Dauman René, Bouscau-Faure Frédéric
Tinnitus Clinic, Department of Otolaryngology-Head and Neck Surgery, Unit of Audiology, University Hospital of Bordeaux, University Victor Segalen Bordeaux 2, Bordeaux, France.
Acta Otolaryngol. 2005 May;125(5):503-9. doi: 10.1080/00016480510027565.
Tinnitus can be bothersome even without hyperacusis. The good correlation found in this study between the multiple-activity scale for hyperacusis (MASH) score and the overall annoyance of hyperacusis score supports the reliability of self-rating of hyperacusis. Objectives. A prospective study was undertaken to investigate the relationships between hyperacusis and tinnitus and to determine whether hyperacusis can be rapidly controlled over time.
All tinnitus patients seen over a period of 16 months with surnames beginning with the letters A L (n = 249) were assessed during a structured interview using (i) a scale ranging from 0 to 10 for assessing the annoyance of tinnitus and the overall annoyance of hyperacusis and (ii) the newly introduced MASH.
The annoyance of tinnitus was greater in females. The prevalence of hyperacusis was high (79%). The annoyance of hyperacusis varied. Patients were categorized into five groups according to the hyperacusis annoyance score, as follows: no hyperacusis; mild hyperacusis (< or = 3); moderate hyperacusis (3.1-5.0); substantial hyperacusis (5.1-7.0); and severe hyperacusis (> or = 7.1). Individuals with severe hyperacusis were younger than those in the other groups. The correlation between the annoyance of tinnitus and the annoyance of hyperacusis was poor (r = 0.35). No audiometric difference was found between categories, whereas self-rated hearing deficiency increased with the annoyance of hyperacusis. A good correlation (r = 0.89) was found between the overall annoyance of hyperacusis and the MASH score. Changes over time, assessed in 32 patients investigated at least 3 times, showed more frequent improvement in hyperacusis (63%) than tinnitus (47%).
即使没有听觉过敏，耳鸣也可能令人烦恼。本研究发现听觉过敏多活动量表（MASH）评分与听觉过敏总体烦恼评分之间具有良好的相关性，这支持了听觉过敏自评的可靠性。目的。进行一项前瞻性研究，以调查听觉过敏与耳鸣之间的关系，并确定听觉过敏是否能随时间迅速得到控制。
对在16个月期间就诊的姓氏以字母A到L开头的所有耳鸣患者（n = 249）进行结构化访谈评估，使用（i）从0到10的量表评估耳鸣的烦恼程度和听觉过敏的总体烦恼程度，以及（ii）新引入的MASH。
女性耳鸣的烦恼程度更高。听觉过敏的患病率很高（79%）。听觉过敏的烦恼程度各不相同。根据听觉过敏烦恼评分，患者被分为五组，如下：无听觉过敏；轻度听觉过敏（≤3）；中度听觉过敏（3.1 - 5.0）；重度听觉过敏（5.1 - 7.0）；以及极重度听觉过敏（≥7.1）。极重度听觉过敏的个体比其他组的个体更年轻。耳鸣烦恼与听觉过敏烦恼之间的相关性较差（r = 0.35）。各分类之间未发现听力测定差异，而自评听力缺陷随听觉过敏烦恼程度增加。听觉过敏总体烦恼与MASH评分之间发现良好的相关性（r = 0.89）。对至少接受3次调查的32名患者进行的随时间变化评估显示，听觉过敏改善（63%）比耳鸣改善（47%）更频繁。
