Saana Eskelinen, Eila Sailas, Kaisla Joutsenniemi, Matti Holi, Jaana Suvisaari
Kellokoski Hospital, Hospital District of Helsinki and Uusimaa, Kellokoski, Finland.
Peijas Hospital, Hospital District of Helsinki and Uusimaa, National Institute for Health and Welfare, Sairaalakatu 1, Vantaa, Finland, Helsinki.
Clin Schizophr Relat Psychoses. 2014 Jul;8(2):110-2. doi: 10.3371/CSRP.ESSA.022213.
Cerumen impaction may cause hearing loss and pain. We investigated the prevalence of cerumen impaction in a population of outpatients with schizophrenia spectrum psychoses and studied factors contributing to it. As a part of our study--"The Living Conditions and Physical Health of Outpatients with Schizophrenia"--we performed a thorough medical examination including otoscopy of the ear canal for patients treated in the community mental health center of one Finnish municipality. Out of a total of 61 patients, cerumen impaction was found in 12 (19.7%). In a logistic regression model, living in a group home (OR 13.7, 95% confidence interval 3.0-64.0, p=0.0008) significantly predicted cerumen impaction. Cerumen impaction was also associated with male gender and lower GAF scores. Cerumen impaction is common in patients with schizophrenia, and is associated with low level of functioning. Diagnosis and treatment of cerumen impaction among schizophrenia patients is essential in avoiding this easily treatable cause of hearing loss and its consequences such as difficulties in cognition and social interaction.
耵聍栓塞可能导致听力损失和疼痛。我们调查了精神分裂症谱系精神病门诊患者中耵聍栓塞的患病率，并研究了导致其发生的因素。作为我们“精神分裂症门诊患者的生活状况和身体健康”研究的一部分，我们对芬兰一个城市社区心理健康中心治疗的患者进行了全面的医学检查，包括耳道耳镜检查。在总共61名患者中，发现12名（19.7%）有耵聍栓塞。在逻辑回归模型中，住在集体之家（比值比13.7，95%置信区间3.0 - 64.0，p = 0.0008）显著预测了耵聍栓塞。耵聍栓塞还与男性性别和较低的总体功能评定量表（GAF）得分相关。耵聍栓塞在精神分裂症患者中很常见，并且与功能水平低下有关。对精神分裂症患者的耵聍栓塞进行诊断和治疗对于避免这种易于治疗的听力损失原因及其后果（如认知和社交互动困难）至关重要。
