上海市残疾人耳鼻咽喉科检查结果分析

doi:10.3969/j.issn.1007-9572.2016.34.019

摘要/Abstract

摘要： 目的了解上海市残疾人的耳鼻咽喉科检查情况，为制定相关健康干预措施提供依据。方法通过上海市残疾人联合会的 “康复综合信息平台”，收集 2011 年 1 月 —2014 年 8 月上海市阳光康复中心和 2013 年 1 月 —2014 年 6 月上海市康复职业培训中心的残疾人耳鼻咽喉科健康体检数据 65659 份（上海市阳光康复中心 34361 份，上海市康复职业培训中心 31298 份）。主要收集内容包括残疾人的基本人口学情况、残疾特征及耳鼻咽喉科体检结果。比较并分析不同性别、年龄、疾病特征残疾人的耳鼻咽喉科异常结果检出情况。结果共检出耳鼻咽喉科异常结果 96 种，检出率排在前 3 位的分别为咽炎（31.90%，14716/46126）、耵聍栓塞（7.19%，3710/51628）、鼻中隔偏曲（6.48%，3349/51645）。（1）不同性别残疾人的咽炎、耵聍栓塞、鼻中隔偏曲、过敏性鼻炎、慢性鼻炎检出率比较，差异有统计学意义（P0.05）。（2）不同年龄残疾人的咽炎、耵聍栓塞、鼻中隔偏曲、过敏性鼻炎、慢性鼻炎、中耳炎、扁桃体肥大、听力下降、鼓膜穿孔、鼓膜内陷检出率比较，差异均有统计学意义（P0.05）。（4）不同等级肢体残疾残疾人的咽炎、耵聍栓塞、鼻中隔偏曲、过敏性鼻炎、听力下降检出率比较，差异有统计学意义（P<0.05）；不同等级视力残疾残疾人的咽炎、耵聍栓塞、鼻中隔偏曲检出率比较，差异有统计学意义（P<0.05）；不同等级智力残疾残疾人的耵聍栓塞、慢性鼻炎、扁桃体肥大检出率比较，差异有统计学意义（P<0.05）；不同等级听力残疾残疾人的耵聍栓塞、过敏性鼻炎、慢性鼻炎、中耳炎、听力下降、鼓膜穿孔、鼓膜内陷检出率比较，差异有统计学意义（P<0.05）；不同等级精神残疾残疾人的耵聍栓塞、扁桃体肥大、鼓膜穿孔、鼓膜内陷检出率比较，差异有统计学意义（P<0.05）。结论上海市残疾人的耳鼻咽喉健康状况不容乐观，建议加强对残疾人耳鼻咽喉疾病的防治宣传，以降低其发病率。

关键词: 残疾人, 健康状况, 耳鼻咽喉疾病, 上海

Abstract: Objective To know the otorhinolaryngology examination status of the disabled in Shanghai and provide basis for the development of related health intervention measures. Methods Through the "Comprehensive Information Platform for Rehabilitation" of Shanghai Disabled Persons' Federation, 65659 health examination data of the disabled in Department of Otorhinolaryngology were collected from Shanghai Sunshine Rehabilitation Center from January 2011 to August 2014, and from Shanghai Training Center of Vocation and Rehabilitation from January 2013 to June 2014 (34361 in the former institution and 31298 in the latter). The basic demographic information, disability type, and examination outcomes in Department of Otorhinolaryngology of the disabled were mainly collected. The abnormal results in Department of Otorhinolaryngology of the disabled with different genders, ages and disease characteristics were compared and analyzed. Results A total of 96 abnormal results were detected, and the ones with the top three detection rate were pharyngitis (31.90%, 14716/46126), impacted cerumen (7.19%, 3710/51628), deviation of nasal septum (6.48%, 3349/51645) respectively. (1) There were significant differences in the detection rate of pharyngitis, impacted cerumen, deviation of nasal septum, anaphylactic rhinitis and chronic rhinitis of the disabled with different genders (P<0.05); there were no significant differences in the detection rate of otitis media, hypertrophy of tonsil, hearing loss, tympanic membrane perforation and retracted tympanic membrane (P>0.05). (2) There were significant differences in the detection rate of pharyngitis, impacted cerumen, deviation of nasal septum, anaphylactic rhinitis, chronic rhinitis, otitis media, hypertrophy of tonsil, hearing loss, tympanic membrane perforation and retracted tympanic membrane of the disabled with different ages (P<0.05). (3) There were significant differences in the detection rate of pharyngitis, impacted cerumen, anaphylactic rhinitis, chronic rhinitis, otitis media, hypertrophy of tonsil, hearing loss, tympanic membrane perforation and retracted tympanic membrane of the disabled with different types of disability (P<0.05); there was no significant difference in the detection rate of deviation of nasal septum (P>0.05). (4) There were significant differences in the detection rate of pharyngitis, impacted cerumen, deviation of nasal septum, anaphylactic rhinitis and hearing loss of the disabled with different levels of limbs disability (P<0.05); there were significant differences in the detection rate of pharyngitis, impacted cerumen and deviation of nasal septum of the disabled with different levels of vision disability (P<0.05); there were significant differences in the detection rate of impacted cerumen, chronic rhinitis and hypertrophy of tonsil of the disabled with different levels of intelligence disability (P<0.05); there were significant differences in the detection rate of impacted cerumen, anaphylactic rhinitis, chronic rhinitis, otitis media, hearing loss, tympanic membrane perforation and retracted tympanic membrane of the disabled with different levels of hearing disability (P<0.05); there were significant differences in the detection rate of impacted cerumen, hypertrophy of tonsil, tympanic membrane perforation and retracted tympanic membrane of the disabled with different levels of mental disability (P<0.05). Conclusion The health status of otolaryngology is not optimistic for the disabled in Shanghai. It is suggested to strengthen the prevention and treatment of otorhinolaryngologic diseases of the disabled so as to reduce its incidence.

Key words: Disabled persons, Health status, Otorhinolaryngologic diseases, Shanghai

刘斐霞, 张悠然, 康琦, 唐瑞瑞, 白燕, 王倩, 宗莲, 吕军, 陈刚. 上海市残疾人耳鼻咽喉科检查结果分析[J]. 中国全科医学, 2016, 19(34): 4240-4246.

LIU Fei-xia, ZHANG You-ran, KANG Qi, TANG Rui-rui, BAI Yan, WANG Qian, ZONG Lian, LYU Jun, CHEN Gang. Otorhinolaryngology Examination Outcome of Disabled Persons in Shanghai[J]. Chinese General Practice, 2016, 19(34): 4240-4246.

参考文献

［1］林应安.耳鼻喉科健康体检常见病发病情况分析［J］.医学理论与实践，2013，26（23）：3206-3207. LIN Y A.The common diseases in health examination of ENT Department［J］.The Journal of Medical Theory and Practice,26（23）:3206-3207. ［2］董景五.疾病和有关健康问题的国际统计分类［M］.北京：人民卫生出版社，2008. DONG J W.International statistical classification of diseases and related health problems［M］.Beijing:People’s Medical Publishing House,2008. ［3］戴萌，朱宏，林锦彦，等.广东省某医院健康体检资料分析及健康管理：自主创新与持续增长第十一届中国科协年会论文集（3）［C］.2009. DAI M,ZHU H,LIN J Y,et al.Hospital health material of physical examination analyse and health management in Guangdong：Independent Innovation and Sustainable Growth of the Eleventh Chinese Association Annual Conference（3）［C］.2009. ［4］孔维佳，周梁，许庚，等.耳鼻咽喉头颈外科学［M］.北京：人民卫生出版社，2005：146. KONG W J,ZHOU L,XU G,et al.ENT head and neck surgery［M］.Beijing:People’s Medical Publishing House,2005:146. ［5］蒙慧菊，梁逸，何月洁，等.慢性咽炎的治疗与预防研究进展［J］.中国临床新医学，2013，6（12）：1221-1225. MENG H J,LIANG Y,HE Y J,et al.Research progress in prevention and treatment of chronic pharyngitis［J］.Chinese Journal of New Clinical Medicine，2013,6（12）:1221-1225. ［6］田勇泉.耳鼻咽喉头颈外科学［M］.北京：人民卫生出版社，2012：72. TIAN Y Q.ENT head and neck surgery［M］.Beijing:People’s Medical Publishing House,2012：72. ［7］师慧芳.我院耳鼻喉科健康体检资料分析［J］.内蒙古中医药，2010，29（8）：63. SHI H F.The health examination data in the Department of ENT of our hospital［J］.Nei Mongol Journal of Traditional Chinese Medicine,2010,29（8）:63.DOI:10.3969/j.issn.1006-0979.2010.08.072. ［8］李剑，张伟东，刘顺德，等.金乡县中小学生耳鼻咽喉疾病调查［J］.中国热带医学，2005，5（4）：880-881. LI J,ZHANG W D,LIU S D,et al.Survey of the illnesses of ear,nose and throat in primary school pupils and middle school students in Jinxiang County［J］.China Tropical Medicine,2005,5（4）:880-881. ［9］邓碧凡，高波.老年慢性化脓性中耳炎60例听力学分析［J］.中国老年学杂志，2012，32（3）：613-614. DENG B F,GAO B.Audiology analysis of 60 cases elderly patients with chronic otitis media suppurativa［J］.Chinese Journal of Gerontology,2012,32（3）:613-614.DOI:10.3969/j.issn.1005-9202.2012.03.086. ［10］沈励，刘民.听力残疾的流行病学研究进展［J］.中国康复医学杂志，2009，24（3）：281-283. SHEN L,LIU M.New advance of epidemiology of hearing disability［J］.Chinese Journal of Rehabilitation Medicine,2009,24（3）:281-283.DOI:10.3969/j.issn.1001-1242.2009.03.032.

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