慢性化膿性中耳炎の疫学と治療戦術
E V Garov1,2, R B Khamzalieva1, L A Moseikina1
1Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia.
Vestnik otorinolaringologii
|December 28, 2025
まとめ
耳および乳突疾患、慢性化膿性中耳炎(CSOM)を含む、ロシアおよびモスクワでの発生率が減少しました。医療の最適化により、CSOM治療量と外科的介入が増加しました。
科学分野:
- 耳鼻咽喉科; 公衆衛生; 疫学
背景:
- ロシアにおける耳および乳突疾患、慢性化膿性中耳炎(CSOM)を含む疫学データは断片的です。発生率と有病率の動態の分析は、病状の発達、医療へのアクセス、および治療効果の評価に不可欠です。
研究 の 目的:
- ロシア連邦およびモスクワにおける耳および乳突疾患、CSOMを含む疫学と治療を分析すること。これらの状態の発生率、有病率、および外科的介入の傾向を評価すること。
主な方法:
- 2010年から2024年までの有病率と発生率データの後向き定量的評価。国家統計サービスおよびモスクワの耳鼻咽喉科病院からの報告を利用しました。
主要な成果:
- ロシア(2.4%から1.8%)およびモスクワでの耳および乳突疾患の発生率の低下。モスクワでのCSOM患者の割合と外科的活動(鼓室形成術)の増加、緊急手術の減少。専門部門でのCSOMの治療患者と手術の大幅な増加は、治療の激化を示しています。
結論:
- 医療の最適化により、耳および乳突疾患およびCSOMの発生率が低下しました。病院の収容能力と医師の仕事量の増加により、CSOM患者のケア量が増加しました。
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