【摘要】 2015年WHO国际疾病分类ICD-11 beta草案已将持续性姿势-知觉性头晕(persistent postural-percep-tion dizziness PPPD)列入。它是一种临床常见的头晕形式,伴有持续非旋转性头晕或主观不稳感,且在直立姿态、个人运动、环境中物体运动以及复杂视觉刺激的条件下加重。PPPD的发病机制目前尚未完全阐明,可能的假说有:(1)经典和操作性条件反射建立假说(2)再适应失败假说。治疗包括药物治疗、前庭平衡康复训练和认知行为治疗。了解PPPD有助于头晕的诊断和鉴别。本文对PPPD的研究进展进行综述。更多还原

【Abstract】 Persistent Postural-perception Dizziness(PPPD) has been included by the WHO 11 th beta draft of International Classification of Diseases(ICD) in 2015.It is a clinically common form of dizziness,accompanied by persistent non-rotational dizziness or subjective sense of instability lasting 3 months or more.It could be exacerbated in the upright posture,movement of the person,movement of the environmental objects,and complex visual stimulation conditions.The pathogenesis of PPPD is not yet fully elucidated.The possible hypotheses are:(1) Classic and operational conditioned reflex hypothesis;(2)Failure of Re-adaptation.Treatment includes medications,vestibular rehabilitation therapy and cognitive behavioral therapy.This article reviewed the progress in recent research on PPPD.更多还原