3419例医护人员耳鸣流行病学调查及影响因素分析

Epidemiological Investigation of Tinnitus in 3 419 Medical Staff and Analysis of Influencing Factors

余奉徽;蒋晓平;王明甫;胡俊;刘义平;朱琳;邬红霞;欧阳曦;康厚墉

1:重庆医科大学附属第一医院耳鼻咽喉头颈外科

2:重庆大学附属三峡医院耳鼻咽喉头颈外科

3:巴中市中心医院耳鼻咽喉头颈外科

摘要
目的 调查医护人员耳鸣患病情况,并初步探索相关影响因素,为医护人员的耳鸣防治提供参考。方法 采用多阶段分层整群随机抽样方法对四川省巴中市、重庆市万州区两地共3 419名医护人员进行耳鸣流行病学问卷调查,并对可能影响因素进行相关性分析。结果 3 419例医护人员中耳鸣患病率为33.1%(1 132/3 419),恼人耳鸣患病率为3.0%(103/3 419)。耳鸣单因素分析结果提示学历(χ2=19.224,P<0.001)、职称(χ2=19.224,P<0.001)、职称(χ2=6.383,P=0.094)、射线接触史(χ2=6.383,P=0.094)、射线接触史(χ2=4.270,P=0.039)、饮酒史(χ2=4.270,P=0.039)、饮酒史(χ2=8.963,P=0.003)、每周工作时间(χ2=8.963,P=0.003)、每周工作时间(χ2=30.462,P<0.001)、睡眠质量(χ2=30.462,P<0.001)、睡眠质量(χ2=160.098,P<0.001)、每天睡眠时刻(χ2=160.098,P<0.001)、每天睡眠时刻(χ2=34.950,P<0.001)、每天睡眠时长(χ2=34.950,P<0.001)、每天睡眠时长(χ2=63.096,P<0.001)与医护人员耳鸣患病率相关;进一步二元logistic回归分析示睡眠质量欠佳将增加耳鸣发病的风险,具有统计学意义(OR=2.342,95%CI 1.916~2.857,P<0.001);每天睡眠时长<7小时将增加耳鸣的发病风险,具有统计学意义(OR=1.314,95%CI 1.064~1.623,P=0.011)。恼人耳鸣单因素分析结果提示职称(χ2=63.096,P<0.001)与医护人员耳鸣患病率相关;进一步二元logistic回归分析示睡眠质量欠佳将增加耳鸣发病的风险,具有统计学意义(OR=2.342,95%CI 1.916~2.857,P<0.001);每天睡眠时长<7小时将增加耳鸣的发病风险,具有统计学意义(OR=1.314,95%CI 1.064~1.623,P=0.011)。恼人耳鸣单因素分析结果提示职称(χ2=6.370,P=0.095)、睡眠质量(χ2=6.370,P=0.095)、睡眠质量(χ2=3.581,P=0.058)、每天睡眠时长(χ2=3.581,P=0.058)、每天睡眠时长(χ2=6.418,P=0.011)与医护人员恼人耳鸣患病率相关;进一步二元logistic回归分析示每天睡眠时长<7小时将增加恼人耳鸣的发病风险,具有统计学意义(OR=1.792,95%CI 1.010~2.865,P=0.046)。结论 医护人员为耳鸣高发人群,但转化为恼人耳鸣的几率较低;睡眠质量欠佳以及睡眠时间不足是医护人员耳鸣发病及转化为恼人耳鸣的重要危险因素。

【Abstract] Objective To investigate the prevalence oftinnitus in medical staff, and the relevant influencing factors, in order to provide a scientific basis for the prevention and treatment of tinnitus in medical staff. Methods A multi-stage stratified cluster random sampling method was used to conduct a tinnitus epidemiological questionnaire survey on a total of 3 419 medical staff in Bazhong City, Sichuan and Wanzhou City, Chongqing, and the correlation analysis of possible influencing factors was carried out. Results The prevalence of tinnitus among medical staff in this study was 33. 1% (1 132/3 419) , and the prevalence of annoying tinnitus was 3.0% (103/3 419). The univariate analysis suggested educational background (χ2= 19.224,P<0.001), professional title (χ2=6.383,P=0. 094), history of radiation exposure (χ2=4. 270, P=0.039) , history of drinking (χ2=8. 963, P=0.003),weekly working hours (χ2= 30. 462,P<0.001), sleep quality (χ2=160.098, P<0.001), daily sleep time (χ2 =34. 950, P<0.001), daily sleep duration (χ2=63. 096 ,P<0.001) were related to the prevalence of tinnitus. Binary logistic regression analysis showed that poor sleep quality increased the risk of tinnitus (OR=2.342, 95%CI 1.916~2.857,P<0.001). Sleep duration <7 hours per day increased the risk of tinnitus (OR=1.314,95%CI 1.064~1.623,P=0.011). The results of univariate analysis suggested that job title (χ2=6. 370, P=0.095), sleep quality(χ2=3.581,P=0.058), length of sleep per day (χ2=6. 418, P=0.011) were related to the prevalence of annoying tinnitus. Binary logistic regression analysis showed that sleep duration less than 7 hours a day increased the risk of annoying tinnitus (OR=1.792,95%CI 1.010~2.865,P=0.046).Conclusion Medical staff is a high-incidence group of tinnitus, but the chance of turning into annoying tinnitus is low. Poor sleep quality and insufficient sleep time are important risk factors for the onset of tinnitus and transformation into annoying tinnitus.


关键词
耳鸣;流行病学调查;影响因素;医护人员
基金项目(Foundation):
重庆市卫生计生委中医药科研项目(ZY201802143)
作者
余奉徽;蒋晓平;王明甫;胡俊;刘义平;朱琳;邬红霞;欧阳曦;康厚墉
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