江苏省≥10岁人群的眩晕流行病学调查研究  

An epidemiologic study of vertigo in Jiangsu province

作　　者：徐霞[1] 卜行宽[1] 邢光前[1] 周玲[2] 刘丞[1] 王登元[1] 陈智斌[1] 周涵[1] 田慧琴[1] 李晓璐[1] 陆玲[1] 赵晓埝[1] 李芳丽[1] 谭长强[1] 

机构地区：[1]南京医科大学第一附属医院耳鼻咽喉科,南京210029 [2]南京医科大学流行病学与卫生统计学系,南京210029

出　　处：《中华耳科学杂志》2006年第4期250-253,共4页Chinese Journal of Otology

基　　金：WHO全球防聋项目(H216218124);江苏省科技厅国际合作项目(No: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)。

摘　　要：目的调查江苏省人群中眩晕的分布情况及相关因素,为制订防治策略提供科学依据。方法采用按容量比例概率抽样(PPS)方法,在江苏省常住人口中抽样,对其中≥10岁的6854人进行眩晕问卷调查、纯音测听和耳科检查。结果本研究实际接受调查6333人,应答率92.4%,男3035人(47.9%),女3298人(52.1%),年龄10～93岁。被调查人群中眩晕的总体患病率为4.1%(标化患病率:全国3.4%,江苏3.6%),眩晕患病率随年龄增加呈上升趋势(P=0.000)。女性眩晕患病率(5.3%)高于男性(2.8%)(P=0.000),城乡之间差异无显著性(农村4.3%,城镇3.8%,P=0.459)。听力减退、中耳炎病史、噪声暴露史是眩晕的危险因素,OR值分别为2.186、2.135、1.609。结论眩晕在江苏省人群中较为常见,其发生与多种因素有关,必须加强这些方面的防治研究。Objective To investigate the prevalence of vertigo and related risk factors in the population in Jiangsu province. Methods A total of 6854 persons aged 10 years and over were selected by the methods of probability proportional to size （PPS） and had a questionnaire survey about vertigo, pure tone audiometry test and ear examination. Results There were 6333 persons who underwent a comptete investigation. The response rate was 92.4%. The participants comprised 3035 males （47.9%） and 3298 females （52.1%）, aged 10 to 93 years old. The overall prevalence of vertigo was 4.1% （the standardized rate：3.4% in the whole country, 3.6% in Jiangsu province）. The prevalence increased with age from 0.5% of persons aged 10-19 years to 7.8% of persons aged 60-69 years （P = 0.000）. A significant difference of the prevalence was found between males （2.8%） and females （5.3%） （P = 0.000）. There was no significant difference observed between urban （3.8%） and rural residents （4.3%） （P = 0.459）. Hearing impairment, history of middle ear infections and noise exposure were the main risk factors for vertigo （odds ratio： 2.186, 2.135 and 1.609, respectively）. Conclusion Vertigo is a common condition in the population in Jiangsu province. More researches are urgently needed on prevention and treatment of vertigo.

关 键 词：眩晕 流行病学 患病率 听力减退 

分 类 号：R441.2[医药卫生—诊断学] R181.32[医药卫生—临床医学]