摘要
目的:对头晕在社区临床中的诊断和治疗进行调查。方法:收治因头晕来院检查的患者152例,对患者的治疗情况进行调查,比较患者治疗前后的症状。结果:152例患者中,头晕原因为贫血19例(12.5%),良性阵发性位置性眩晕81例(53.3%),脑血管疾病21例(13.8%),颈椎间盘突出(脱出)31例(20.4%)。152例患者中治疗显效49例(32.2%),有效71例(46.7%),无效32例(21.1%)。未转诊患者治疗后头晕、肢体麻木、贫血、昏沉感表现比治疗前明显改善,差异存在统计学意义(P<0.05)。结论:社区医院由于设备和能力有效,因此,在诊断中要充分利用问诊、查体等方式对患者的疾病进行诊断,及时对患者进行治疗或予以转诊。
Objective:To investigate the differential diagnosis and treatment of dizziness in the community.Methods:152 patients with dizziness to hospital inspection were selected.The treatment of patients and the symptoms of the patients before and after treatment were investigated.Results: In dizziness reasons of 152 patients, anemia in 19 cases (12.5% ), benign paroxysmal positional vertigo in 81 cases (53.3%), cerebrovascular disease in 21 cases (13.8%), cervical intervertebral disc herniation (out) in 31 cases (20.4%).In 152 cases,49 cases(32.2%) were markedly improved;71 cases (46.7%) were improved;32 cases (21.1%)were invalid.After treatment, dizziness,numbness of the limbs,anemia, giddy feeling performance of patients significantly improved than before,with statistically significant difference(P<0.05).Conclsuion:In community hospital,due to the limited equipment and ability, the interrogation and physical examination methods should be made full use to diagnose the disease,for treatment or referral to patients in time.
作者
邓柏
Deng Bai(Community Health Centre of Dongguan Street of Guangling District in Yangzhou City,Jiangsu Province 225001)
出处
《中国社区医师》
2016年第4期36-37,共2页
Chinese Community Doctors
关键词
社区医院
头晕
鉴别诊断
治疗
Community hospital
Dizziness
Differential diagnosis
Treatment
