Eysel-Gosepath K, Selivanova O
Römerwallklinik, Mainz.
Laryngorhinootologie. 2005 May;84(5):323-7. doi: 10.1055/s-2005-861020.
Approximately 60 % of patients with tinnitus experience disturbances of the normal sleep pattern.
Polysomnography was performed on 26 patients with tinnitus and sleep disturbances.
In 17 of 26 patients polysomnography revealed a pathological sleep analysis: 10 patients were diagnosed with obstructive sleep apnea syndrome, 4 with insomnia and an increased index of arousals as well as a reduction of deep sleep- and REM-phases. Pathological movements of the legs were seen in 3 cases. Six of 9 patients with a normal sleep during the whole night displayed a prolonged latency period until falling asleep.
Many studies show that sleep disturbances are a factor that strongly predicts decreased tolerance to tinnitus. This and the findings of this study implicate, that somnographic workup is helpful in patients with tinnitus in order to integrate adequate therapy of the sleep disturbance in the concept of tinnitus therapy and to avoid adaptive difficulties to tinnitus.
约60%的耳鸣患者存在正常睡眠模式紊乱。
对26例伴有睡眠障碍的耳鸣患者进行了多导睡眠图检查。
26例患者中17例多导睡眠图显示睡眠分析异常：10例被诊断为阻塞性睡眠呼吸暂停综合征，4例为失眠，觉醒指数增加，深睡眠期和快速眼动期减少。3例出现腿部异常运动。9例整夜睡眠正常的患者中有6例入睡潜伏期延长。
许多研究表明，睡眠障碍是强烈预示对耳鸣耐受性降低的一个因素。本研究的这一发现表明，多导睡眠图检查对耳鸣患者有帮助，以便在耳鸣治疗方案中纳入对睡眠障碍的适当治疗，并避免对耳鸣的适应性困难。
