中国全科医学2016，Vol.19Issue(34)：4240-4246,7.DOI:10.3969/j.issn.1007-9572.2016.34.019
上海市残疾人耳鼻咽喉科检查结果分析
Otorhinolaryngology Examination Outcome of Disabled Persons in Shanghai
摘要
Abstract
Objective To know the otorhinolaryngology examination status of the disabled in Shanghai and provide basis for the development of related health intervention measures. Methods Through the ” Comprehensive Information Platform for Rehabilitation” of Shanghai Disabled Persons' Federation,65 659 health examination data of the disabled in Department of Otorhinolaryngology were collected from Shanghai Sunshine Rehabilitation Center from January 2011 to August 2014,and from Shanghai Training Center of Vocation and Rehabilitation from January 2013 to June 2014(34 361 in the former institution and 31 298 in the latter) . The basic demographic information,disability type,and examination outcomes in Department of Otorhinolaryngology of the disabled were mainly collected. The abnormal results in Department of Otorhinolaryngology of the disabled with different genders,ages and disease characteristics were compared and analyzed. Results A total of 96 abnormal results were detected,and the ones with the top three detection rate were pharyngitis(31. 90% ,14 716 / 46 126),impacted cerumen(7. 19% ,3 710 / 51 628),deviation of nasal septum(6. 48% ,3 349 / 51 645)respectively. (1)There were significant differences in the detection rate of pharyngitis,impacted cerumen,deviation of nasal septum,anaphylactic rhinitis and chronic rhinitis of the disabled with different genders(P < 0. 05);there were no significant differences in the detection rate of otitis media,hypertrophy of tonsil,hearing loss,tympanic membrane perforation and retracted tympanic membrane( P >0. 05). (2)There were significant differences in the detection rate of pharyngitis,impacted cerumen,deviation of nasal septum,anaphylactic rhinitis, chronic rhinitis, otitis media, hypertrophy of tonsil, hearing loss, tympanic membrane perforation and retracted tympanic membrane of the disabled with different ages( P < 0. 05). (3) There were significant differences in the detection rate of pharyngitis,impacted cerumen,anaphylactic rhinitis,chronic rhinitis,otitis media, hypertrophy of tonsil,hearing loss,tympanic membrane perforation and retracted tympanic membrane of the disabled with different types of disability(P < 0. 05);there was no significant difference in the detection rate of deviation of nasal septum(P> 0. 05). (4) There were significant differences in the detection rate of pharyngitis,impacted cerumen,deviation of nasal septum,anaphylactic rhinitis and hearing loss of the disabled with different levels of limbs disability(P < 0. 05);there were significant differences in the detection rate of pharyngitis,impacted cerumen and deviation of nasal septum of the disabled with different levels of vision disability( P < 0. 05);there were significant differences in the detection rate of impacted cerumen, chronic rhinitis and hypertrophy of tonsil of the disabled with different levels of intelligence disability(P < 0. 05);there were significant differences in the detection rate of impacted cerumen,anaphylactic rhinitis,chronic rhinitis,otitis media,hearing loss,tympanic membrane perforation and retracted tympanic membrane of the disabled with different levels of hearing disability (P < 0. 05);there were significant differences in the detection rate of impacted cerumen,hypertrophy of tonsil,tympanic membrane perforation and retracted tympanic membrane of the disabled with different levels of mental disability( P < 0. 05). Conclusion The health status of otolaryngology is not optimistic for the disabled in Shanghai. It is suggested to strengthen the prevention and treatment of otorhinolaryngologic diseases of the disabled so as to reduce its incidence.关键词
残疾人/健康状况/耳鼻咽喉疾病/上海Key words
Disabled persons/Health status/Otorhinolaryngologic diseases/Shanghai分类
医药卫生引用本文复制引用
刘斐霞,张悠然,康琦,唐瑞瑞,白燕,王倩,宗莲,吕军,陈刚..上海市残疾人耳鼻咽喉科检查结果分析[J].中国全科医学,2016,19(34):4240-4246,7.基金项目
国家科技惠民计划项目（2012GS310101）；上海市残疾人联合会立项课题 （）
