持續(xù)性姿勢-知覺性頭暈
發(fā)布時(shí)間:2018-02-13 08:50
本文關(guān)鍵詞: 慢性頭暈 焦慮 非旋轉(zhuǎn)性 不穩(wěn)感 持續(xù)性 出處:《中華耳科學(xué)雜志》2017年01期 論文類型:期刊論文
【摘要】:2015年WHO國際疾病分類ICD-11 beta草案已將持續(xù)性姿勢-知覺性頭暈(persistent postural-percep-tion dizziness PPPD)列入。它是一種臨床常見的頭暈形式,伴有持續(xù)非旋轉(zhuǎn)性頭暈或主觀不穩(wěn)感,且在直立姿態(tài)、個(gè)人運(yùn)動(dòng)、環(huán)境中物體運(yùn)動(dòng)以及復(fù)雜視覺刺激的條件下加重。PPPD的發(fā)病機(jī)制目前尚未完全闡明,可能的假說有:(1)經(jīng)典和操作性條件反射建立假說(2)再適應(yīng)失敗假說。治療包括藥物治療、前庭平衡康復(fù)訓(xùn)練和認(rèn)知行為治療。了解PPPD有助于頭暈的診斷和鑒別。本文對PPPD的研究進(jìn)展進(jìn)行綜述。
[Abstract]:In 2015, the ICD-11 beta draft of the WHO International Classification of Diseases has included persistent postural, perceptual dizziness, persistent postural-percep-tion dizziness PPPD. it is a common clinical form of dizziness, accompanied by persistent non-rotational dizziness or subjective instability, and is in an upright posture. The pathogenesis of the aggravation of .PPPD under the conditions of environmental motion and complex visual stimuli has not been fully elucidated. The possible hypotheses include: 1) Classical hypothesis and 2) operational conditioned reflex hypothesis) failure hypothesis of readaptation. Treatment includes drug therapy. Vestibular balance rehabilitation training and cognitive behavioral therapy. Understanding PPPD is helpful to diagnosis and differential diagnosis of dizziness.
【作者單位】: 鄭州大學(xué)第一附屬醫(yī)院耳鼻咽喉科醫(yī)院耳科;
【分類號】:R764
【參考文獻(xiàn)】
相關(guān)期刊論文 前5條
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