日本流行性腮腺炎致聋的流行病学研究。

Epidemiological study of mumps deafness in Japan.

作者信息

Kawashima Yoshiyuki, Ihara Kazushige, Nakamura Mieko, Nakashima Tsutomu, Fukuda Satoshi, Kitamura Ken

机构信息

Department of Otolaryngology, Graduate School, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.

出版信息

Auris Nasus Larynx. 2005 Jun;32(2):125-8. doi: 10.1016/j.anl.2005.01.009. Epub 2005 Apr 7.

DOI:10.1016/j.anl.2005.01.009

PMID:15917168

Abstract

In Japan, mumps vaccination is optional and the mumps were increased accompanied with prevalent waves according to the Infections Agents Surveillance Report (IASR). The aim of this study was to clarify that there was relevance for increase of mumps epidemic and mumps deafness. The Acute Profound Deafness Research Committee of the Japanese Ministry of Health and Welfare (reorganized to the Ministry of Health, Labour and Welfare in 2001) conducted a nationwide epidemiological survey to determine the number of patients treated for mumps deafness in 1987, 1993 and 2001. Based on its findings, the annual numbers of mumps deafness cases was estimated to be 300 in 1987, 400 in 1993 and 650 in 2001, which correlated with the overall incidence of mumps in those years. Because the majority of cases exhibited severe or profound sensorineural hearing loss that usually did not recover, rapid improvement of mumps vaccine coverage is strongly recommended.

摘要

在日本，腮腺炎疫苗接种为非强制性。根据《感染症监测报告》（IASR），腮腺炎发病率随流行波次上升。本研究旨在阐明腮腺炎流行增加与腮腺炎致聋之间的相关性。日本厚生省（2001年改组为厚生劳动省）的急性重度耳聋研究委员会开展了一项全国性流行病学调查，以确定1987年、1993年和2001年因腮腺炎致聋而接受治疗的患者数量。根据调查结果，估计1987年、1993年和2001年每年的腮腺炎致聋病例数分别为300例、400例和650例，这与这些年份腮腺炎的总体发病率相关。由于大多数病例表现为严重或极重度感音神经性听力损失且通常无法恢复，强烈建议迅速提高腮腺炎疫苗接种率。