指南&解读指南

订阅

MedSci主页 / 所有栏目 / 指南&解读指南

持续性姿势-感知性头晕（PPPD）诊断标准：Bárány学会前庭疾病分类委员会共识

Bárány学会前庭疾病分类委员会

本文提出被纳入前庭疾病国际分类（International Classification of Vestibular Disorders，ICVD）的持续性姿势-感知性头晕（PPPD）的诊断标准。

中文标题：

持续性姿势-感知性头晕（PPPD）诊断标准：Bárány学会前庭疾病分类委员会共识

英文标题：

Diagnostic Criteria for Persistent Postural-perceptual Dizziness (PPPD): Consensus Document of the Committee for the Classification of Vestibular Disorders of the Bárány Society

发布机构：

发布日期：

简要介绍：

本文提出被纳入前庭疾病国际分类（International Classification of Vestibular Disorders，ICVD）的持续性姿势-感知性头晕（PPPD）的诊断标准。PPPD虽然是一个新的医学术语，但该病的存在由来已久。前庭疾病分类委员会深入汇总、分析了近30年来恐惧性姿势性眩晕（Phobic Postural Vertigo，PPV）、空间运动不适（Space‐Motion Discomfort，SMD）、视觉性眩晕（Visual Vertigo，VV）和慢性主观性头晕（Chronic Subjective Dizziness，CSD）相关的研究，在此基础上提出了PPPD的诊断标准。临床上，头晕、不稳、非旋转性眩晕为PPPD的3个核心症状。PPPD患者常表现为这3个核心症状中的一个或多个，症状持续时间超过3个月，并且在直立姿势、主动/被动运动、暴露于移动视觉刺激或复杂视觉环境中时症状出现加重。PPPD可能与影响平衡系统或引起眩晕、不稳及头晕的疾病所触发有关，包括周围或中枢前庭病变、其他内科疾病或心理疾病。临床上，PPPD既可单独存在，也可与其他临床疾病共病。PPPD可能的亚型分类尚需进一步识别和验证。迄今为止，PPPD确切的病理生理机制尚不明确。新近研究表明，PPPD可能与躯体姿势控制、多感觉信息处理、威胁评估系统与空间定向系统皮质整合的功能异常相关。因此，PPPD被归类为慢性功能性前
庭疾病，并不是结构性前庭疾病或精神心理性前庭疾病。

相关资料下载：
[AttachmentFileName(sort=1, fileName=持续性姿势-感知性头晕(PPPD)诊断标准Bárány学会前庭疾病分类委员会共识.pdf), AttachmentFileName(sort=2, fileName=diagnostic criteria.pdf)] GetToolGuiderByIdResponse(projectId=1, id=32af21c001955802, title=持续性姿势-感知性头晕（PPPD）诊断标准：Bárány学会前庭疾病分类委员会共识, enTitle=Diagnostic Criteria for Persistent Postural-perceptual Dizziness (PPPD): Consensus Document of the Committee for the Classification of Vestibular Disorders of the Bárány Society, guiderFrom=Bárány学会前庭疾病分类委员会, authorId=0, author=, summary=本文提出被纳入前庭疾病国际分类（International Classification of Vestibular Disorders，ICVD）的持续性姿势-感知性头晕（PPPD）的诊断标准。, cover=, journalId=0, articlesId=null, associationId=0, associationName=, associationIntro=, copyright=0, guiderPublishedTime=null, originalUrl=, linkOutUrl=, content=<p><span class="fontstyle0">本文提出被纳入前庭疾病国际分类（</span><span class="fontstyle1">International Classification of Vestibular Disorders</span><span class="fontstyle0">，</span><span class="fontstyle1">ICVD</span><span class="fontstyle0">）的持续性姿势</span><span class="fontstyle1">-</span><span class="fontstyle0">感知性头晕（</span><span class="fontstyle1">PPPD</span><span class="fontstyle0">）的诊断标准。</span><span class="fontstyle1">PPPD</span><span class="fontstyle0">虽然是一个新的医学术语，但该病的存在由来已久。前庭疾病分类委员会深入汇总、分析了近</span><span class="fontstyle1">30</span><span class="fontstyle0">年来恐惧性姿势性眩晕（</span><span class="fontstyle1">Phobic Postural Vertigo</span><span class="fontstyle0">，</span><span class="fontstyle1">PPV</span><span class="fontstyle0">）、空间运动不适（</span><span class="fontstyle1">Space</span><span class="fontstyle0">‐</span><span class="fontstyle1">Motion Discomfort</span><span class="fontstyle0">，</span><span class="fontstyle1">SMD</span><span class="fontstyle0">）、视觉性眩晕（</span><span class="fontstyle1">Visual Vertigo</span><span class="fontstyle0">，</span><span class="fontstyle1">VV</span><span class="fontstyle0">）和慢性主观性头晕（</span><span class="fontstyle1">Chronic Subjective Dizziness</span><span class="fontstyle0">，</span><span class="fontstyle1">CSD</span><span class="fontstyle0">）相关的研究，在此基础上提出了</span><span class="fontstyle1">PPPD</span><span class="fontstyle0">的诊断标准。临床上，头晕、不稳、非旋转性眩晕为</span><span class="fontstyle1">PPPD</span><span class="fontstyle0">的</span><span class="fontstyle1">3</span><span class="fontstyle0">个核心症状。</span><span class="fontstyle1">PPPD</span><span class="fontstyle0">患者常表现为这</span><span class="fontstyle1">3</span><span class="fontstyle0">个核心症状中的一个或多个，症状持续时间超过</span><span class="fontstyle1">3</span><span class="fontstyle0">个月，并且在直立姿势、主动</span><span class="fontstyle1">/</span><span class="fontstyle0">被动运动、暴露于移动视觉刺激或复杂视觉环境中时症状出现加重。</span><span class="fontstyle1">PPPD</span><span class="fontstyle0">可能与影响平衡系统或引起眩晕、不稳及头晕的疾病所触发有关，包括周围或中枢前庭病变、其他内科疾病或心理疾病。临床上，</span><span class="fontstyle1">PPPD</span><span class="fontstyle0">既可单独存在，也可与其他临床疾病共病。</span><span class="fontstyle1">PPPD</span><span class="fontstyle0">可能的亚型分类尚需进一步识别和验证。迄今为止，</span><span class="fontstyle1">PPPD</span><span class="fontstyle0">确切的病理生理机制尚不明确。新近研究表明，</span><span class="fontstyle1">PPPD</span><span class="fontstyle0">可能与躯体姿势控制、多感觉信息处理、威胁评估系统与空间定向系统皮质整合的功能异常相关。因此，</span><span class="fontstyle1">PPPD</span><span class="fontstyle0">被归类为慢性功能性前<br />庭疾病，并不是结构性前庭疾病或精神心理性前庭疾病。</span> </p>, tagList=[], categoryList=[CategoryDto(categoryId=85, categoryName=指南&解读, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=0, articleKeyword=, articleKeywordNum=6, guiderKeywordId=0, guiderKeyword=, guiderKeywordNum=6, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=共识, guiderLanguage=0, guiderRegion=3, opened=0, paymentType=, paymentAmount=0, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=5785, appHits=164, showAppHits=0, pcHits=1937, showPcHits=5621, likes=1, shares=13, comments=16, approvalStatus=1, publishedTime=Mon Aug 24 16:44:30 CST 2020, publishedTimeString=null, pcVisible=1, appVisible=1, editorId=2299766, editor=Psycho. Dr Du Bing, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=2, createdBy=null, createdName=Psycho. Dr Du Bing, createdTime=Mon Aug 24 16:40:52 CST 2020, updatedBy=2299766, updatedName=Psycho. Dr Du Bing, updatedTime=Sat Jan 06 17:33:16 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=1, fileName=持续性姿势-感知性头晕(PPPD)诊断标准Bárány学会前庭疾病分类委员会共识.pdf), AttachmentFileName(sort=2, fileName=diagnostic criteria.pdf)])
持续性姿势-感知性头晕(PPPD)诊断标准Bárány学会前庭疾病分类委员会共识.pdf
下载请点击：
diagnostic criteria.pdf
下载请点击：
评论区 (10)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2094540, encodeId=731120945404d, content=想l学习，积分不够, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210904/1ac509b02e474a62b04821218d545591/41999e8f8740491a9831ef637a726745.jpg, createdBy=6c8a5450541, createdName=ms8000000374682656, createdTime=Tue Oct 18 19:13:59 CST 2022, time=2022-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061305, encodeId=340110613051c, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/tXSgyib4S0EiajffhELe7hWwMxeiaNNicTqWOk9qjf2oaibqvMrFmTvfnWGNgpkBGFw9EvV25G4BgoK8yxstNx5AnCQ/132, createdBy=c10d2385211, createdName=youngstoner, createdTime=Sun Oct 17 21:23:11 CST 2021, time=2021-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1056184, encodeId=1294105618457, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd35325510, createdName=148b9f9cm80暂无昵称, createdTime=Wed Sep 29 18:32:26 CST 2021, time=2021-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002856, encodeId=aca610028566b, content=学校, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=20475550490, createdName=朱子洁, createdTime=Mon Jul 26 22:16:10 CST 2021, time=2021-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=965328, encodeId=9121965328e4, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=31475248270, createdName=147d6890m66暂无昵称, createdTime=Thu May 13 21:02:45 CST 2021, time=2021-05-13, status=1, ipAttribution=)]
    2022-10-18 ms8000000374682656

    想l学习，积分不够

    1

    展开1条回复
  2. [GetPortalCommentsPageByObjectIdResponse(id=2094540, encodeId=731120945404d, content=想l学习，积分不够, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210904/1ac509b02e474a62b04821218d545591/41999e8f8740491a9831ef637a726745.jpg, createdBy=6c8a5450541, createdName=ms8000000374682656, createdTime=Tue Oct 18 19:13:59 CST 2022, time=2022-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061305, encodeId=340110613051c, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/tXSgyib4S0EiajffhELe7hWwMxeiaNNicTqWOk9qjf2oaibqvMrFmTvfnWGNgpkBGFw9EvV25G4BgoK8yxstNx5AnCQ/132, createdBy=c10d2385211, createdName=youngstoner, createdTime=Sun Oct 17 21:23:11 CST 2021, time=2021-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1056184, encodeId=1294105618457, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd35325510, createdName=148b9f9cm80暂无昵称, createdTime=Wed Sep 29 18:32:26 CST 2021, time=2021-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002856, encodeId=aca610028566b, content=学校, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=20475550490, createdName=朱子洁, createdTime=Mon Jul 26 22:16:10 CST 2021, time=2021-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=965328, encodeId=9121965328e4, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=31475248270, createdName=147d6890m66暂无昵称, createdTime=Thu May 13 21:02:45 CST 2021, time=2021-05-13, status=1, ipAttribution=)]
    2021-10-17 youngstoner

    学习了

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2094540, encodeId=731120945404d, content=想l学习，积分不够, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210904/1ac509b02e474a62b04821218d545591/41999e8f8740491a9831ef637a726745.jpg, createdBy=6c8a5450541, createdName=ms8000000374682656, createdTime=Tue Oct 18 19:13:59 CST 2022, time=2022-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061305, encodeId=340110613051c, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/tXSgyib4S0EiajffhELe7hWwMxeiaNNicTqWOk9qjf2oaibqvMrFmTvfnWGNgpkBGFw9EvV25G4BgoK8yxstNx5AnCQ/132, createdBy=c10d2385211, createdName=youngstoner, createdTime=Sun Oct 17 21:23:11 CST 2021, time=2021-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1056184, encodeId=1294105618457, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd35325510, createdName=148b9f9cm80暂无昵称, createdTime=Wed Sep 29 18:32:26 CST 2021, time=2021-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002856, encodeId=aca610028566b, content=学校, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=20475550490, createdName=朱子洁, createdTime=Mon Jul 26 22:16:10 CST 2021, time=2021-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=965328, encodeId=9121965328e4, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=31475248270, createdName=147d6890m66暂无昵称, createdTime=Thu May 13 21:02:45 CST 2021, time=2021-05-13, status=1, ipAttribution=)]
    2021-09-29 148b9f9cm80暂无昵称

    学习

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2094540, encodeId=731120945404d, content=想l学习，积分不够, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210904/1ac509b02e474a62b04821218d545591/41999e8f8740491a9831ef637a726745.jpg, createdBy=6c8a5450541, createdName=ms8000000374682656, createdTime=Tue Oct 18 19:13:59 CST 2022, time=2022-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061305, encodeId=340110613051c, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/tXSgyib4S0EiajffhELe7hWwMxeiaNNicTqWOk9qjf2oaibqvMrFmTvfnWGNgpkBGFw9EvV25G4BgoK8yxstNx5AnCQ/132, createdBy=c10d2385211, createdName=youngstoner, createdTime=Sun Oct 17 21:23:11 CST 2021, time=2021-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1056184, encodeId=1294105618457, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd35325510, createdName=148b9f9cm80暂无昵称, createdTime=Wed Sep 29 18:32:26 CST 2021, time=2021-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002856, encodeId=aca610028566b, content=学校, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=20475550490, createdName=朱子洁, createdTime=Mon Jul 26 22:16:10 CST 2021, time=2021-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=965328, encodeId=9121965328e4, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=31475248270, createdName=147d6890m66暂无昵称, createdTime=Thu May 13 21:02:45 CST 2021, time=2021-05-13, status=1, ipAttribution=)]
    2021-07-26 朱子洁

    学校

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2094540, encodeId=731120945404d, content=想l学习，积分不够, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210904/1ac509b02e474a62b04821218d545591/41999e8f8740491a9831ef637a726745.jpg, createdBy=6c8a5450541, createdName=ms8000000374682656, createdTime=Tue Oct 18 19:13:59 CST 2022, time=2022-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061305, encodeId=340110613051c, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/tXSgyib4S0EiajffhELe7hWwMxeiaNNicTqWOk9qjf2oaibqvMrFmTvfnWGNgpkBGFw9EvV25G4BgoK8yxstNx5AnCQ/132, createdBy=c10d2385211, createdName=youngstoner, createdTime=Sun Oct 17 21:23:11 CST 2021, time=2021-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1056184, encodeId=1294105618457, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd35325510, createdName=148b9f9cm80暂无昵称, createdTime=Wed Sep 29 18:32:26 CST 2021, time=2021-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002856, encodeId=aca610028566b, content=学校, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=20475550490, createdName=朱子洁, createdTime=Mon Jul 26 22:16:10 CST 2021, time=2021-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=965328, encodeId=9121965328e4, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=31475248270, createdName=147d6890m66暂无昵称, createdTime=Thu May 13 21:02:45 CST 2021, time=2021-05-13, status=1, ipAttribution=)]
    2021-05-13 147d6890m66暂无昵称

    好东西

    0

以上为热门评论，梅斯医学App还有更多内容