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耳鸣的患病率及危险因素:2010 - 2011年韩国国民健康与营养检查调查,一项横断面研究

Prevalence and risk factors of tinnitus: the Korean National Health and Nutrition Examination Survey 2010-2011, a cross-sectional study.

作者信息

Park R J, Moon J D

机构信息

Department of Occupational and Environmental Medicine, Chonnam National University Medical School, Gwangju, Korea.

出版信息

Clin Otolaryngol. 2014 Apr;39(2):89-94. doi: 10.1111/coa.12232.

Abstract

OBJECTIVES

The aim of this study was to examine the association between tinnitus and several potential risk factors in Korean population.

DESIGN

A cross-sectional study.

SETTING

Based on data from the fifth Korean National Health and Nutrition Examination Survey.

PARTICIPANTS

The study included 10,061 Korean individuals.

MAIN OUTCOME MEASURES

Tinnitus was assessed by using a questionnaire, and otorhinolaryngologic examination was conducted. Risk factors associated with tinnitus were evaluated using a multiple logistic regression analysis.

RESULTS

Of the 10,061 participants ranging from 20 to 97 years old, the overall prevalence of any tinnitus was 21.4% and annoying tinnitus was 7.3%. In a multivariable logistic regression model, the following factors were associated with having tinnitus: occupational noise exposure [any tinnitus, odd ratio (OR) = 1.34; annoying tinnitus, OR = 1.47], non-occupational noise exposure (any tinnitus, OR = 1.48; annoying tinnitus, OR = 2.02), hearing impairment (any tinnitus, OR = 2.27; annoying tinnitus, OR = 3.61), chronic otitis media (any tinnitus, OR = 1.53; annoying tinnitus, OR = 1.36), chronic rhinosinusitis (any tinnitus, OR = 1.38; annoying tinnitus, OR = 1.38), temporomandibular disorder (any tinnitus, OR = 1.69; annoying tinnitus, OR = 1.90), depression (any tinnitus, OR = 1.44; annoying tinnitus, OR = 1.70), and higher stress level (any tinnitus, OR = 1.28; annoying tinnitus, OR = 1.76).

CONCLUSIONS

These results suggest that tinnitus is common in Korea and may be associated with some avoidable risk factors.

摘要

目的

本研究旨在探讨韩国人群中耳鸣与几种潜在风险因素之间的关联。

设计

横断面研究。

设置

基于韩国第五次全国健康与营养检查调查的数据。

参与者

该研究纳入了10061名韩国个体。

主要观察指标

通过问卷调查评估耳鸣情况,并进行耳鼻喉科检查。使用多元逻辑回归分析评估与耳鸣相关的风险因素。

结果

在10061名年龄在20至97岁之间的参与者中,任何耳鸣的总体患病率为21.4%,烦人的耳鸣患病率为7.3%。在多变量逻辑回归模型中,以下因素与耳鸣有关:职业噪声暴露[任何耳鸣,比值比(OR)=1.34;烦人的耳鸣,OR =1.47]、非职业噪声暴露(任何耳鸣,OR =1.48;烦人的耳鸣,OR =2.02)、听力障碍(任何耳鸣,OR =2.27;烦人的耳鸣,OR =3.61)、慢性中耳炎(任何耳鸣,OR =1.53;烦人的耳鸣,OR =1.36)、慢性鼻窦炎(任何耳鸣,OR =1.38;烦人的耳鸣,OR =1.38)、颞下颌关节紊乱(任何耳鸣,OR =1.69;烦人的耳鸣,OR =1.90)、抑郁症(任何耳鸣,OR =1.44;烦人的耳鸣,OR =1.70)以及较高的压力水平(任何耳鸣,OR =1.28;烦人的耳鸣,OR =1.76)。

结论

这些结果表明耳鸣在韩国很常见,并且可能与一些可避免的风险因素有关。

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