124例肿瘤患者眩晕病因初步分析

目的:研究恶性肿瘤患者中眩晕疾病的分布特征及规律，探讨并分析肿瘤患者眩晕的常见病因，减少临床误诊及漏诊，为进一步提高肿瘤患者临床治疗效果和患者生存质量提供理论参考。方法:本研究采用横断面研究，采用普查方法，调查2020年3月至2020年9月就诊于我院肿瘤科的1 273例患者，共收集124例眩晕的肿瘤患者，根据病史、临床症状及体征、辅助检查分析明确眩晕病因，并分析疾病特征及规律。结果:肿瘤患者的眩晕患病率为9.7%，高于一般人群中眩晕的患病率，且在各个年龄段均可能发生，女性略多于男性，周围性眩晕占25.8%，其中良性阵发性位置性眩晕（benign paroxysmal positional vertigo，BPPV）占16.9%，中枢性眩晕占32.3%（其中脑转移所致眩晕占29%），精神性眩晕占21.8%，与接受抗肿瘤治疗相关眩晕占18.5%，其他少见病因占1.6%。结论:肿瘤患者的眩晕患病率高于一般人群，在肿瘤患者中，眩晕最常见病因是脑转移，其后依次是精神性眩晕、肿瘤治疗相关性眩晕及BPPV。

An etiological analysis in 124 cancer patients with vertigo

Objective:To study the distribution characteristics and laws of vertigo in patients with malignant tumor,to discuss and analyze the common causes of vertigo in patients with tumor,to reduce clinical misdiagnosis and missed diagnosis,and to provide theoretical reference for further improving the clinical treatment effect and quality of life of patients with tumor.Methods:In this study,1 273 patients admitted to the department of oncology of our hospital from March 2020 to September 2020 were investigated by general survey.A total of 124 patients with vertigo were collected.According to the history,clinical symptoms and signs,auxiliary examination,the causes of vertigo were determined,and the characteristics and rules of the disease were analyzed.Results:The prevalence of vertigo in tumor patients was 9.7%,higher than that in the general population,and could occur in all age groups,with females slightly more than males.Peripheral vertigo accounted for 25.8%(BPPV 16.9%),central vertigo accounted for 32.3%(vertigo caused by brain metastasis accounted for 29%),mental vertigo accounted for 21.8%.Vertigo related to antineoplastic therapy accounted for 18.5% and other rare causes accounted for 1.6%.Conclusion:The prevalence of vertigo in tumor patients is higher than that in the general population.Among tumor patients,the most common cause of vertigo is brain metastasis,followed by psychogenic vertigo,tumor-treatment-related vertigo and BPPV.