英国水肺潜水员的听力健康意识和事故预防。

Aural health awareness and incident prevention in UK scuba divers.

机构信息

DDRC Healthcare, Plymouth, UK.

Corresponding author: Marguerite St Leger Dowse, DDRC Healthcare, Hyperbaric Medical Centre, Plymouth Science Park, Research Way, Plymouth PL6 8BU, Devon, United Kingdom,

出版信息

Diving Hyperb Med. 2022 Mar 31;52(1):22-26. doi: 10.28920/dhm52.1.22-26.

DOI:10.28920/dhm52.1.22-26

PMID:35313369

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9177430/

Abstract

INTRODUCTION

Otological disorders, including Eustachian tube dysfunction (ETD), are commonly observed in divers. Data were gathered to observe the prevalence of ear disorders, and awareness of ear health recommendations for recreational divers in the United Kingdom.

METHODS

An anonymous online survey included: diver/diving demographics, the validated Eustachian Tube Dysfunction Questionnaire 7 (ETDQ-7) (a mean score of ≥ 2.1 indicating the presence of dysfunction), pre-existing ear health conditions, medications, decongestants and knowledge of diving and ear health guidance.

RESULTS

A total of 790 divers (64% males) responded (age range 16-80, median 47 years). An ETDQ-7 mean score of ≥ 2.1 was calculated in 315 of 790 respondents (40%), indicating varying degrees of ETD; 56/315 (18%) recorded a pre-existing ear condition. Ear disorders, (external, middle, and inner ear issues) since learning to dive were recorded by 628/790 (79%) of respondents; 291/628 (46%) did not seek medical advice. ETDQ-7 scores of ≥ 2.1 to 6.6 were reported by 293/628 (47%). Six reported inner ear decompression sickness. Decongestants were used by 183/790 (23%). Two hundred and seventy-seven of 790 divers (35%) had aborted a dive with ear problems. Only 214/790 (27%) of respondents were aware of the United Kingdom Diving Medical Committee guidance regarding ear health and diving.

CONCLUSIONS

Ear problems and ETD since diving were widely reported in this cohort of divers, with not all divers in this study aware of ear health recommendations and advice.

摘要

简介

耳部疾病包括咽鼓管功能障碍（ETD），在潜水员中很常见。本研究旨在观察英国休闲潜水员耳部疾病的患病率和对耳部健康建议的认知情况。

方法

采用匿名在线调查，包括潜水员/潜水相关信息、经验证的咽鼓管功能障碍问卷 7 项（ETDQ-7）（总分≥2.1 表示存在功能障碍）、既往耳部健康状况、用药情况、减充血剂和对潜水及耳部健康指导的了解情况。

结果

共有 790 名潜水员（64%为男性）参与了调查（年龄 16-80 岁，中位数 47 岁）。315 名（40%）潜水员 ETDQ-7 总分≥2.1，表明存在不同程度的咽鼓管功能障碍；56/315（18%）潜水员记录有既往耳部疾病。628 名（79%）潜水员在学习潜水后出现耳部疾病（外耳、中耳和内耳问题），291 名（46%）未寻求医疗建议。628 名潜水员中，293 名（47%）报告 ETDQ-7 评分≥2.1 至 6.6。6 名潜水员报告有内耳减压病。183 名（23%）潜水员使用了减充血剂。790 名潜水员中有 277 名（35%）因耳部问题而放弃潜水。790 名潜水员中，只有 214 名（27%）知晓英国潜水医学委员会关于耳部健康和潜水的建议。