天津市47 796名中、小学及幼儿园教师嗓音健康现状调查

The Prevalence and Risk Factors for 47 796 Teachers of Tianjin Middle School,Elementary School and Kindergartens

傅德慧;陈磊;崔壮;李超;牛俊涛;双羽;黄永望;

1:天津医科大学第二医院耳鼻咽喉科

2:天津医科大学

摘要
目的调查教师的嗓音健康现状,探讨诱发幼儿园、小学及中学教师嗓音疾病的相关风险因子。方法对天津市47 796例中小学及幼儿园教师进行问卷调查及咽喉部、嗓音检查,对结果进行描述性统计及单因素和多因素logistic回归分析。结果天津市幼儿园、小学及中学教师嗓音疾病的总体患病率为33.81%(16 160/47 796),其中患病率最高为肥厚性声带炎19.80%(9 456/47 796),其次是血管性声带炎14.790%(7 064/47 796),声门闭合不全6.64%(3 174/47 796),声带小结2.58%(1 234/47 796),声带息肉1.93%(920/47 796)。多因素logistic回归分析结果提示,嗓音疾病与教师性别、学区、教龄、日授课学时、班容量、教师对讲话响度的主观评估、吸烟等因素有关。结论天津市中、小学及幼儿园教师嗓音疾病患病率高,应展开针对教师的咽喉嗓音健康教育和嗓音保健活动,预防嗓音疾病的发生。
关键词
教师;嗓音疾病;调查
基金项目(Foundation):
天津市教委2012年社科类重大项目(2012ZD49)资助
作者
傅德慧;陈磊;崔壮;李超;牛俊涛;双羽;黄永望;
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