摘要
目的 本研究旨在调查佩戴耳塞(插入式耳机)外耳道炎患者的临床表现及危险因素.方法 横断面选取2022年11月—2023年11月四川大学华西医院耳鼻咽喉头颈外科临床诊断为外耳道炎的患者291例,按照有无佩戴耳塞将患者分为佩戴耳塞组128例和无佩戴耳塞组163例.佩戴耳塞组根据佩戴后是否有外耳道炎临床表现分为有外耳道炎临床表现87例和无临床表现41例.采用logistic回归分析佩戴耳塞外耳道炎患者的临床表现及可能危险因素.结果 87例(67.97%)自述在佩戴耳塞后出现外耳道炎临床表现为非特异性,包括佩戴后耳痒、耳痛、溢液流脓等症状.单因素分析结果显示,佩戴耳塞的外耳道炎临床表现与既往外耳道疾病史、皮肤油脂分泌旺盛表现、耳塞材质、佩戴耳塞目的有关.多因素logistic回归分析结果显示,皮肤油脂分泌旺盛表现是佩戴耳塞的外耳道炎临床表现的独立危险因素(OR=0.399,95%CI:0.172～0.926).结论 佩戴耳塞的外耳道炎临床表现为非特异性,其危险因素为既往外耳道疾病史、皮脂分泌旺盛、耳塞材质和佩戴目的.
Abstract
Objective To report characteristics and risk factors associated to earplug use in patients with otitis ex-terna.Methods A cross-sectional observational survey was completed regarding earplug use in 291 patients with otitis externa seen in the Department of Otorhinolaryngology&Head and Neck Surgery,West China Hospital of Sichuan Uni-versity between Nov,2022 and Nov,2023.Patients were divided into two groups based on history of earplug use.Logis-tic regression was used to determine correlations among clinical manifestations and possible risk factors related to wear earplugs.Results Of the patients who wore earplugs(n=128),87(67.97%)experienced symptoms of otitis externa while 41 did not.Symptoms after wearing earplugs included itchiness,otalgia,otorrhea,etc.Single factor analysis showed an association between external otitis and earplug use,history of ear diseases,high levels of sebum secretion,earplugs materiala,and the purpose of earplug use.Logistic regression showed high levels of sebum secretion as an in-dependent risk factor for otitis externa wearing earplugs(OR=0.399,95%CI:0.172-0.926).Conclusion Otitis externa caused by wearing earplugs does not show specific clinical manifestations,and may be related to history of ear diseases,excessive sebum secretion,earplug materials and purposes of earplug use.
基金项目
四川省自然科学基金(2022NSFSC0643)
四川大学华西医院临床研究基金(2023HXFH018)
国家科技期刊平台
NSTL
万方数据