耳鸣再训练疗法：117例患者的临床对照研究

[Tinnitus retraining therapy: a clinical control study of 117 patients].

作者信息

Wang Hongtian, Jiang Sichang, Yang Weiyan, Han Dongyi

机构信息

Department of Otolaryngology and Head Neck Surgery, Institute of Otolaryngology, General Hospital of Chinese People's Liberation Army, Beijing 100853, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2002 Nov 10;82(21):1464-7.

PMID:12509907

Abstract

OBJECTIVE

To investigate the clinical effects of tinnitus retraining therapy (TRT) on tinnitus.

METHODS

225 tinnitus patients were divided into two groups. 117 patients in the TRT group were treated with TRT and drugs, and 108 patients in the control group were treated with only tinnitus masking and drugs. The TRT is consisted of four strategies: (1) tinnitus masking with low level and broad band noise; (2) deep relaxation of the whole body; (3) diversion of the attention to other things; and (4) psychological counseling and therapy. Drugs, such as vasodilator, neurotrophic drug, and sedative of the similar dose and duration of pharmacotherapy were administered to the 2 groups. Effect evaluation was conducted thrice 2, 6, and 12 months after the beginning of therapy to see if the tinnitus was attenuated or disappeared and if the patients' emotion, sleep, and work were disturbed by tinnitus.

RESULTS

The relief rate was 17.09%, 82.05%, and 88.03% in the TRT group 2, 6, and 12 months after respectively; and 2.78%, 26.85%, and 41.6% in the control group 2, 6, and 12 months after respectively (chi(2) = 12.54, 69.30, and 63.64, all P < 0.01).

CONCLUSION

TRT is effective in treatment of tinnitus.

摘要

目的

探讨耳鸣习服疗法（TRT）治疗耳鸣的临床效果。

方法

将225例耳鸣患者分为两组。TRT组117例患者采用TRT联合药物治疗，对照组108例患者仅采用耳鸣掩蔽及药物治疗。TRT包括四种策略：（1）用低强度宽带噪声进行耳鸣掩蔽；（2）全身深度放松；（3）将注意力转移到其他事情上；（4）心理咨询与治疗。两组均给予血管扩张剂、神经营养药物及剂量和疗程相似的镇静药物等。在治疗开始后2、6和12个月进行三次效果评估，观察耳鸣是否减轻或消失，以及耳鸣是否干扰患者的情绪、睡眠和工作。