妊娠に伴つた耳鼻咽喉科疾患について

ENT DISEASES DURING PREGNANCY

　Ⅰ．まえがき

　妊娠に伴う耳鼻咽喉科領域の変化は，昔から，さまざまな報告がみられる。

　しかし，その大部分のものは，産婦人科系の著書に，妊娠による呼吸器の生理的変化ともいう項目に記載され，また一方，耳鼻咽喉科の方よりみると，聴覚，嗅覚についての総論的なものをのぞいては，個々の症例報告的な記述がその大部分を占めており，妊娠全期間にわたる調査は，まずみあたらない。

　今回われわれは，過去11年間の当院耳鼻咽喉科外来の症例中から，当院産婦人科より紹介されたり，あるいは直接外来を訪れた妊娠と密接な関係をもつと考えられた症例をとり上げ，検討を加えてみた。

　One hundred and fourteen cases of ENT diseases among pregnant women are recorded in the 11 years of study at the Otolarngological Department of the Musashino Red Cross hospital. The total number of diliveries during the period numbered 29,887 cases; the mobidity was 0.36%.

　There were 36 cases of the ear, 59 cases of nasal and 13 cases of throat diseases with 6 cases of other involvements.

　The largest number was epistaxis, 38 cases.

　Generally, the patients were affected with allergic rhinitis during the first half of the pregnancy and with ozena in the later half. Epistaxis and tubotympanitis were seen throughout the period of pregnancy.

　The mobidity was highest during the initial 3 months, decreased during the midperiod and with an increase again in the later period of the pregnancy.