013年01月社区门诊首发眩晕患者80例并随访观察12个月的临床资料。结果：本组80例患者的临床诊断及其病因构成比依次为：47．5％（38/80）为周围性眩晕，其中84．2％（32/38）为良性阵发性位置性眩晕（BPPV），10．5％（4/38）为梅尼埃病（MD）；20．0％（16/80）为前庭中枢性；28．8％（23/80）为系统性疾病性头晕；2．5％（2/80）为精神障碍性；1．3％（1/80）为其他原因性头晕。BPPV 中女性占90．6％（29/32）。结论：社区门诊眩晕的最常见类型是周围性眩晕，而BPPV 是周围性眩晕最常见的病因，且以女性多见；大多数以眩晕为主要特点的疾病都具有特征性的症状，这对提示疾病诊断具有重要的意义。
목적：총결사구문진현훈환자적상견병인급림상특점。방법：회고성분석2012년01월지2013년01월사구문진수발현훈환자80례병수방관찰12개월적림상자료。결과：본조80례환자적림상진단급기병인구성비의차위：47．5％（38/80）위주위성현훈，기중84．2％（32/38）위량성진발성위치성현훈（BPPV），10．5％（4/38）위매니애병（MD）；20．0％（16/80）위전정중추성；28．8％（23/80）위계통성질병성두훈；2．5％（2/80）위정신장애성；1．3％（1/80）위기타원인성두훈。BPPV 중녀성점90．6％（29/32）。결론：사구문진현훈적최상견류형시주위성현훈，이BPPV 시주위성현훈최상견적병인，차이녀성다견；대다수이현훈위주요특점적질병도구유특정성적증상，저대제시질병진단구유중요적의의。
Objective:To summarize the common causes and clinical characteristics of patients with vertigo in the community clinics. Methods: The clinical data of 80 patients with vertigo episode in the community clinics and followed up for 12 months were analyzed retrospectively from Jan 2012 to Jan 2013. Results: Among the 80 cases,the clinical diagnosis and etiology ratio were as follows: 47.5%(38/80 )cases peripheral vertigo, 84.2% (32/38) were benign paroxysmal positional vertigo (BPPV), 10.5% ( 4/38) were Khomeini Egypt's disease (MD), 20.0% (16/80) were central vestibular,28.8% (23/80) were systemic disease dizziness,2.5% (2/80) were mental disorders, 1.3%(1/80) was other causes of dizziness .Among the BPPV, 90.6% (29/32) were female. Conclusions:Among the patients with vertigo in the community clinics,the most common tpyes is peripheral vertigo. BPPV is the most common in the peripheral vertigo cause and in women , the majority of vertigo as the main features of the disease have characteristic symptoms, which has important significance for prompt diagnosis.