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摘要: 目的 探讨新疆地区在耳鼻咽喉科就诊的眩晕患者常见的不同病因的分布特征。方法 收集1027例眩晕、头晕患者的病例资料, 并对其进行病因学分析。结果 本组51~60岁患者(27.95%)最多, 其次为61~70岁(20.16%), 41~50岁(17.33%)。其中男363例, 女664例, 男女比例为1:1.8。良性阵发性位置性眩晕(BPPV)患者233例(22.69%)为最常见病因, 其次为前庭型偏头痛(VM)184例(17.92%)、梅尼埃病(MD)139例(13.53%)、突聋伴眩晕132例(12.85%), 原因不明114例(11.10%)。结论 眩晕患者中女性患者明显多于男性, BPPV、VM、MD及突聋伴眩晕为最常见的病因, 仍有部分患者不能得到明确的病因诊断。Abstract: Objective To analysis the etiological characteristics of patients with vertigo in Xinjiang Uygur Autonomous Region.Method The data of 1027 patients with vertigo and dizziness were collected and the etiology was analyzed.Result The patients aged 51-60 years accounted for 27.95% of the total, followed by those aged 61-70 years accounted for 20.16% and those aged 41-50 years accounted for 17.33% s. There were 363 males and 664 females with a ratio of 1:1.8. Benign paroxysmal positional vertigo (BPPV) was the most common cause in 233 cases (22.69%), followed by vestibular migraine (VM) in 184 cases (17.92%), Meniere's disease (MD) in 139 cases (13.53%), sudden deafness with vertigo in 132 cases (12.85%), and unknown cause in 114 cases (11.10%).Conclusion Among vertigo patients, women are significantly more than men. BPPV, VM, MD, and SHL are the most common vertigo causes. There are still some patients haven't received definite diagnosis.
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表 1 汉族及维吾尔族眩晕患者不同病因分布
例 病因 汉族 维吾尔族 总例数/% BPPV 93 104 197(19.18) MD 64 55 119(11.59) VM 86 73 159(15.48) 突聋伴眩晕 51 56 107(10.42) 
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表 2 所有患者的性别及年龄分布
病因 例数(%) 男性例数 女性例数 男女比例 BPPV 233(22.69) 87 146 1∶1.68 MD 139(13.53) 52 87 1∶1.67 VM 184(17.92) 29 155 1∶5.34 VN 74(7.21) 43 31 1∶0.72 突聋伴眩晕 132(12.85) 69 63 1∶0.91 良性复发性眩晕 85(8.28) 24 61 1∶2.54 PPPD 45(4.38) 11 34 1∶3.09 前庭阵发症 7(0.68) 4 3 1∶0.75 迷路炎 8(0.78) 5 3 1∶0.60 大前庭水管 5(0.49) 3 2 1∶0.67 上半规管裂 1(0.10) 0 1 - 病因不明 114(11.10) 36 78 1∶2.17
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| 引用本文: |
杨丽, 吴梅, 唐亮. 新疆地区1027例耳鼻咽喉科眩晕患者的病因分析[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(11): 1024-1026. doi: 10.13201/j.issn.2096-7993.2020.11.015
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| Citation: |
YANG Li, WU Mei, TANG Liang. Etiological analysis of 1027 patients with vertigo in Xinjiang Autonomous Region[J]. J Clin Otorhinolaryngol Head Neck Surg, 2020, 34(11): 1024-1026. doi: 10.13201/j.issn.2096-7993.2020.11.015
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