Chinese Expert Consensus on Diagnosis and Treatment of Psychiatric Dizziness

doi:10.12114/j.issn.1007-9572.2023.0577

Abstract

Abstract:

The incidence of psychiatric dizziness is high. If clinicians do not have enough knowledge about it, they are prone to misdiagnose psychiatric dizziness as posterior circulation ischemic attack, cervical dizziness, vestibular peripheral vertigo or other diseases, thus leading to inappropriate examinations and treatments. With the increasing emphasis on psychosomatic diseases, the Holistic Health Coordination Group of the Psychosomatic Medicine Society of the Chinese Medical Association formulated the Chinese Expert Consensus on Diagnosis and Treatment of Psychiatric Dizziness in combination with the latest evidence in relevant fields at home and abroad, as well as the opinions of experts in psychosomatic health, mental disorders, vertigo and other fields. This consensus elaborated the concept, etiology and pathogenesis, clinical characteristics, diagnosis and evaluation, and various treatment approaches of psychiatric dizziness, and formulated the final expert consensus after multidisciplinary expert communication, aiming to provide a reference basis for standardized diagnosis and treatment of psychiatric dizziness.

Key words: Psychiatric dizziness, Dizziness, Psychosomatic medicine, Mental Disorders, Diagnosis, Therapy, Expert consensus, Guidebook

摘要： 精神性头晕发生率较高，若临床医生对其认识程度不够，则易将精神性头晕误诊为后循环缺血发作、颈性头晕、前庭周围性眩晕等疾病，从而进行不适宜的检查及治疗。随着对心身疾病的不断重视，中华医学会心身医学分会整体健康协作学组结合国内外相关领域最新的循证医学证据，以及心身、精神、眩晕等领域专家的意见，制定了《精神性头晕诊疗中国专家共识》。该共识阐述了精神性头晕概念、病因与发病机制、临床特征、诊断评估及多种治疗方法，经过多学科专家交流最终达成一致，制定了本专家共识，旨在为精神性头晕的规范性诊治提供参考依据。

关键词: 精神性头晕, 头晕, 心身医学, 精神障碍, 诊断, 治疗, 专家共识, 指南

Holistic Health Coordination Group of the Psychosomatic Medicine Society of the Chinese Medical Association. Chinese Expert Consensus on Diagnosis and Treatment of Psychiatric Dizziness[J]. Chinese General Practice, 2024, 27(02): 125-131. DOI: 10.12114/j.issn.1007-9572.2023.0577.
中华医学会心身医学分会整体健康协作学组. 精神性头晕诊疗中国专家共识[J]. 中国全科医学, 2024, 27(02): 125-131. DOI: 10.12114/j.issn.1007-9572.2023.0577.

Figures/Tables 1

References 43

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