[慢性性中耳炎的流行病学和治疗策略]
E V Garov1,2, R B Khamzalieva1, L A Moseikina1
1Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia.
Vestnik otorinolaringologii
|December 28, 2025
概括
在俄罗斯和莫斯科,耳朵和胸腺疾病的发病率,包括慢性性中耳炎 (CSOM),已经下降. 医疗保健优化增加了CSOM治疗量和手术干预.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 耳朵和乳腺疾病,包括慢性性中耳炎 (CSOM),俄罗斯的流行病学数据是分散的.
- 对发病率和流行率动态的分析对于评估病理发展,医疗保健的可访问性和治疗的有效性至关重要.
研究的目的:
- 分析俄罗斯联邦和莫斯科的耳朵和乳腺疾病的流行病学和治疗,包括CSOM.
- 评估这些疾病的发病率,流行率和手术干预的趋势.
主要方法:
- 对从2010年到2024年的流行率和发病率数据进行了回顾性定量评估.
- 利用了国家统计服务和莫斯科耳鼻喉科医院的报告.
主要成果:
- 在俄罗斯 (2.4%至1.8%) 和莫斯科,耳朵和胸腺疾病的发病率下降.
- 在莫斯科,CSOM患者和手术活动 (耳膜整形) 的比例增加,紧急手术减少.
- 专门部门中CSOM治疗患者和手术的显著增加,表明治疗加强.
结论:
- 医疗保健的优化导致耳朵和乳腺疾病和CSOM的发病率降低.
- 医院容量增加和医生工作量增加导致CSOM患者的护理量增加.
相关概念视频
Tonsillitis II: Management
377
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
377
Pneumonia IV: Management
717
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
717
Chronic Pharyngitis
10.5K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
10.5K
Acute Pyelonephritis II: Diagnostic Studies and Management
275
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
275
Chronic Obstructive Pulmonary Disease-V: Management
3.1K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
3.1K
Mitral Stenosis III: Medical Management
219
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
219


