延安市教师咽喉炎发病状况调查及防护建议

Investigation on the Prevalence Situation of Pharyngolaryngitis among Teachers and the Protection Suggestions

目的了解教师咽喉炎发病状况,探讨慢性咽喉炎的分布特点、病因及预防,为患有慢性咽炎的教师提供科学的防治依据。方法对2007年12月—2009年12月期间,在延安市某医院耳鼻喉门诊就诊的患慢性咽喉炎病例逐例分类登记,并进行统计分析。结果该医院耳鼻喉总的门诊就诊人数为60 334例,其中咽炎患者为49 630例,急性咽炎患者24 266例,慢性咽炎患者24 310例,声带小结患者为1054例,分别占耳鼻喉门诊就诊人数的40.22%、40.29%和1.75%、49 630例。咽炎患者中,教师34 514人,学生1208人,其他职业13 908人,分别占耳鼻喉门诊咽喉炎患者的69.54%、2.44%和28.02%。教师慢性咽喉炎的患病数占门诊就诊总人数的构成比有逐年上升的趋势。结论教师患咽喉炎的比例很高,教师慢性咽喉炎的病因除共同的因素(病毒、细菌感染、粉尘、化学气体刺激)外,还有其独特的职业因素。该病的预防应针对病因采取积极的综合预防措施。

[ Objective] To study the prevalence situation of pharyngolaryngitis among teachers, explore the distribution features, cause and prevention of chronic pharyngolaryngitis, provide the scientific evidence for prevention and treatment. [ Methods] The cases of chronic pharyngolaryngitis in the ear-nose-throat department in a hospital of Yan＇an from Dec ,2007 to Dec,2009 were classified and registered one by one, and the data were analyzed statistically. [ Results ] There were 60334 outpatients in the ear-nose-throat department, in which 49 630 ease were pharyngitis. There were 24266 cases of acute pharyngitis, 24310 cases of chronic pharyngitis and t054 eases of vocal nodules, account for 40.22% ,40.29% and 1.75% in total outpatients in the ear-nose-throat department respectively. Among pharyngitis patients, 34514 were teachers, 1208 were students, and 13 908 were other occupation, account for 69.54%, 2.44% and 2.02% respectively. The percentage of chronic pharyngitis of teacher in total outpatients showed increasing trend year by year. [ Conclusion] The proportion of pharyngitis in teachers was high. Besides common factor （virus, bacterial infection, dust, chemical gas stimulation ） , the cause of chronic pharyngitis in teachers had its unique professional factor. The active and comprehensive preventive measures aimed at the cause of disease should be adopted.