1596名體檢者耳鳴狀況調(diào)查分析
發(fā)布時(shí)間:2018-01-01 22:10
本文關(guān)鍵詞:1596名體檢者耳鳴狀況調(diào)查分析 出處:《臨床耳鼻咽喉頭頸外科雜志》2016年19期 論文類型:期刊論文
更多相關(guān)文章: 耳鳴 體檢 相關(guān)因素
【摘要】:目的:了解大連體檢人群的耳鳴發(fā)生狀況,分析與耳鳴相關(guān)的全身性因素。方法:對(duì)前來(lái)我院體檢中心進(jìn)行健康檢查的1 596人,在實(shí)施耳鳴問(wèn)卷調(diào)查、耳鼻咽喉?茩z查的基礎(chǔ)上,進(jìn)行全身體檢及血液實(shí)驗(yàn)室檢查。統(tǒng)計(jì)這一人群的耳鳴檢出率,并分析耳鳴的產(chǎn)生與性別、年齡、高血壓、高脂血癥、超重、糖尿病、腎功能減退、貧血等全身因素的關(guān)系。結(jié)果:(1)大連市體檢人群耳鳴總檢出率為18.8%(300/1 596),女性為20.6%(175/848),男性為16.7%(125/748),女性耳鳴檢出率高于男性(P0.05);隨著年齡的增長(zhǎng),耳鳴的檢出率逐漸上升(P0.01)。(2)經(jīng)單因素Logistic回歸分析發(fā)現(xiàn)女性(OR=1.30)、年齡(OR=1.04)、高血壓(OR=2.30)、高脂血癥(OR=1.49)、超重(OR=1.45)及糖尿病(OR=1.75)為耳鳴發(fā)生的相關(guān)因素(P0.05);而多因素Logistic回歸分析顯示女性(OR=1.27,P=0.085)、年齡(OR=1.05,P0.01)、超重(OR=1.46,P=0.007)為耳鳴發(fā)生的主要相關(guān)因素。結(jié)論:大連市體檢人群耳鳴檢出率較高,高血壓、高脂血癥及糖尿病與耳鳴的發(fā)生可能相關(guān),超重、女性及年齡可能為主要全身性相關(guān)因素。
[Abstract]:Objective: to understand the status of Dalian physical examination population tinnitus, systemic factors related to tinnitus. Methods: health examination to the hospital medical center 1596, in the implementation of tinnitus questionnaire survey, based on the examination of Otorhinolaryngology, general physical examination and laboratory examination of blood. The detection rate of this population statistics the tinnitus, and analyzing the cause of tinnitus and gender, age, hypertension, hyperlipidemia, overweight, diabetes mellitus, renal dysfunction, relationship between anemia and other systemic factors. Results: (1) Dalian city population tinnitus detection rate was 18.8% (300/1 596), 20.6% for women, 16.7% for men (175/848) (125/748), female tinnitus detection rate is higher than that of male (P0.05); with the increase of age, the prevalence of tinnitus increased gradually (P0.01). (2) by single factor Logistic regression analysis found that female (OR=1.30), age (OR=1.04), hypertension (OR=2.30), high fat blood In (OR=1.49), overweight (OR=1.45) and diabetes mellitus (OR=1.75) related factors for the occurrence of tinnitus (P0.05); and Logistic regression analysis showed that female (OR=1.27, P=0.085), age (OR=1.05, P0.01), overweight (OR=1.46, P=0.007) as the main factors related to tinnitus. Conclusion: the examination of Dalian city the crowd of tinnitus and a higher detection rate, hypertension, hyperlipidemia and diabetes may be associated with tinnitus, overweight, may be the main systemic factors related to female and age.
【作者單位】: 大連醫(yī)科大學(xué)附屬第一醫(yī)院耳鼻咽喉科;大連醫(yī)科大學(xué)統(tǒng)計(jì)教研室;
【分類號(hào)】:R764.45
【正文快照】: 耳鳴是耳科臨床最常見(jiàn)的癥狀之一,其病因及發(fā)病機(jī)制至今尚不十分清楚。局部因素如聽(tīng)力減退、咽鼓管功能障礙、梅尼埃病、聽(tīng)神經(jīng)瘤等都可能導(dǎo)致耳鳴[1-2],但是在臨床上我們還發(fā)現(xiàn),很多重度甚至極重度耳聾者并沒(méi)有耳鳴,同樣的中耳疾病發(fā)生耳鳴個(gè)體差異很大[2]。國(guó)外有學(xué)者探討了
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