社区定点外展诊所就诊患者的慢性中耳炎。
Chronic Otitis Media among Patients Visiting Community-Based Static Outreach Clinics.
机构信息
Department of Otolaryngology & HNS, B.P. Eye Foundation, Hospital for Children, Eye, ENT, and Rehabilitation Services, Madhyapur Thimi, Bhaktapur, Nepal.
Academic and Research Department, B.P. Eye Foundation, Hospital for Children, Eye, ENT, and Rehabilitation Services, Madhyapur Thimi, Bhaktapur, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2023 Dec 1;61(268):923-926. doi: 10.31729/jnma.8369.
INTRODUCTION
Chronic otitis media is a chronic inflammation of the middle ear and mastoid cavity, with recurrent ear discharges or otorrhoea through a tympanic perforation for the past 3 months. It is a common cause of hearing impairment, disability, and poor scholastic performance and can lead to fatal intracranial infections and acute mastoiditis. This study aimed to find out the prevalence of chronic otitis media among patients visiting community-based static outreach clinics.
METHODS
A descriptive cross-sectional study was conducted among patients visiting the community-based static outreach clinics from 1 January 2017 to 31 December 2019. The ethical approval was taken from the Ethical Review Board. The diagnosis of chronic otitis media was done using otoscopy. The records of patients coming to outreach clinics visiting for ear, nose and throat care were reviewed using a pre-designed study proforma. A systematic random sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
RESULTS
Among 385 patients, 37 (9.61%) (6.67-12.55, 95% Confidence Interval) had chronic otitis media. The mean age of patients with chronic otitis media was 27.59±13.24 years, with 28 (75.67%) patients aged between 18-60 years. Among them, 30 (81.08%) had unilateral and 34 (91.89%) had a mucosal type.
CONCLUSIONS
The prevalence of chronic otitis media was lower than in other studies done in similar settings.
KEYWORDS
community health services; otitis media; patients; prevalence.
简介
慢性中耳炎是中耳和乳突腔的慢性炎症，过去 3 个月内通过鼓膜穿孔反复发作耳部排液或耳漏。它是听力障碍、残疾和学业成绩不佳的常见原因，并可导致致命的颅内感染和急性乳突炎。本研究旨在了解社区定点外展诊所就诊患者中慢性中耳炎的患病率。
方法
对 2017 年 1 月 1 日至 2019 年 12 月 31 日期间到社区定点外展诊所就诊的患者进行了描述性横断面研究。伦理审查委员会已批准。使用耳镜诊断慢性中耳炎。使用预先设计的研究表格审查前来外展诊所就诊耳鼻喉科的患者的记录。采用系统随机抽样法。点估计值计算在 95%置信区间内。
结果
在 385 名患者中，有 37 名（9.61%）（6.67-12.55，95%置信区间）患有慢性中耳炎。慢性中耳炎患者的平均年龄为 27.59±13.24 岁，其中 28 名（75.67%）患者年龄在 18-60 岁之间。其中，30 名（81.08%）为单侧，34 名（91.89%）为黏膜型。
结论
慢性中耳炎的患病率低于类似环境下进行的其他研究。
关键词
社区卫生服务；中耳炎；患者；患病率。
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