持续性姿势-知觉性头晕

发布时间：2018-02-13 08:50

本文关键词： 慢性头晕焦虑非旋转性不稳感持续性　出处：《中华耳科学杂志》2017年01期 　论文类型：期刊论文

【摘要】：2015年WHO国际疾病分类ICD-11 beta草案已将持续性姿势-知觉性头晕(persistent postural-percep-tion dizziness PPPD)列入。它是一种临床常见的头晕形式,伴有持续非旋转性头晕或主观不稳感,且在直立姿态、个人运动、环境中物体运动以及复杂视觉刺激的条件下加重。PPPD的发病机制目前尚未完全阐明,可能的假说有:(1)经典和操作性条件反射建立假说(2)再适应失败假说。治疗包括药物治疗、前庭平衡康复训练和认知行为治疗。了解PPPD有助于头晕的诊断和鉴别。本文对PPPD的研究进展进行综述。
[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.
【作者单位】：郑州大学第一附属医院耳鼻咽喉科医院耳科;
【分类号】：R764

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