江苏省≥10岁人群的眩晕流行病学调查研究

目的调查江苏省人群中眩晕的分布情况及相关因素，为制订防治策略提供科学依据。方法采用按容量比例概率抽样（PPS）方法，在江苏省常住人口中抽样，对其中≥10岁的6854人进行眩晕问卷调查、纯音测听和耳科检查。结果本研究实际接受调查6333人，应答率92．4％，男3035人（47．9％），女3298人（52．1％），年龄10～93岁。被调查人群中眩晕的总体患病率为4．1％（标化患病率：全国3．4％，江苏3．6％），眩晕患病率随年龄增加呈上升趋势（P=0．000）。女性眩晕患病率（5．3％）高于男性（2．8％）（P=0．000），城乡之间差异无显著性（农村4．3％。城镇3．8％．P=0．459）。听力减退、中耳炎病史、噪声暴露史是眩晕的危险因素，OR值分别为2．186、2．135、1．609。结论眩晕在江苏省人群中较为常见，其发生与多种因素有关，必须加强这些方面的防治研究。

An epidemiologic study of vertigo in Jiangsu province

Objective To investigate the prevalence of vertigo and related risk factors in the population in Jiangsu province. Methods A total of 6854 persons aged 10 years and over were selected by the methods of probability proportional to size (PPS) and had a questionnaire survey about vertigo, pure tone audiometry test and ear examination. Results There were 6333 persons who underwent a comptete investigation. The response rate was 92.4%. The participants comprised 3035 males (47.9%) and 3298 females(52.1%), aged 10 to 93 years old. The overall prevalence of vertigo was 4.1% (the standardized rate:3.4% in the whole country, 3.6% in Jiangsu province). The prevalence increased with age from 0.5% of persons aged 10-19 years to 7.8% of persons aged 60-69 years(P = 0.000). A significant difference of the prevalence was found between males (2.8%) and females (5.3%) (P = 0.000). There was no significant difference observed between urban (3.8%) and rural residents (4.3%) (P = 0.459). Hearing impairment, history of middle ear infections and noise exposure were the main risk factors for vertigo (odds ratio: 2.186, 2.135 and 1.609, respectively). Conclusion Vertigo is a common condition in the population in Jiangsu province. More researches are urgently needed on prevention and treatment of vertigo.