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目的分析246例老年眩晕症临床特点,提高老年眩晕症的认识。方法对眩晕为主要症状的246例老年患者诊断及对治疗反应进行统计分析。结果颈性眩晕、腔隙性脑梗死、脑动脉硬化、脑萎缩、高血压占90%以上;83.7%发作有明显诱因;27例首诊误诊,误诊率11%;85%患者镇静、扩管改善循环及营养脑细胞治疗效果较好。结论老年性眩晕症病因多样,误诊率高,缺血性脑血管在该症中占主导地位,消除诱因、针对病因治疗大多效果好。
Objective To analyze the clinical features of 246 elderly patients with vertigo and improve the understanding of senile vertigo. Methods A total of 246 senile patients with dizziness as the main symptom were diagnosed and their response to treatment was statistically analyzed. Results Cervical vertigo, lacunar infarction, cerebral arteriosclerosis, cerebral atrophy, hypertension accounted for more than 90%; 83.7% of the episodes were significantly induced; 27 cases of first diagnosis were misdiagnosed, misdiagnosis rate was 11%; 85% of patients sedation, Improve circulation and nutrition brain cells better. Conclusion The causes of senile vertigo are diverse and the rate of misdiagnosis is high. Ischemic cerebrovascular predominates in this disease, and the causes are eliminated, most of which are effective in the treatment of etiology.