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《Chinese Journal of Otorhinolaryngology Head and Neck Surgery》 2006-09
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Epidemiologic study on hearing impairment and ear diseases in old people

LIU Cheng* BU Xing-kuan XING Guang-qian ZHOU Ling XU Xia WANG Deng-yuan CHEN Zhi-bin ZHOU Han TIAN Hui-qin LI Xiao-lu LU Ling ZHAO Xiao-nian LI Fang-li TAN Chang-qiang *Department of Otorhinolaryngology,First Affiliated Hospital of Nanfing Medical University,Nanjing 210029,China  
Objective To investigate the prevalence of hearing impairment and ear diseases in old people and provide scientific data for drawing up the prevention and treatment strategies.Methods Using the probability proportion to size(PPS)method,1261 people over 60 years were investigated in 40 clusters in Jiangsu Province with the WHO protocol.Results The prevalence of hearing impairment was 58.1% (the standardized rate:59.5% in the whole country,60.9% in Jiangsu province).Degrees of hearing impairment were mild(33.1%),moderate(17.8%),severe(5.9%)and profound(1.3%).The prevalence of hearing disability was 25.0%(the standardized rate:26.6% in the whole country,28.1% in Jiangsu province).There were significant difference of the prevalence between male and female,as well as urban and rural,and different ages.The prevalence of the ear diseases was auricle malformation(0.2%), wax(1.7%),otitis externa(0.1%),fungi(0.5%),serous otitis media(1.2%),chronic suppurative otitis media(1.6%),dry perforation of tympanic membrance(2.3%).The causes of hearing impairment were ear diseases(2.9%),non-infectious condition(92.6%),genetic condition(0.3%)and undetermined causes(4.2%).Of which,31.1% of persons needed hearing aids while 2.3% of persons needed medicine treatment,but 0.9% of persons needed non-urgent surgery and 1.0% of persons needed other treatment.Conclusions The prevalence of hearing impairment and disability in the old rised obviously than the last investigation in 1987.It was a heavy burden for social development in China.The government and the whole society should take more concern about the problem.The scientific strategies of prevention and treatment were urgently needed and implemented.
【Fund】: WHO全球防聋项目资助(H-16-181-4);; 江苏省科技厅国际合作项目(2004050);; 江苏省医学重点学科耳科学与听力学资助项目[苏卫科教(2003)19号]
【CateGory Index】: R764
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