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1993年以来,笔者用纳络酮治疗眩晕34例,经临床观察,疗效明显,现报告如下。 1 临床资料 1.1 一般情况:本组男性24例,女性10例;年龄18～30岁8例,31～60岁16例,60岁以上10例。其中耳源性眩晕16例,颈性眩晕症8例,其他眩晕10例。第一次发病8例,反复发作26例。 1.2 临床特点:以眩晕、耳鸣、耳聋伴视物旋转、恶心呕吐。颈性眩晕常伴有枕顶部头痛、闪光及上肢麻痛。其他头部外伤性眩晕、椎基底动脉供血不足、脑栓塞伴有原发的症状和病史。 1.3 治疗方法:纳络酮0.4mg肌注或加入50％葡萄糖20毫升静注,每日1次,连用3天。笔者经过筛选,选取上述典型病例、年龄、职业、体质、经济等为基本条件而进行治疗。
Since 1993, the author treated with naloxone 34 cases of vertigo, the clinical observation, the effect is obvious, are as follows. 1 Clinical data 1.1 General situation: The group of 24 males and 10 females; aged 18 to 30 years in 8 cases, 31 to 60 years old in 16 cases, 60 years of age in 10 cases. Among them, 16 cases of otogenic vertigo, 8 cases of cervical vertigo and 10 cases of other vertigo. The first incidence of 8 cases, recurrent in 26 cases. 1.2 Clinical features: to dizziness, tinnitus, deafness with visual rotation, nausea and vomiting. Cervical vertigo is often accompanied by pillow top headache, flash and upper limb numbness. Other head traumatic vertigo, vertebrobasilar insufficiency, cerebral embolism with primary symptoms and history. 1.3 Treatment: Naloxone 0.4mg intramuscular injection or adding 50% glucose 20 ml intravenously once daily for 3 days. The author after screening, select the typical cases, age, occupation, physical fitness, economy as the basic conditions for treatment.