某三级医院耳鼻喉头颈外科门诊耳科疾病审计。

Mymensingh medical journal : MMJ Pub Date : 2023-07-01
H R Talukder, A H Joarder, S A Rahman
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引用次数: 0

摘要

了解在孟加拉国达卡一家三级医院耳鼻喉头颈外科门诊部就诊的患者的耳科疾病类型,并使人们了解耳科疾病的后果、预防和早期治疗的必要性。本研究于2014年7月至2014年12月在孟加拉国达卡Shaheed Suhrawardy医学院附属医院耳鼻喉头颈外科完成。资料回顾性收集住院外科医生在会诊转诊病人时所记录的医院记录。共纳入3686例患者,并对数据进行分析。3686例门诊患者中,男性1947例(52.82%),女性1739例(47.17%),比例为1.12:1。11 ~ 40岁年龄组患者较多,其中11 ~ 20岁占17.25%,21 ~ 30岁占21.51%,31 ~ 40岁占21.62%。47.97%的患者出现耳部疾病。其中,慢性化脓性中耳炎占19.96%,急性化脓性中耳炎占2.54%,积液性中耳炎占5.31%,耳真菌病占9.25%,疖病占1.81%,耳硬化占0.57%,异物耳占1.68%,鼓膜破裂占1.27%,耳垢占4.74%。与其他发展中国家一样,耳部疾病在孟加拉国的患病率更高。大多数耳部疾病都能在当地医院得到治疗。为了进行适当的管理,在这些医院工作的医生需要培训和足够的设备。地区医院和医学院医院应配备适当的仪器和训练有素的耳鼻喉外科医生。
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Audit of Otological Diseases in Otolaryngology-Head and Neck Surgery Outpatient Department of a Tertiary Level Hospital.

To find out the otological disease pattern of the patients attended at the Otolaryngology-Head & Neck Surgery outpatient department (OPD) of a tertiary level hospital, Dhaka, Bangladesh and to aware the people about the consequences of Ear diseases, necessity of prevention and early management. This study was done in the Otolaryngology-Head & Neck Surgery OPD of Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh from July 2014 to December 2014. Data were collected retrospectively from hospital record which were recorded by Resident Surgeon during his consultation of referral patients. Total 3686 patients were included in the study and data were analyzed. Out of 3686 OPD patients male were 1947(52.82%) and female 1739(47.17%), ratio 1.12:1. In age groups 11 to 40-year age group patients were more, among them 11-20 (17.25%), 21-30 (21.51%) and 31-40 (21.62%). 47.97% of the patients were presented with Ear diseases. Among the ear conditions CSOM (Chronic suppurative otitis media) were 19.96%, ASOM (Acute Suppurative Otitis Media) 2.54%, OME (Otitis media with effusion) 5.31%, Otomycosis 9.25%, Furunculosis 1.81%, Otosclerosis 0.57%, Foreign body ear 1.68%, Rupture TM (Tympanic membrane) 1.27% and Wax 4.74%. Prevalence of Ear diseases are more in Bangladesh like other developing countries. Most of the ear diseases can be managed in the local hospitals. For the proper management physicians working in those hospitals need training and adequate instruments. District hospitals and medical college hospitals should be well equipped with proper instruments and trained ENT surgeons.

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