[诊断和治疗急性和慢性头晕:2024 年的新方法]。

Farana Haque, Axel Gaspoz, Nils Guinand, Clara Probst
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引用次数: 0

摘要

对于全科医生来说,诊断和治疗急性和慢性头晕具有挑战性,因为头晕有多种潜在病因,而且诊断困难。新的头晕分类法旨在根据头晕的诱因和时间,而不是头晕的质量来促进诊断和治疗。后者不再被认为是诊断的可靠信息。新的研究表明,某些治疗方法与安慰剂相比没有优势,如前庭神经炎的皮质疗法或对症治疗的苯二氮卓类药物。关于慢性头晕,如持续性知觉性姿势性头晕(PPPD)和颈性头晕,已经达成了新的共识,这可能对普通医生有用。
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[Diagnosing and treating acute and chronic dizziness : new approach in 2024].

Diagnosing and treating acute and chronic dizziness is challenging for general physicians with multiple potential etiologies and difficulties in diagnosis. A new classification of dizziness is meant to facilitate diagnosis and treatment, based on the trigger and the timing of dizziness, rather than the quality. The latter is not consi-dered as a reliable information anymore for diagnosis. New studies show the absence of superiority of certain treatments compared to placebo, such as corticotherapy in vestibular neuritis or benzodia-zepine for symptomatic treatment. New consensus has been set regarding chronic dizziness, such as persistent perceptual postural dizziness (PPPD) and cervical dizziness, that might be useful for the general physician.

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来源期刊
Revue medicale suisse
Revue medicale suisse Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
1210
期刊介绍: Destinée aux professionnels de santé, la plateforme revmed.ch regroupe la version électronique de la Revue Médicale Suisse et les applications de formation et d"aide à la prise de décision eRMS. La eRMS est le fruit d’une large collaboration entre institutions et praticiens de Suisse romande.
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