Mielczarek Marzena, Konopka Wiesław, Olszewski Jurek
Zakład Audiologii, Foniatrii i Otoneurologii II Katedry Otolaryngologii UM w Lodzi.
Otolaryngol Pol. 2007;61(5):902-4. doi: 10.1016/S0030-6657(07)70552-8.
The aim of the study was to evaluate the influence of electrical stimulation on severe tinnitus.
The study comprised 46 patients (66 ears) suffering from severe tinnitus, persistently or temporarily, 27 women and 19 men, ranging in age from 22 to 84 years, on average 55. The material was divided into two groups. Group I was treated using electrical stimulation, whereas group II was being applied additionally the kinesitherapy of the cervical part of the vertebral column. The average duration of tinnitus was similar in both groups and equals 4.5 years. All the patients were administered medicines, without expected result. Otolaryngological, audiological diagnostics was conducted as well as head and cervical computer tomography. The patients were asked to fill in the questionnaire concerning tinnitus. The electrical stimulation was performed using silver electrode which was dipped in saline solution in external auditory canal. Direct current was used, the intensity ranged from 0.15 mA to 1.15 mA. Fifteen electrical stimulations were entire treatment administered twice or three times a week. Before and after treatment the subjective evaluation of tinnitus was made.
The subjective improvement was noticed in 36 people (n 46 ears--71%). Persistent tinnitus was registered in 30 ears and temporary in 30 ears, in 6 tinnitus disappeared completely. On the basis of audiometric tests improvement was noticed in 33 ears (55%). In group I in 17 ears (44%)--in 4 ears tinnitus disappeared, in 13 partial relief was noticed, 10 ears were without any change and in 12 ears the intensification of tinnitus was recognized. In group II in 16 ears improvement was observed, in 2 of them tinnitus disappeared, in 14 decreased. In 9 ears no change was obtained and in 2 intensification was noticed.
Electrical stimulation can be an alternative therapy in severe tinnitus treatment. The administration of kinesitherapy of cervical column may have an additive effect on tinnitus treatment.
本研究的目的是评估电刺激对重度耳鸣的影响。
该研究包括46例（66耳）患有重度耳鸣的患者，耳鸣持续或间歇性发作，其中女性27例，男性19例，年龄在22至84岁之间，平均55岁。将研究对象分为两组。第一组采用电刺激治疗，而第二组除电刺激外还应用了颈椎运动疗法。两组耳鸣的平均持续时间相似，均为4.5年。所有患者均接受了药物治疗，但未取得预期效果。进行了耳鼻喉科、听力学诊断以及头部和颈部计算机断层扫描。要求患者填写有关耳鸣的问卷。电刺激使用银电极，将其浸入外耳道的盐溶液中。使用直流电，强度范围为0.15毫安至1.15毫安。整个治疗过程包括每周两次或三次，每次进行15次电刺激。在治疗前后对耳鸣进行主观评估。
36人（46耳，占71%）的耳鸣有主观改善。持续性耳鸣30耳，暂时性耳鸣30耳，6耳耳鸣完全消失。根据听力测试，33耳（占55%）有改善。在第一组中，17耳（占44%）——4耳耳鸣消失，13耳部分缓解，10耳无变化且12耳耳鸣加重。在第二组中，观察到16耳有改善，其中2耳耳鸣消失，14耳减轻。9耳无变化，2耳加重。
电刺激可作为重度耳鸣治疗的一种替代疗法。颈椎运动疗法的应用可能对耳鸣治疗有辅助作用。
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