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梅尼埃病中的残疾问题。

Disability in Meniére's disease.

作者信息

Cohen H, Ewell L R, Jenkins H A

机构信息

Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, Tex.

出版信息

Arch Otolaryngol Head Neck Surg. 1995 Jan;121(1):29-33. doi: 10.1001/archotol.1995.01890010017004.

DOI:10.1001/archotol.1995.01890010017004
PMID:7803019
Abstract

OBJECTIVE

The purpose of this study was to determine the level of disability among patients with Menière's disease, information needed by clinicians when evaluating patients for coverage under the Americans With Disabilities Act. We hypothesized that the unpredictability of vertiginous episodes or "Menière's attacks" would be the most disabling problem, combined with the lack of a safe place to sit down during Menière's attacks.

DESIGN

All patients seen in the otolaryngology faculty practice at Baylor College of Medicine, Houston, Tex, and diagnosed as having Menière's disease over a 3-year period were sent a self-administered questionnaire.

SETTING

This practice is located at a tertiary care center.

SUBJECTS

One hundred forty-nine potential subjects constituted the pool, from which data from 50 subjects provided complete data sets.

RESULTS

The data from 50 adults suggested that the most problematic symptom was vertigo, followed by hearing loss. The unpredictability of Meniere's attacks and the lack of a safe place to rest during attacks was a significant problem for few subjects.

摘要

目的

本研究旨在确定梅尼埃病患者的残疾程度,这是临床医生在根据《美国残疾人法案》评估患者保险范围时所需的信息。我们假设眩晕发作或“梅尼埃病发作”的不可预测性将是最致残的问题,同时在梅尼埃病发作期间缺乏安全的坐下场所。

设计

向在德克萨斯州休斯顿贝勒医学院耳鼻喉科教职员工诊所就诊并在3年期间被诊断为梅尼埃病的所有患者发送了一份自我管理的问卷。

地点

该诊所位于一家三级医疗中心。

受试者

149名潜在受试者构成样本库,其中50名受试者的数据提供了完整的数据集。

结果

50名成年人的数据表明,最成问题的症状是眩晕,其次是听力损失。梅尼埃病发作的不可预测性以及发作期间缺乏安全的休息场所对少数受试者来说是一个重大问题。

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