新冠疫情期间急诊鼻咽喉镜患者特征分析

doi:10.6040/j.issn.1673-3770.0.2022.228

摘要/Abstract

摘要： 目的了解疫情期间耳鼻咽喉科就诊疾病谱变化情况及苏州市民急诊就医需求保障情况。方法选择苏州大学附属第一医院耳鼻咽喉科因疫情仅保留急诊期间行电子鼻咽喉镜检查的患者作为研究组,选择2021年同期疫情常态化防控期间的患者为对照组。收集两组患者的临床资料进行统计分析。结果研究组和对照组样本量分别为1 393和2 457例。研究组中急重症占比高于对照组,增加了22.7%,差异有统计学意义(P<0.001)。每日检查例数的差异有统计学意义(P<0.001)。每日检查中急重症数量的差异无统计学意义(P>0.05);其中,咽内异物、咽及喉咽部恶性肿瘤、喉麻痹、鼻咽部新生物及鼻出血数量的差异均无统计学意义(P>0.05)。每日检查中非急重症数量的差异有统计学意义(P<0.001);其中,咽炎、喉癌前病变、喉及喉咽部良性病变、喉的慢性炎症、喉囊肿、术后复查和其他数量的差异均有统计学意义(P<0.01)。两组间年龄分布差异有统计学意义(P<0.001)。其中,研究组≤18岁、46~60岁和≥61岁的患者占比分别较对照组减少了1.8%、1.7%和3.3%,19~45岁占比增加了6.8%。结论在2022年苏州市疫情期间,市民的耳鼻咽喉科急重症的就诊需求得到了保障,但是部分慢性炎症性疾病和喉癌前病变患者的诊治可能遭受延误。与青年相比,未成年及中老年人更倾向于减少就医。建议通过推动远程医疗服务,在减少不必要接触的同时,保障市民的就诊需求。

关键词: 鼻咽喉镜, 新型冠状病毒, 急诊, 急重症

Abstract: Objective To confirm the changes in the disease spectrum in the department of otorhinolaryngology and whether the demand for emergency treatment of Suzhou citizens had been ensured during the epidemic. Methods Patients who underwent electronic nasopharyngoscopy in the department of otolaryngology at the First Affiliated Hospital of Soochow University during the epidemic when only emergency service was available were selected as the study group. Meanwhile, patients who underwent electronic nasopharyngoscopy during the normal prevention and control of the epidemic in the same period in 2021 were selected as the control group. The clinical data of the two groups of patients were collected for statistical analysis. Results The study and control groups included 1 393 and 2 457 patients, respectively. The proportion of acute and severe cases was higher, showing an increase by 22.7%, in the study group than in the control group; the difference was statistically significant(P<0.001). The difference between the number of daily cases was also statistically significant(P<0.001). However, there was no statistically significant difference in the number of daily acute and severe disease cases(P>0.05)between the groups. Additionally, there were no statistically significant differences between the number of foreign bodies in the pharynx, malignant tumors of the pharynx and laryngopharynx, laryngeal paralysis, and nasopharyngeal neoplasm and epistaxis(P>0.05). There was a statistically significant difference in the number of daily non-acute and non-serve disease cases(P<0.001)between the groups. Among these, statistically significant differences were observed for the number of pharyngitis, precancerous laryngeal lesions, benign lesions of the larynx and laryngopharynx, chronic inflammation of the larynx, laryngeal cyst, postoperative reexamination, and others(P<0.01). A statistically significant difference was also found in the age distribution between the two groups(P<0.001). Compared with the control group, the proportion of patients in the study group decreased 1.8% among patients aged 18 or younger, 1.7% among patients aged 46-60, and 3.3% among patients aged 61 or older respectively. Meanwhile, the proportion increased 6.8% among patients aged 19-45. Conclusion During the epidemic in Suzhou in 2022, citizens’ acute and severe medical needs in the department of otorhinolaryngology were ensured. However, the diagnosis and treatment of some patients with chronic inflammatory diseases or precancerous laryngeal lesions may be delayed. Compared with young people, minors, middle-aged, and older adults were less likely to go to the hospital. We can consider promoting telemedicine services to meet the public's need for medical treatment while reducing unnecessary contact.

Key words: Nasopharyngoscopy, Novel coronavirus, Emergency, Acute and severe diseases

中图分类号:

R762

史彬,葛建荣,刘济生. 新冠疫情期间急诊鼻咽喉镜患者特征分析[J]. 山东大学耳鼻喉眼学报, 2023, 37(2): 15-20.

SHI Bin, GE Jianrong, LIU Jisheng. Characteristic analysis of during the coronavirus disease 2019 pandemic[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(2): 15-20.

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