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江苏省≥10岁人群的眩晕流行病学调查研究

An epidemiologic study of vertigo in Jiangsu province

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【作者】 徐霞卜行宽邢光前周玲刘丞王登元陈智斌周涵田慧琴李晓璐陆玲赵晓埝李芳丽谭长强

【Author】 XU Xia1, BU Xing-kuan1, XING Guang-qian1, ZHOU Ling2, LIU Cheng1, WANG Deng-yuan1, CHEN Zhi-bin1, ZHOU Han1, TIAN Hui-qin1, LI Xiao-lu1, LU Ling1, ZHAO Xiao-nian1, LI Fang-li1, TAN Chang-qiang1 Department of Otolaryngology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China

【机构】 南京医科大学第一附属医院耳鼻咽喉科南京医科大学流行病学与卫生统计学系南京医科大学第一附属医院耳鼻咽喉科 南京210029南京210029

【摘要】 目的调查江苏省人群中眩晕的分布情况及相关因素,为制订防治策略提供科学依据。方法采用按容量比例概率抽样(PPS)方法,在江苏省常住人口中抽样,对其中≥10岁的6854人进行眩晕问卷调查、纯音测听和耳科检查。结果本研究实际接受调查6333人,应答率92.4%,男3035人(47.9%),女3298人(52.1%),年龄10~93岁。被调查人群中眩晕的总体患病率为4.1%(标化患病率:全国3.4%,江苏3.6%),眩晕患病率随年龄增加呈上升趋势(P=0.000)。女性眩晕患病率(5.3%)高于男性(2.8%)(P=0.000),城乡之间差异无显著性(农村4.3%,城镇3.8%,P=0.459)。听力减退、中耳炎病史、噪声暴露史是眩晕的危险因素,OR值分别为2.186、2.135、1.609。结论眩晕在江苏省人群中较为常见,其发生与多种因素有关,必须加强这些方面的防治研究。

【Abstract】 Objective To investigate the prevalence of vertigo and related risk factors in the population in Jiangsu province. Methods A total of 6854 persons aged 10 years and over were selected by the methods of probability proportional to size (PPS) and had a questionnaire survey about vertigo, pure tone audiometry test and ear examination. Results There were 6333 persons who underwent a comptete investigation. The response rate was 92.4%. The participants comprised 3035 males (47.9%) and 3298 females(52.1%), aged 10 to 93 years old. The overall prevalence of vertigo was 4.1% (the standardized rate:3.4% in the whole country, 3.6% in Jiangsu province). The prevalence increased with age from 0.5% of persons aged 10-19 years to 7.8% of persons aged 60-69 years(P = 0.000). A significant difference of the prevalence was found between males (2.8%) and females (5.3%) (P = 0.000). There was no significant difference observed between urban (3.8%) and rural residents (4.3%) (P = 0.459). Hearing impairment, history of middle ear infections and noise exposure were the main risk factors for vertigo (odds ratio: 2.186, 2.135 and 1.609, respectively). Conclusion Vertigo is a common condition in the population in Jiangsu province. More researches are urgently needed on prevention and treatment of vertigo.

【关键词】 眩晕流行病学患病率听力减退
【Key words】 VertigoEpidemiologyPrevalenceHearing impairment
【基金】 WHO全球防聋项目(H216218124);江苏省科技厅国际合作项目(No:2004050);江苏省医学重点学科耳科学与听力学资助项目(苏卫科教[2003]19号)。
  • 【文献出处】 中华耳科学杂志 ,Chinese Journal of Otology , 编辑部邮箱 ,2006年04期
  • 【分类号】R764
  • 【被引频次】59
  • 【下载频次】331
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