文章摘要

慢性主观性耳鸣精细化检查及多元复合声治疗初探

作者: 1仝悦, 2,3蒋雯, 1吴扬, 1邢宇轩, 2刘稳, 2,3乔月华
1 徐州医科大学研究生学院,江苏 徐州 221000
2 徐州医科大学附属医院耳鼻咽喉科,江苏 徐州 221002
3 江苏省人工听觉工程实验室,江苏 徐州 221000
通讯: 刘稳 Email: liuwen1972@163.com
DOI: 10.3978/j.issn.2095-6959.2019.06.019
基金: 江苏省博士后基金(1701063B)。

摘要

目的:分析慢性主观性耳鸣患者精细化耳鸣检查结果,探索其特点并尝试给予单次多元复合声治疗,初步分析其疗效。方法:以就诊于徐州医科大学附属医院耳鸣门诊的68例以耳鸣为第一主诉的患者为研究对象,对其进行详细的病史采集、精细化听力检查、耳鸣匹配,填写耳鸣残障(tinnitus handicap inventor y,THI)量表,并尝试给予单次多元复合声治疗,初步判定其疗效。统计分析患者性别、年龄、耳鸣主调声频率、耳鸣主调声响度、残余抑制试验(residual inhibition test,RI)、THI量表等各因素内部分布情况及特点。结果:在68例患者中,男女比例为33:35;年龄12~77(平均46)岁;耳鸣主调以高频为主,其中最常见耳鸣主调声频率为5 993 Hz和8 000 Hz;治疗后耳鸣减轻者35例(51.5%),耳鸣消失者7例(10.3%),总体有效率61.8%。耳鸣声治疗初步研究提示,声治疗疗效与残余抑制具有统计学意义(P<0.05)。结论:慢性主观性耳鸣患者耳鸣主调集中于高频,精细化听力检查可以发现常规纯音测听发现不了的隐匿听力损失。患者RI试验结果与耳鸣多元复合声治疗效果相关,而性别、年龄、平均听阈水平、耳鸣主调声响度、THI量表等因素与患者耳鸣多元复合声治疗效果无关,约60%的患者通过多元复合声治疗达到短期减轻耳鸣的效果。从长远的耳鸣康复来看,需要制订长期的声治疗方案,再进一步研究其疗效。
关键词: 耳鸣;精细化耳鸣检查;多元复合声;耳鸣残障量表;残余抑制试验

Precision tinnitus testing for chronic subjective tinnitus and preliminarily analyses for the effect of multiple complex acoustic therapy

Authors: 1TONG Yue, 2,3JIANG Wen, 1WU Yang, 1XING Yuxuan, 4,5LIU Wen, 2,3QIAO Yuehua
1 Graduate School of Xuzhou Medical University, Xuzhou Jiangsu 221000, China
2 Department of Otolaryngology, Affiliated Hospital of Xuzhou Medical University, Xuzhou Jiangsu 221002, China
3 Jiangsu Auditory Engineering Laboratory, Xuzhou Jiangsu 221000, China
4 Department of Otolaryngology, Affiliated Hospital of Xuzhou
5 Medical University, Xuzhou Jiangsu 221002, China

CorrespondingAuthor: LIU Wen Email: liuwen1972@163.com

DOI: 10.3978/j.issn.2095-6959.2019.06.019

Foundation: is work was supported by the Jiangsu Postdoctoral Foundation, China (1701063B).

Abstract

Objective: To analyze the characteristic of precision tinnitus testing with chronic subjective tinnitus, and try to provide one-time multiple complex acoustic therapy it. Methods: A total of 68 patients with tinnitus as the first complaint in the tinnitus clinic of Xuzhou Medical University Affiliated Hospital, detailed medical history collection, precision audiology testing, tinnitus matching, tinnitus handicap inventory were detailed collected and analyzed, and given one-time sound therapy to try to initially learn about its effect. Results: Of the 68 patients, female and male rate is 35:33, with aged 12–77 years (average 46 years). The main tone of tinnitus was high frequency, and the most common tinnitus frequency was 5 993 Hz and 8 000 Hz. After the treatment, tinnitus reduction in 35 cases (51.5%), tinnitus disappeared in 7 cases (10.3%), the overall efficiency was 61.8%. There was a statistical difference between the patient’s residual inhibition test results and multiple complex sound therapy (P<0.05). Conclusion: The main tone of tinnitus in patients with chronic subjective tinnitus is concentrated at high frequency. Except the residual inhibition test, the patient’s gender, age, tinnitus main tone frequency, tinnitus main tone, tinnitus handicap inventory and other factors have nothing to do with the efficacy of the patient’s tinnitus multiple complex sound therapy. About 60% of patients achieve short-term reduction of tinnitus through multiple complex acoustic therapy. From the perspective of long-term tinnitus rehabilitation, further study is needed for long-term acoustic therapy.
Keywords: tinnitus; precision; tinnitus testing; multiple complex sound therapy; residual inhibition test; tinnitus handicap inventory

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