286 Cases Of In-patients With Vertigo Retrospective Analysis

Objective A retrospective analysis of a series of clinical data, clinical symptoms and signs, imaging auxiliary examination findings, aims to analyze the clinical data, epidemiological and clinical characteristics provide evidence aspects of clinical treatment to help.Methods A retrospective analysis from December 2009 to March 2014 in our hospital clinical data neurology and stroke unit 286 cases hospitalized medical patients with vertigo.Results(1) Statistics 286 cases of vertigo patients, aged 22-86 years, mean age was 58.2 ± 12.4 years, the incidence peak was 50-69 years old, 55.2 percent of the total number, 30 years of age and 80 years of age patients with vertigo is rare;(2) 131 cases of male patients, female 155 cases, men accounted for 45.8%, women accounted for 54.1%, male to female ratio was 1: 1.18, more female than male patients with vertigo, Han patients 243 cases, accounting for 85.0%, Muslim 32 patients, 11.2%, 11 cases of other ethnic minority people, accounting for 3.8% of patients in the proportion of Han Hui patients was 7.6: 1, Han patients significantly more than other minorities;(3) nearly one-third of vertigo in patients with hypertension and hyperlipidemia, a small number of patients with diabetes and coronary heart disease, and more with autonomic symptoms in patients with vertigo, nausea the most common, followed by vomiting, with focal neurological defects are rare;(4) 286 cases of vertigo patients, where the line of the neck ultrasonography were 239 cases, and the majority presence of carotid artery disease, vascular plaque thickening and intimal / medial forming its main form of disease, in which plaque block the formation of a total of 107 cases, accounting for 44.8% of the examiner, the intima / media thickness are relatively small, 56 cases, accounting for 23.4% of the examiner, normal in 76 cases, accounting for 31.8 percent of the examiner;( 5) 286 cases of vertigo patients underwent TCD examination were a total of 167 cases, of which the majority of patients with abnormal TCD result, the performance of arteriosclerosis change in 57 cases, accounting for 34.1%, showing cerebral artery stenosis in 29 cases, accounting for 17.4% performance increase the speed of blood flow in 26 cases, accounting for 9.6 per cent, the blood flow slowed down in 12 cases, accounting for 7.2%, normal in 53 cases, 31.7%;(6) 286 cases of vertigo patients with brain CT or MRI’s Bank of China 258 cases, the results of 69 normal cases, accounting for 26.7%, demyelination 66 cases, accounting for 25.6% cases of brain CT and MRI showed 123 cases of ischemic changes, accounting for 47.7%, of which the vast majority of lacunar infarction, a total of 91 cases, accounting for 35.2%; 32 cases of acute cerebral infarction;(7) The most common causes of vertigo are benign paroxysmal positional vertigo(BPPV) 151 cases, as high as 52.8%, ranking second Bit of posterior circulation ischemia vertigo(PCI) 88 cases, accounting for 30.1%, 15 cases of mental vertigo patients(5.2%), routed to the third position, cervical vertigo rare, only four cases, accounting for 1.4%.Conclusion 1, the prevalence of dizziness and was positively correlated with increasing age, 50-69 years of age for the onset of the peak period, less the number of young and elderly patients. One-third of patients with vertigo and hypertension.2, the majority of patients with a single episode of vertigo less than 10 minutes, the first bit change may aggravate the symptoms, and most of the combined autonomic symptoms, nausea the most common, followed by vomiting.3, the presence of cervical vertigo patients are vascular lesions, intravascular plaque formation as its main form. CT / MRI prompted vertigo patients with the most common lesion is lacunar infarcts.4, vertigo variety, the most common benign paroxysmal positional vertigo, followed by posterior circulation ischemia vertigo, cervical vertigo were rare.