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266例老年眩晕症病因分析 被引量:28

PATHOGENIC ANALYSIS ON 266 OLD PATIENTS WITH VERTIGO
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摘要 目的 眩晕是老年患者最常见的病症之一 ,常因突发眩晕而就诊 ,分析和探讨老年人引起眩晕的病因和发病机理 ,对诊断、治疗和预防均具有重要意义。方法 本文对因眩晕为主诉住院的 2 6 6例老年患者 ,进行了病因分析。结果 发病年龄以 6 0~ 70岁最多见 ,女性明显多于男性 ,以颈椎病、高血压病、脑动脉硬化、脑卒中、高脂血症和糖尿病、梅尼埃病、植物神经功能紊乱为多见 ,并常几种疾病合并存在。结论 引起老年眩晕症的常见病因是椎基底动脉系统血液供应障碍。本组资料病因分布中 ,颈椎病、脑血管疾病占 90 %以上 ;在病因分析时 ,还要考虑到不是单一疾病引起 ,往往有两个以上的病因同时并存 ,但必有一因素起主导作用 ,确定其主要因素将对临床治疗老年眩晕症有指导意义。 Objective Vertigo is one of the most common complain in old patients.They often came to hospital because of sudden vertigo.To analysis and discuss the cause and mechanism of vertigo have very important significance for diagnosis and offering therapy and prevention .Material and Methods We select 266 old patients of vertigo in hospital,diagnosed through clinical examination,analyzed the causes.Results The distribution of ill age is often between 60 and 70,female is much more than male.It's very common of cervical vertebra disease,hypertension arteriosclerosis,acute brainvascular disease,high blood lipid,diabetes,meniere disease and functional disorder of autonomic nerve.It often exists with multi diseases.Discussion The mechanisms which inducing vertigo of the old people are concerned with disturbance of vertebra basal artery blood supply system,Cervical vertebra disease and brainvascular disease are 90 percent from this group.When analysis the pathogenesis,we must know it is not only resulted from single disease,but also more than two kinds.The causes often exist simultaneously in which one cause is major.Pointing the major cause has directive significance for curing vertigo of the old people.
作者 孙芸 滕长青
出处 《青海医学院学报》 CAS 2001年第2期30-32,共3页 Journal of Qinghai Medical College
关键词 眩晕 老年 椎基底动脉 病因 Vertigo Agedness Vertebra basal artery
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