Epidemiological Study of Chronic Tinnitus in Assiut, Egypt
Epidemiological Study of Chronic Tinnitus in Assiut, Egypt
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DOI：
10.1159/000306630
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发表时间：
2010-01-01
影响因子：
5.7
通讯作者：
Mohammad, Khaled A.
中科院分区：
文献类型：
--
作者：
Khedr, Eman M.;Ahmed, Mohamed A.;Mohammad, Khaled A.
背景和目的：耳鸣的发病率进行了全面的流行病学研究很少，没有在埃及进行。在艾斯尤特省进行了一项以社区为基础的调查，以估计耳鸣的患病率，其与精神疾病的关系及其对生活质量的影响。材料和方法：本研究共涉及8，484名受试者，其中5，783名（68.2%）来自农村社区，2，701名（31.8%）来自城市社区。通过挨家挨户的调查确定患者，并使用半结构式问卷、Tinshire残疾量表和汉密尔顿焦虑和抑郁量表进行评估。结果：共发现耳鸣患者439例，耳鸣患病率为5.17/100。男性和女性同样受到影响。60岁以上人群的年龄别流行率最高（17.66%），城市居民明显高于农村居民（6.3%对4.6%），文盲明显高于受过教育的人（10.15%对3.07%）。大多数患者（53.3%）有一定程度的听力损失;中耳炎很常见。只有15.2%的病例被归类为具有严重的灾难性耳鸣。近三分之二的人有一定程度的抑郁症。耳鸣的严重程度与听力损失程度、颞下颌关节疼痛和汉密尔顿抑郁评分有显著相关性。39.4%的受试者报告了睡眠障碍。耳鸣患者的生活乐趣受到严重影响的15%。结论：耳鸣是一个常见的问题，在我们的地方，特别是在老年人，并与一些可改变的危险因素。版权所有（C）2010 S. Karger AG，巴塞尔
Background and Aim: Few comprehensive epidemiological studies of the prevalence of tinnitus have been undertaken, and none has been carried out in Egypt. A community-based survey was conducted in the Assiut Governorate to estimate the prevalence of tinnitus, its associations with psychiatric disorders and its effect on the quality of life. Material and Methods: The study involved 8,484 subjects, 5,783 (68.2%) from the rural community and 2,701 (31.8%) from the urban community. Patients were identified from a door-to-door survey and evaluated using a semistructured questionnaire, the Tinnitus Handicap Inventory and the Hamilton Anxiety and Depression Scales. Results: Four hundred and thirty-nine patients with tinnitus were found, giving a prevalence of 5.17 tinnitus cases/100 inhabitants. Males and females were equally affected. The highest age-specific prevalence rate was recorded among subjects above 60 years (17.66%) and was significantly higher among urban than rural inhabitants (6.3 vs. 4.6%) and among illiterate than among educated persons (10.15 vs. 3.07%). A majority of patients (53.3%) had some hearing loss; otitis media was common. Only 15.2% of cases were classified as having severe to catastrophic tinnitus. Nearly two thirds had a degree of depression. There were significant correlations between the severity of tinnitus and the degree of hearing loss, temporomandibular joint pain and the Hamilton depression score. Sleep disturbance was reported by 39.4% of subjects. Life enjoyment was severely affected in 15% of tinnitus patients. Conclusion: Tinnitus is a common problem in our locality, especially in older adults, and is associated with some modifiable risk factors. Copyright (C) 2010 S. Karger AG, Basel