摘要
持续性姿势知觉性头晕(Persistent Postural-Perception Dizziness, PPPD)是最常见的慢性前庭疾病之一,以持续头晕(≥3个月)、不稳、非旋转性眩晕为主要症状,2017年首次纳入前庭疾病国际分类,其慢性病程、继发的功能障碍和非特异性辅助检查都使明确诊断变得困难。发病机制尚不明确。常见治疗方式主要包括前庭康复训练、认知行为治疗、含血清素的药物如5-羟色胺再摄取抑制剂等,近年来出现了无创性脑神经刺激、虚拟现实技术等治疗功能性眩晕的新兴治疗方式,跨学科联合多种治疗方案可以取得更好的效果,但尚无统一标准。本文主要对目前的治疗研究现状进行综述,为临床治疗提供参考。
Persistent postural-perception dizziness( PPPD) is one of the most common chronic vestibular diseases, with persistent dizziness( ≥ three months), instability and non-rotational vertigo as the main symptoms. PPPD was first included in the International Classification of Vestibular Disorders in 2017, and its chronic course, secondary dysfunction and non-specific auxiliary examination make its diagnosis difficult. Its pathogenesis is not clear. Common treatments include vestibular rehabilitation training, cognitive behavioral therapy, and drugs such as serotonin reuptake inhibitors. In recent years, there have been new treatments for functional vertigo, including noninvasive brain stimulation and virtual reality technologies. Interdisciplinary combination of multiple treatment schemes can achieve improved results,but there lacks a unified standard. This article reviews the current status of research its treatment to provide a basis for treatment improvement.
作者
赵奕雯
李育玲
周丽媛
李莹
杨捷
吴佳鑫
陈钢钢
ZHAO Yiwen;LI Yuling;ZHOU Liyuan;LI Ying;YANG Jie;WU Jiaxin;CHEN Ganggang(Shanxi Medical University;Department of Otolaryngology Head and Neck Surgery,First Hospital of Shanxi Medical University;Department of Nursing,First Hospital of Shanxi Medical University)
出处
《中华耳科学杂志》
CSCD
北大核心
2022年第2期349-353,共5页
Chinese Journal of Otology
基金
山西省重点研发计划项目(201803D421071)
山西省研究生教育创新项目(2018BY067)
山西省医学重点科研项目(2020XM13)联合资助~~。
关键词
持续性姿势知觉性头晕
前庭康复
认知行为治疗
Persistent postural-perceptual dizziness
Vestibuler rehabilitation
Cognitive-behavioral therapy
