CAJ | 학술논문

目的：调查北京市东城区小学教师咽喉疾病的患病特点。方法对北京市东城区10所小学的524名教师进行耳鼻咽喉专科检查及VHI量表自我评估，其中常规检查异常者再进行纤维喉镜检查，分析其咽喉疾病发病特点。结果总患病率为30.7％，其中咽部疾病最常见的为慢性咽炎（19.4%），喉部疾病最常见的为慢性喉炎（11.6%）；女性患病率高于男性；嗓音疾病患病率随教龄增长而增高。VHI量表评估结果，除指标E外，F、P、Tvh 与教龄之间均有很强的相关性。结论教师是咽喉及嗓音疾病高发人群，应加强相关宣传保健工作，降低患病率。
목적：조사북경시동성구소학교사인후질병적환병특점。방법대북경시동성구10소소학적524명교사진행이비인후전과검사급VHI량표자아평고，기중상규검사이상자재진행섬유후경검사，분석기인후질병발병특점。결과총환병솔위30.7％，기중인부질병최상견적위만성인염（19.4%），후부질병최상견적위만성후염（11.6%）；녀성환병솔고우남성；상음질병환병솔수교령증장이증고。VHI량표평고결과，제지표E외，F、P、Tvh 여교령지간균유흔강적상관성。결론교사시인후급상음질병고발인군，응가강상관선전보건공작，강저환병솔。
Objective To survey the epidemic status of throat diseases among teachers working at primary schools in the east urban of Beijing. Method Survey sample was composed of 524 teachers from primary schools in this district. They were all given routine physical examination including indirect laryngoscopy to ear, nose and throat and VHI scale assessment at first. Then, those with special abnormal findings in ear, nose and throat received fibrolaryngoscopy. Ay last, a detailed analysis was made to explore the epidemiologic characteristics of throat lesions among them. Result The total prevalence of throat disorders was 30.7%, with the highest case rate (19.4%) of chronic pharyngitis in pharyngeal disorders and the highest case rate (11.6%) of chronic laryngitis in laryngeal lesions among them. The morbidity of voice disorders was higher in female than in male, and it got to a still higher level with extending of school age. As a result of VHI scale assessment, it was shown that there was a strongly significant correlation between school age and such VHI parameters as F, P and Tvh other than E. Conclusion Teachers are the population with the highest level of risk to catch throat lesions and voice disorders. Therefore, it is necessary to publicize related knowledge of voice and reinforce protective measure for voice health care in order to reduce the prevalence of voice disorders.