中小学生健康检查的目的之一是掌握学生各种疾病的患病状况,为制订疾病防治方案提供科学依据。这种检查已成常规,在检查项目上多以形态指标(身高、体重、胸围)、机能指标(脉搏、血压、肺活量)、视力、辨色力、沙眼、龋齿、脊柱四肢、皮肤、心、肺、肝脾、听力为重点。但是,我认为成年时健康也有影响疾病的检查项目,如经常反复上呼吸道感染遗留的扁桃体肥大、鼻炎,影响学生听力的外耳道耵栓塞等项也应列为重点检查项目。自1985年以来,我们把咽部的扁桃体及鼻、耳检查列为检查项目。因为我们从因病缺课病因构成比上看,1981～1985年都是上呼吸道感染占首位;另据班主任反应,有的学生学生成绩逐年下降,询问学生下降原因,不少学生回答:老师讲课声小一点就听不 One of the purposes of primary and secondary health examination is to master the prevalence of various diseases of students and provide a scientific basis for the formulation of disease prevention and control programs. This examination has become routine, and more items in the examination of morphological indicators (height, weight, chest circumference), functional indicators (pulse, blood pressure, vital capacity), visual acuity, color discrimination, trachoma, dental caries, spine limbs, Lungs, liver and spleen, hearing as the focus. However, I think that there are also health checkups that affect the health of adults. For example, tonsillar hypertrophy, rhinitis and external auditory canal embolism that affect students’ hearing should be listed as the key items. Since 1985, we have included pharyngeal tonsils and nasal and otological examinations as items to examine. Because of the composition of the cause of illness due to lack of comparison, from 1981 to 1985 are upper respiratory tract infection in the first place; another class teacher reaction, and some student scores decreased year by year, asking students for reasons of decline, many students answer: teacher lectures Little sound can not hear