- 期刊
臺灣地區慢性咽炎流行病學調查
The Chronic Nasopharyngitis Epidemiology Vestigation of Taiwan
摘要
慢性咽炎為咽部粘膜、粘膜下及淋巴組織的彌漫性炎症。病因可由病毒感染、細菌感染引起。病源體可直接感染咽部，也可由鄰近組織感染，如鼻腔、鼻竇、甚至齲齒蔓延而來。理化因素刺激，包括煙酒過度、高溫粉塵、有害氣體等。某些全身疾病，如貧血、便秘、下呼吸道慢性炎症、心血管疾病引起的瘀血性改變均可致病。在傳統中醫學中，慢性咽炎約略等同於“慢喉痺〞。所謂喉痺即指咽喉腫痛，妨礙吞咽的疾患。類似慢性咽炎，多由腎陰虧損．虛火上炎所致。證見：咽部呈淺紅色．乾燥不適等……。近年來環境的改變、生活習性的不同、職業形態的多元化，讓慢性咽炎的成因與治療更趨複雜與難以捉摸。因此，深入對它的研究具有重要的流行病學及臨床意義。目的：對台灣地區進行慢性咽炎的流行病學調查，探討及分析台灣地區慢性咽炎的流行病學相關因素，以為公共衛生及對疾病防治及臨床治療慢性咽炎的參考。方法：1.設計慢性咽炎流行病學問卷詢問表及進行問卷調查，問春共有20題，分別對性別、年齡、職業、教育程度、族群、飲食習慣、飲食嗜好、生活習慣、作息時間、工作環境、過敏史、家族史、自身過去病史、慢性咽炎現病史及好發時間作全面性調查。2.依台灣2000年人口計數的工具萬分之一及台灣地區縣市人。數分佈，共寄發問春2,300份。結果：寄發2,300份問卷，回收有效問卷903份，回收率39.21%。流行病學調查分析在性別、年齡、職業、教育程度、族群、嗜好品、生活習慣、工作環境、過敏史、家族史、自身過去病史、慢性咽炎現病史及好發時間等因素，對慢性咽炎臨床症狀均有顯著差異，在飲食葷素之形態、環境溫差變化、工作時間長短及運動習慣等，則無顯著之差異。
並列摘要
Chronic nasopharyngitis is a diffuse inflammation which occurs in the pharynx mucous membrane, the hypo mucous membrane and the lymph system. Viruses or bacteria infections can cause chronic nasopharyngitis. Pathogen can infect the pharynx directly, and be infected by abutting areas such as the nasal cavities, the paranasal sinus or from decayed teeth. The physical simulating factors include excessive smoking and drinking, high temperature particulate matters, and toxic gas...etc.. Some systemic diseases can cause chronic nasopharyngitis, for example, anemia, constipation, chronic lower respiratoryitis, and meta blood stasis from cardiovascular diseases. In Chinese medicine system, chronic nasopharyngitis is equal to ”man-hou-bi” somewhat. The ”man-hou-bi” is a disease which the swelling in the pharynx and larynx obstructs swallowing. The chronic syndrome is similar with chronic pharyngitis which is most caused by flaming up of asthenic fire and consumption of kidney Yin. And the chronic syndrome are pink color in the pharynx, dry scorch and uncomfortable...etc. Recently, the causes and treatments of chronic nasopharyngitis become complicative and intangible because of variations in the environment and the life style and diversifications in occupations. Therefore, it is very important for clinic and epidemiology from comprehensive researches for chronic nasopharyngitis. Epidemiology Survey: Objectives: Investigated the epidemiology study in chronic nasopharyngitis in Taiwan area. The study discussed and analyzed the related epidemiology factors of chronic nasopharyngitis. Those could be the references for public health, disease control and clinical treatment on chronic nasopharyngitis in the future. 1. The study designed a epidemiology questionnaire on chronic nasopharyngitis. 20 questions were in the questionnaire. And the comprehensive questions include sexual, age, education level, carrier, ethnic group, diet experiment (meat diet or vegetarian diet), diet indulgence, life experiment, work environment, allergy history, family history, disease history, chronic nasopharyngitis history and morbidity timing. 2. According to the number of population by city in 2000 in Taiwan, the study chose 1/10,000 from them and mailed-out 2,300 questionnaires. Results: 2,300 questionnaires were mailed-out, and 903 questionnaires were received and receiving rate was 39.21%. The study found that chronic nasopharyngitis had significant relationship with sexual, age, education level, carrier, ethnic group, indulgence, life experiment, work environment, allergy history, family history, disease history, chronic nasopharyngitis history and morbidity timing. But chronic nasopharyngitis did not have significant relationship with diet experiment (meat diet or vegetarian diet), environmental temperature difference, working length and exercise habits.