| The research using CSSD of 2006 sampling database for foundation,through checking the file,cultural heritage investigation and expert to interview the hearing disable prevention of the shan xi province,and to carry on the detailed analysis further to get shan xi province hearing disable distribute,the influence factor and with the result that reason of disable ( point is adjust us using database inquisition of basic condition,age,city country,sex,main with the result that reason of disable,recover from illness suggestion and form etc).Through the typical model inquisition finally,expert consultation etc.the method put forward prevention strategy and measures the matches effect.Objective:(1) description of the province hearing people with hearing disabilities and multiple distribution groups and regions;(2) of Shanxi Province hearing disabilities to explore the relevant factors;(3) in Shanxi Province for the unique hearing disability, on hearing disability prevention and control work to make recommendations.Method:(1) the second sample survey of disabled persons the subject of investigation in Shanxi Province People's Republic of China is a nationality, in Shanxi Province and selected district in the investigation of the resident population. The survey taken layered, multi-stage, the whole group of probability sampling methods, in Shanxi Province from 22 counties (cities, districts), 88 township (town, street), a total of 176 district survey, the average area of each survey 420 people. According to preliminary investigation summary, Shanxi Province, a total of 22,297 survey, the survey sampling ratio was 2.23‰. Listening found 957 people with disabilities.(2) the second national sample survey of disabled persons in Shanxi Province database analysis: analysis of the content is the focus of the hearing in Shanxi Province and multiple disability hearing and the absolute number of disability prevalence rate of hearing people with disabilities and people with multiple hearing by age, occupation, gender, Urban and rural areas and the distribution of classified analysis of the reasons for hearing disability; recovery and rehabilitation needs of the status quo; using SPSS13.0, through the second sample survey database to collate relevant information, and the first sample survey results were analyzed.(3) randomly selected communities in Taiyuan city over the age of 60 elderly 876, LK-1 used to assess for hearing were measured Lianger 0.5 kHz, 1kHz, 2kHz, 3kHz hearing threshold; search 12 hours fasting glucose. Triglyceride and total cholesterol; better ear for listening 0.5 kHz, 1kHz, 2kHz, on average, as average hearing threshold were the average hearing threshold, 3 kHz hearing threshold, and 4 kHz hearing threshold as a variable should be used SPSS13.0 a t-test, the Poor analysis, the cumulative model Logistic regression analysis and non-Logistic regression analysis.α= 0.05.Result:(1) Description hearing people with hearing disabilities and multiple age, occupation, gender distribution. Survey results showed that the increase with age, people are now suffering from a growing trend rate (= 0.18, P <0.05), Shanxi Province, investigation over the age of 60 account for people with hearing disabilities hearing the total population of 69.70 percent; men are suffering from high rates In women, male prevalence rate was 1.40 percent, 1.15 percent for women; education with the increase, the crowd gradually reduce the prevalence rate (Rs =- 0.952); 60-year-old or older with incomes increased more serious hearing loss, 3 kHz hearing threshold (F = 4.563, P <0.05), and 4 kHz hearing threshold group (F = 6.588, P <0.05) had a significant difference. Listening to the distribution of disability in Shanxi Linfen, Yangquan and Jinzhong crowd prevalence rate higher in other cities, especially in Linfen City, the highest prevalence rate, 2.85 percent, much higher than the province's sample survey of the crowd listening prevalence rate 1.28 percent. The hearing disabilities throughout the province which is 23 per cent of urban residents, 77 percent are rural dwellers. Cities are suffering from hearing disability rate was 0.84 percent, 1.52 percent for rural areas, rural areas was significantly higher than that city, Shanxi province further to the hearing disability Village at the age of the prevalence rate of the group multi-square test = 0.03, P <0.05, Village hearing disability prevalence rate on the whole a difference. 2006 China's second sample survey of people with hearing disabilities, I Shanxi prevalence rate was 1.28 percent, the total number of disabled constitute 21%. And in 1987 the first sample survey compared to increase the number of hearing disability, the ratio declined.(2)The disable reason analysis.The disease is every variety disable with the result that factor of disable (share all with the result that 63% of the reason), is an external injury has 12%; inborn abnormality or growth the obstacle has 11%. Classified analysis of the reasons for hearing disability. Diseases are the main types of disability hearing disability factors (accounting for all the reasons for the disabled 69%), followed by the unknown cause, accounting for 15 percent genetic, congenital abnormalities or developmental disorders account for 4 percent. Investigations revealed that 0 to-17 years old and over the age of 60 the hearing of people with disabilities obviously different from 0 to the reasons for-17-year-old was mainly due to drug poisoning and unknown reasons (22.73% each), genetic (18.18%), the mother during pregnancy Virus infections and otitis media (13.64 percent each), but over the age of 60 major causes of disability hearing disability for older deafness (66.49 percent), followed by otitis media (9.72%) and unexplained (8.48 percent). In urban and rural areas are the top three causes of deafness for the elderly For unknown reasons, deafness and otitis media; maimed reasons for the city than in rural areas constitute a reason unknown deafness, otitis media, hereditary deafness, transmission Disease-infected mother during pregnancy and neonatal asphyxia, and the noise and knock, drug poisoning and systemic diseases caused by hearing disability cities were higher than those in rural areas. Taiyuan to the elderly over the age of 60 investigation hearing that the data analysis of relevant factors, high blood pressure that the average hearing threshold t =- 2.240, P <0.05; hyperglycemia group average hearing threshold t =- 2.556, P <0.05; Gorgan 3 fat oil group, the average hearing threshold t =- 2.715, P <0.05; high cholesterol group, the average hearing threshold t =- 3.106, P <0.05; abnormal high-density lipoprotein, the average hearing threshold (t =- 2.580, P <0.05) And 3 kHz hearing threshold (t =- 2.294, P <0.05), a statistically significant difference. The analysis shows that multiple factors: age (OR = 38.552, OR95% CI: 9.375 ~ 75.477), men (OR = 6.742, OR95% CI: 3.288 ~ 8.475), high blood sugar (OR = 1.520, OR95% CI: 1.002 ~ 2.096 ), High cholesterol (OR = 1.451, OR95% CI: 1.024 ~ 4.386) and high triglycerides (OR = 2.334, OR95% CI: 1.120 ~ 4.717) is hearing loss risk factors, high education level is protective factors.(3)Recover from illness the present condition and the need analysis.The province recovers that organization recover from is the prime way, the community family recover assist; Recover from the contents with the medical treatment serve is lord, recover from train assist.Both of them to leave the disable person recover to regardless demanding and contented still very far.Making the different need of each kind of disable person who satisfy the different grade,still our heavy load struggles in future. Listening needs of persons with disabilities is the first auxiliary equipment (40%), is second in the rescue and medical services (27%).Conclusion:The survey results show that the province has increased the total number of people with hearing, the age structure of the ageing of the development. Men are suffering from hearing disability rate than women, may be related to occupational injuries such as noise and knock, and other factors related to the increase with age hearing disability prevalence rate is rising gradually, 75-year-old is now suffering from hearing the rate of prevalence of inflection point, it may be because subjects Selected 75 people over the age of most of the body of strong build, resulting in hearing disability prevalence rate declined. ; Hearing disability with the increase in income on an upward trend, probably due to the increased revenue with the people more concerned about their own health, the relative physical examination should be more opportunities, more timely discovery of hearing loss; hearing disability main reason For toxicity deaf ears, old age deafness For unknown reasons, such as deafness and otitis media. In addition, high blood pressure, high blood sugar, cholesterol, high triglyceride and high-density lipoprotein is also hearing disability maimed relevant factors, and prevention of high blood sugar, high blood lipids in the delay in hearing loss, enhance the quality of life of older persons Practical significance. . Toxic deaf ears and unexplained hearing disability is 0-17 years of age the main reason for the present study results suggest the drug poisoning in our province and home maimed virus infection during pregnancy than the national average is much higher, the need arising from the Government the importance of Shanxi Province The ears of the use of toxic drugs to strengthen supervision in order to reduce its impact on disability and do a good job Yunqian, the prevention of deafness during pregnancy to reduce birth defects in newborn hearing. 60-year-old or older-induced deafness is mainly due to old age deafness, should be actively preventing the disease. |
PDF Full Text Request