{"id":155,"date":"2017-06-06T18:06:34","date_gmt":"2017-06-06T18:06:34","guid":{"rendered":"https:\/\/demo.uix.store\/sober-furniture\/?p=155"},"modified":"2024-11-11T18:22:47","modified_gmt":"2024-11-11T10:22:47","slug":"dizziness","status":"publish","type":"post","link":"https:\/\/morethanphysio.com.hk\/zh\/dizziness\/","title":{"rendered":"\u982d\u6688"},"content":{"rendered":"\t\t
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\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u6bcf\u5e74\u90fd\u6709\u70ba\u6578\u5514\u5c11\u5605\u60a3\u8005\u56e0\u70ba\u982d\u6688\u8981\u7747\u6025\u75c7\uff0c\u982d\u6688\u4fc2\u5ee3\u7fa9\u4e0a\u5605\u8b1b\u6cd5\uff0c\u518d\u5206\u53ef\u4ee5\u53eb\u505a\u300c\u982d\u6688\uff08Dizziness\uff09\u300d\u540c\u300c\u6688\u7729\uff08Vertigo\uff09\u300d\u5169\u5927\u985e\u3002<\/p>\n\n

\u7c21\u55ae\u800c\u8a00\uff0c\u300c\u982d\u6688\uff08Dizziness\uff09\u300d\u5605\u4eba\u6703\u611f\u89ba\u982d\u91cd\u8173\u8f15\u3001\u5bb9\u6613\u5931\u53bb\u5e73\u8861\u540c\u6b65\u5c65\u4e0d\u7a4f\uff1b\u800c\u300c\u6688\u7729\uff08Vertigo\uff09\u300d\u5605\u4eba\u6703\u611f\u89ba\u5230\u5929\u65cb\u5730\u8f49\uff0c\u56b4\u91cd\u6703\u5641\u5fc3\u3001\u5614\u5410\u3001\u8996\u89ba\u91cd\u5f71\u7b49\u3002<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u55ba\u300c\u6688\u7729\uff08Vertigo\uff09\u300d\u5605\u60a3\u8005\u5165\u9762\uff0c\u5927\u6982\u670920%\u5605\u4eba\u4fc2\u5177\u5371\u96aa\u6027\u5605\u4e2d\u6a1e\u6027\u6688\u7729\uff08Central Vertigo\uff09\u3002\u5982\u679c\u6688\u7729\u6301\u7e8c\u8d85\u904e24\u5c0f\u6642\uff0c\u5c31\u6709\u9ad8\u905425%\u70ba\u4e2d\u6a1e\u6027\u6688\u7729\uff0c\u5176\u4e2d\u7d55\u5927\u90e8\u5206\u70ba\u5f8c\u5faa\u74b0\u8166\u4e2d\u98a8\uff08Posterior Circulation Stroke\uff09\u3002<\/p>\n

\u300c\u5413\uff1f\u4e2d\u98a8\uff1f\u6211\u4ef2\u884c\u5f97\u8d70\u5f97\u5575\uff0c\u61c9\u8a72\u5187\u4e8b\u4e0b\u8a71\uff1f\u300d\u4e8b\u5be6\u4e0a\u5982\u679c\u53ea\u4fc2\u5f8c\u5927\u8166\u52d5\u8108\uff08Posterior Cerebral Artery\uff09\u5605\u963b\u585e\uff0c\u4f60\u5605\u5fb5\u72c0\u53ef\u80fd\u53ea\u4fc2\u5f71\u97ff\u5e73\u8861\u540c\u5354\u8abf\u65b9\u9762\uff0c\u672a\u5fc5\u6703\u6709\u300c\u5634\u6b6a\u81c9\u659c\u3001\u624b\u8173\u7121\u529b\u300d\u7b49\u5605\u75c7\u72c0\u3002<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u4eca\u65e5\u5c31\u540c\u5927\u5bb6\u4ecb\u7d39\u4e0b\uff0c\u81e8\u5e8a\u4e0a\u6709\u54a9\u7c21\u55ae\u8a55\u4f30\u53bb\u5206\u8fa8\u300c\u6688\u7729\uff08Vertigo\uff09\u300d\u5230\u5e95\u4fc2\u4e2d\u6a1e\u6027\u6688\u7729\u5b9a\u4fc2\u5468\u908a\u6027\u6688\u7729\uff1a\u5462\u6a23\u5c31\u4fc2HINTS exam\u3002<\/p>\n

HINTS Exam \u50c5\u9069\u7528\u65bc\u51fa\u73fe\u6025\u6027\u524d\u5ead\u7d9c\u5408\u75c7\u5605\u60a3\u8005\uff0c\u5176\u75c7\u72c0\u5305\u62ec\uff1a\u6301\u7e8c\u6578\u5c0f\u6642\u6216\u5e7e\u5929\u5605\u6688\u7729\u3001\u773c\u7403\u9707\u986b\u3001\u5641\u5fc3\/\u5614\u5410\u3001\u6b65\u59ff\u4e0d\u7a69\u7b49\u7b49\u3002<\/p>\n

HINTS \u7531\u4e09\u500b\u6838\u5fc3\u90e8\u5206\u7d44\u6210\uff1a<\/p>\n

\u5feb\u901f\u64fa\u982d\u6e2c\u8a66\uff08Head I mpulse Test\uff09
\u773c\u7403\u9707\u986b\uff08N ystagmus\uff09
\u504f\u659c\u6e2c\u8a66\uff08T est of S kew\uff09<\/p>\n

\u5feb\u901f\u64fa\u982d\u6e2c\u8a66\uff08Head Impulse Test\uff09<\/p>\n

\u4fc2\u6e2c\u8a66\u524d\u5ead\u773c\u53cd\u5c04\u5605\u7c21\u6613\u65b9\u6cd5\uff0c\u5468\u908a\u75c5\u8b8a\u4f8b\u5982\u524d\u5ead\u795e\u7d93\u708e\uff0c\u6703\u56e0\u70ba\u55ae\u5074\u524d\u5ead\u529f\u80fd\u4f4e\u4e0b\uff0c\u800c\u5448\u73fe\u55ae\u5074\u7570\u5e38\uff08\u7cfe\u6b63\u6027\u6383\u8996\uff09\uff1b\u800c\u4e2d\u6a1e\u75c5\u8b8a\u6703\u55ba\u5462\u500b\u6e2c\u8a66\u8868\u73fe\u6b63\u5e38\u3002<\/p>\n

\u773c\u7403\u9707\u986b\uff08Nystagmus\uff09<\/p>\n

\u5468\u908a\u6027\u773c\u7403\u9707\u986b\u70ba\u55ae\u4e00\u65b9\u5411\u3001\u6c34\u5e73\u5411\u70ba\u4e3b\uff0c\u5514\u6703\u96a8\u51dd\u8996\u65b9\u5411\u800c\u6539\u8b8a\u9707\u986b\u65b9\u5411\uff1b\u800c\u4e2d\u6a1e\u6027\u773c\u7403\u9707\u986b\u5247\u70ba\u53ef\u4ee5\u4fc2\u6c34\u5e73\u5411\u3001\u5782\u76f4\u5411\u3001\u6216\u8005\u4fc2\u7d14\u8ff4\u8f49\u5411\uff0c\u4ea6\u6703\u96a8\u51dd\u8996\u65b9\u5411\u6539\u8b8a\u9707\u986b\u65b9\u5411\uff08Direction-\u00adchanging nystagmus\uff09\u3002<\/p>\n

\u504f\u659c\u6e2c\u8a66\uff08Test of Skew\uff09<\/p>\n

\u53ef\u85c9\u4ea4\u66ff\u6027\u906e\u84cb\u6e2c\u8a66\uff08Alternate cover test\uff09\u52a0\u4ee5\u78ba\u8a8d\uff0c\u8b93\u60a3\u8005\u671b\u5be6\u4f60\u5605\u9f3b\uff0c\u7136\u5f8c\u906e\u4f4f\u4e00\u96bb\u773c\uff0c\u4e4b\u5f8c\u5feb\u901f\u79fb\u52d5\u624b\u906e\u84cb\u60a3\u8005\u5605\u53e6\u4e00\u96bb\u773c\uff0c\u540c\u6642\u9593\u89c0\u5bdf\u5148\u524d\u88ab\u906e\u84cb\u5605\u773c\u775b\u6709\u5187\u504f\u79fb\u659c\u8996\uff08Skew deviation\uff09\uff0c\u7136\u5f8c\u81ea\u7136\u77ef\u6b63\u671b\u8fd4\u4f60\u3002\u800c\u5462\u7a2e\u504f\u79fb\uff08Skew deviation\uff09\u6b63\u6b63\u4fc2\u4e2d\u6a1e\u6027\u6688\u7729\u5605\u75c7\u72c0\u3002<\/p>\n

\u7576\u4e09\u500b\u6e2c\u8a66\u5176\u4e2d\u4e00\u500b\u6709\u967d\u6027\u7d50\u679c\u6642\uff0c\u60a3\u8005\u5c31\u597d\u53ef\u80fd\u4fc2\u4e2d\u6a1e\u6027\u6688\u7729\uff0c\u6709\u4e2d\u98a8\u98a8\u96aa\uff0c\u9700\u8981\u9032\u4e00\u6b65\u6aa2\u67e5\u540c\u6cbb\u7642\uff01<\/p>\n

\u96d6\u7136HINTS exam \u4fc2\u597d\u6e96\u78ba\uff0c\u4f46\u8a18\u5f97\u5927\u524d\u63d0\u4fc2\u7528\u843d\u6709\u6025\u6027\u524d\u5ead\u7d9c\u5408\u75c7\uff08Acute Vestibular Syndrome\uff09\u5605\u4eba\u5230\u5440\uff01\u5982\u679c\u5514\u4fc2\u6703\u6709\u5047\u967d\u6027\u7d50\u679c\uff01\u6b63\u5982\u666e\u901a\u4eba\u505a\u5feb\u901f\u64fa\u982d\u6e2c\u8a66\uff0c\u4fc2\u6b63\u5e38\u524d\u5ead\u773c\u53cd\u5c04\uff0c\u4e00\u6a23\u5514\u6703\u6709\u7cfe\u6b63\u6027\u6383\u8996\u35ce\uff01<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\u63a8\u85a6\u5ef7\u4f38\u95b1\u8b80\uff1a<\/p>\n

    \n
  1. MTP \u7269\u7406\u6cbb\u7642 – \u534a\u908a\u9762\u90c1\u5514\u5230\u4fc2\u4e2d\u98a8\uff1f\u5e36\u4f60\u4e86\u89e3\u9762\u7671\u6210\u56e0\u548c\u7269\u7406\u6cbb\u7642\uff01<\/a><\/li>\n
  2. MTP \u7269\u7406\u6cbb\u7642 – \u4e2d\u98a8\u90fd\u6709\u597d\u591a\u7a2e\uff1f\u5065\u5eb7\u4f60\u8981\u77e5\uff01<\/a><\/li>\n<\/ol>\n

    \u6309\u6b64\u700f\u89bd\u6240\u6709\u6587\u7ae0<\/a><\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

    \n\t\t\t\t
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    \n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\u56de\u5230\u4e3b\u9801<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    \n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\u7acb\u5373\u9810\u7d04<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t
    \n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t

    References\uff1a<\/p>\n

    Edlow, J. A., Gurley, K. L., & Newman-Toker, D. E. (2018). A New Diagnostic Approach to the Adult Patient with Acute Dizziness. The Journal of emergency medicine, 54(4), 469\u2013483. https:\/\/doi.org\/10.1016\/j.jemermed.2017.12.024<\/p>\n

    Kattah, J. C., Talkad, A. V., Wang, D. Z., Hsieh, Y. H., & Newman-Toker, D. E. (2009). HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke, 40(11), 3504\u20133510. https:\/\/doi.org\/10.1161\/STROKEAHA.109.551234<\/p>\n

    Saber Tehrani, A. S., Kattah, J. C., Kerber, K. A., Gold, D. R., Zee, D. S., Urrutia, V. C., & Newman-Toker, D. E. (2018). Diagnosing Stroke in Acute Dizziness and Vertigo: Pitfalls and Pearls. Stroke, 49(3), 788\u2013795.\u00a0<\/p>\n

    Saber Tehrani, A. S., Kattah, J. C., Mantokoudis, G., Pula, J. H., Nair, D., Blitz, A., Ying, S., Hanley, D. F., Zee, D. S., & Newman-Toker, D. E. (2014). Small strokes causing severe vertigo: frequency of false-negative MRIs and nonlacunar mechanisms. Neurology, 83(2), 169\u2013173.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

    \n\t\t\t\t
    \n\t\t\t\t\t
    \n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tInstagram<\/span>\n\t\t\t\t\t\t<\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tWhatsapp<\/span>\n\t\t\t\t\t\t<\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

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