- 期刊
台北市高中生中耳炎及其後遺症之調查
The Survey of Otitis Media and Its Sequelae in High School Students of Taipei City
摘要
高中生的年齡介於15至18歲，是由兒童轉變為成人過渡時期，以往國內並無此一年齡層中耳炎及其後遺症流行病學研究。台北榮總耳鼻喉部於民國82年10月至11月，針對1954名台北市高中生,以氣式耳鏡配合鼓室圖檢查進行調查.排除因兩側耳垢嵌塞無法檢查的同學，共有1824名學生受檢，發現有38名學生有中耳炎及其後遺症，點盛行率為2.1%。其中中耳呈現較嚴重或不穩定病變而可能需要中耳手術有15例(0.8%)。經由問卷調查發現，呈現較嚴重中耳病變的學生，多半在兒童時期已有中耳方面的症狀，其中11例曾接受過治療，但由於目前並無明顯症狀，因此均未繼續接受追蹤檢查及治療，有可能形成更嚴重的後遺症。對於曾經罹患中耳炎高危險群小孩，至少應該追蹤至高中段才安全。由於醫藥及社會經濟的進步，中耳炎及其後遺症的發生比例已漸漸降低，經由對高中生的調查，我們將大膽預測未來可能的中耳手術的需求量。
並列摘要
There is no available report about the prevalence of otitis media and its sequelac in the age group of high school students. From October to November 1993, 1824 high school students were examined with pneumatic otoscope and tympanometry. Abnormal otoscopic findings of otitis media and its sequelae such as tympanosclerosis, atrophy, atelectasis, attic retraction and Chronic otitis media was found in 38 students.The point prevalence may require middle ear surgery at present or in the future. Half of the 38 students had history of middle ear diseases and 11 cases had received treatment. However, none of the student received follow-up examination and management. We concluded that children with severe otitis media should be followed up at least till 15 years old for prevention of complica-tions and sequelae. The potential present and future population requirement of middle ear surgery was predicted.