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[影响耳鸣音高和响度的因素]

[Factors influencing the pitch and loudness of tinnitus].

作者信息

Ueda S, Asoh S, Watanabe Y

机构信息

Department of Otolaryngology, Toyama Medical and Pharmaceutical University, Faculty of Medicine.

出版信息

Nihon Jibiinkoka Gakkai Kaiho. 1992 Nov;95(11):1735-43. doi: 10.3950/jibiinkoka.95.1735.

Abstract

Pitch match and loudness balance tests were given to 397 cases with tinnitus. The factors which influenced tinnitus pitch and loudness were analyzed statistically from the clinical point of view. The results obtained were as follows: 1) Onomatopoeia of tinnitus, either [Keeeen] or [Jeeeen], were observed in a majority of cases. 2) Significantly sharp sounding onomatopoeia such as [Keeeen] or [Meeeen] had high pitches, over 4kHz, and dull sounds like [Gooooh] or [Buuuun] had low pitches, below 500Hz. 3) Acute stage tinnitus, within one month of onset, had a significantly depressed pitch and walked loudness, above 6dB. 4) The pitches observed in cases with Meniere's disease and chronic otitis media were distributed evenly from low frequencies to high. In other cases, especially presbyacusis and noise deafness, high pitch tinnitus (above 4kHz) was frequently noted. The loudness of tinnitus without hearing loss was significantly greater than in other diseases. 5) As a rule the more deteriorated the hearing level was, the lower the frequency of the pitch, and the smaller the loudness in tinnitus. 6) A high pitch of tinnitus nearly corresponded with hearing type, that is, the pitch of tinnitus was also in accordance with the disturbed frequency in the hearing threshold.

摘要

对397例耳鸣患者进行了音调匹配和响度平衡测试。从临床角度对影响耳鸣音调及响度的因素进行了统计学分析。所得结果如下:1)大多数病例的耳鸣拟声词为[Keeeen]或[Jeeeen]。2)诸如[Keeeen]或[Meeeen]等明显尖锐的拟声词音调较高,超过4kHz,而像[Gooooh]或[Buuuun]等低沉的声音音调较低,低于500Hz。3)发病一个月内的急性期耳鸣,音调明显降低,响度增加,超过6dB。4)梅尼埃病和慢性中耳炎患者的耳鸣音调从低频到高频分布均匀。在其他病例中,尤其是老年性聋和噪声性聋,高频耳鸣(超过4kHz)较为常见。无听力损失的耳鸣响度明显大于其他疾病。5)一般来说,听力水平越差,耳鸣音调频率越低,响度越小。6)耳鸣的高音调几乎与听力类型相对应,即耳鸣的音调也与听力阈值中受干扰的频率一致。

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