Chadha S K, Sayal A, Malhotra V, Agarwal A K
Department of Otolaryngology and Head and Neck Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.
J Laryngol Otol. 2013 Jan;127(1):28-32. doi: 10.1017/S0022215112002691. Epub 2012 Dec 7.
There is a considerable scarcity of reliable population-based data on the prevalence of preventable ear disorders in developing countries. This study was conducted to determine the prevalence of preventable ear disorders in primary school children (aged 5 to 12 years) in northern India.
A pro forma questionnaire was used to screen 15 718 primary school children in New Delhi for ear disorders. Ear examinations were conducted using otoscopy and impedance audiometry.
Impacted cerumen was prevalent in 7.93 per cent of schoolchildren, 4.79 per cent suffered from chronic otitis media and 3.06 per cent suffered from otitis media with effusion. Acute otitis media was detected in 0.65 per cent and foreign bodies were found in 0.34 per cent of the children.
Preventable ear diseases posed a significant health problem among children at primary school level. Regular screening of children during this stage would ensure that their school lives were not affected by hearing impairments or preventable ear disorders. Information gathered in this study will help in effective treatment prioritisation of ear disorders, planning and resource allocation.
在发展中国家，关于可预防耳部疾病患病率的可靠的基于人群的数据极为匮乏。本研究旨在确定印度北部小学生（5至12岁）中可预防耳部疾病的患病率。
使用一份制式问卷对新德里的15718名小学生进行耳部疾病筛查。采用耳镜检查和阻抗测听法进行耳部检查。
7.93%的学童患有耵聍栓塞，4.79%患有慢性中耳炎，3.06%患有中耳积液。0.65%的儿童检测出急性中耳炎，0.34%的儿童发现有异物。
可预防的耳部疾病在小学阶段的儿童中构成了重大的健康问题。在此阶段对儿童进行定期筛查将确保他们的学校生活不受听力障碍或可预防耳部疾病的影响。本研究收集的信息将有助于对耳部疾病进行有效的治疗优先级排序、规划和资源分配。
