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达卡市两个选定贫民窟儿童慢性化脓性中耳炎的患病率

Prevalence of chronic suppurative otitis media among the children living in two selected slums of Dhaka City.

作者信息

Kamal N, Joarder A H, Chowdhury A A, Khan A W

机构信息

Lalkuthi Maternity and Child Health Sub Center, Dhaka.

出版信息

Bangladesh Med Res Counc Bull. 2004 Dec;30(3):95-104.

Abstract

Chronic Suppurative Otitis Media (CSOM) is one of the important health problems in our country. Serious complications may arise from it. As such the study was aimed to find out the prevalence of CSOM among the children of two-selected slum dwellers in Dhaka City. This was a descriptive type of cross-sectional study. A total of 203 samples were interviewed and examined. Altogether 7.39% of children were observed to have CSOM. Among CSOM cases, 60% had hearing impairment. Ear discharge and perforation were observed in 26.7% in right ear, 46.7% in left ear and 26.7% in both ears. Central perforation was present in 93% cases. Cholesteatoma was present in 6.7% cases. Among CSOM cases, 53.3% children were in 2-5 years age group, 80% were dependent, 53.3% cleaned ear by cotton buds, 93.3% lived in Kutcha house, 73.3% had a monthly income of TK. 1001-2000 and 46.7% belonged to families having 6 members. Out of 15 CSOM, 11 cases were seen among children of 141 illiterate mothers. Four cases of CSOM were found among children of 62 literate mothers. Among the 203 mothers, 65.52% were found aware, and 34.48% were not aware about the disease and sequel of CSOM. Here 39.9% mothers had knowledge and 60.01% had no knowledge about the treatment of CSOM. Among the CSOM cases 46.67% cases did not receive any treatment. In treatment receiving group, only 3(20%) children received it from MBBS doctor or Hospital.

摘要

慢性化脓性中耳炎(CSOM)是我国重要的健康问题之一。它可能引发严重并发症。因此,该研究旨在查明达卡市两个选定贫民窟居民子女中CSOM的患病率。这是一项描述性横断面研究。共对203个样本进行了访谈和检查。观察到共有7.39%的儿童患有CSOM。在CSOM病例中,60%有听力障碍。右耳耳漏和穿孔的发生率为26.7%,左耳为46.7%,双耳均有的为26.7%。93%的病例存在中央穿孔。6.7%的病例存在胆脂瘤。在CSOM病例中,53.3%的儿童年龄在2至5岁组,80%为受抚养人,53.3%用棉签清洁耳朵,93.3%居住在简易房屋中,73.3%的月收入为1001至2000塔卡,46.7%属于有6名成员的家庭。在15例CSOM病例中,11例出现在141名文盲母亲的子女中。在62名识字母亲的子女中发现了4例CSOM。在203名母亲中,发现65.52%知晓该疾病,34.48%不知道CSOM疾病及其后果。在此,39.9%的母亲了解CSOM的治疗方法,60.01%不了解。在CSOM病例中,46.67%的病例未接受任何治疗。在接受治疗的组中,只有3名(20%)儿童从医学学士医生或医院接受治疗。

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