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采用定制的动态声学神经刺激治疗耳鸣:基本原理与临床疗效。

Treatment of tinnitus with a customized, dynamic acoustic neural stimulus: underlying principles and clinical efficacy.

作者信息

Hanley Peter J, Davis Paul B

机构信息

Neuromonics Pty Limited, Chatswood, New South Wales, Australia.

出版信息

Trends Amplif. 2008 Sep;12(3):210-22. doi: 10.1177/1084713808319942. Epub 2008 Jul 9.

DOI:10.1177/1084713808319942
PMID:18614554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4134889/
Abstract

Tinnitus has been challenging to treat with consistently positive results. The Neuromonics Tinnitus Treatment is a newly available approach to the treatment of clinically significant, problematic tinnitus (and reduced sound tolerance) that was developed with the intention of simultaneously addressing the auditory, attentional, and emotional processes underlying the condition. It uses a prescribed acoustic stimulus, customized for each patient's individual audiometric profile, which provides a broad frequency stimulus to address the effects of auditory deprivation, promotes relief and relaxation with the intention of reducing engagement of the limbic system/amygdala and autonomic nervous system, and applies the principles of systematic desensitization to address the attentional processes. This article describes the underlying principles behind this approach. It also summarizes evidence for clinical efficacy from controlled clinical studies and from a private practice clinical setting, where it has been shown to provide consistently positive outcomes for patients meeting suitability criteria.

摘要

耳鸣一直难以得到持续的积极治疗效果。Neuromonics耳鸣治疗法是一种新出现的治疗具有临床意义的、有问题的耳鸣(以及声音耐受性降低)的方法,其开发目的是同时解决该病症背后的听觉、注意力和情绪过程。它使用一种为每个患者的个体听力图定制的规定声学刺激,提供广泛的频率刺激以解决听觉剥夺的影响,旨在通过减少边缘系统/杏仁核和自主神经系统的参与来促进缓解和放松,并应用系统脱敏原理来解决注意力过程。本文描述了这种方法背后的基本原理。它还总结了来自对照临床研究和私人执业临床环境的临床疗效证据,在这些研究和环境中,已证明该方法能为符合适用性标准的患者持续带来积极结果。

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Trends Amplif. 2008 Sep;12(3):210-22. doi: 10.1177/1084713808319942. Epub 2008 Jul 9.
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本文引用的文献

1
Treatment of tinnitus with a customized, dynamic acoustic neural stimulus: clinical outcomes in general private practice.采用定制的动态声学神经刺激治疗耳鸣:普通私人诊所的临床结果
Ann Otol Rhinol Laryngol. 2008 Nov;117(11):791-9. doi: 10.1177/000348940811701101.
2
Treatment of tinnitus with a customized acoustic neural stimulus: a controlled clinical study.定制声学神经刺激治疗耳鸣:一项对照临床研究。
Ear Nose Throat J. 2008 Jun;87(6):330-9.
3
Object identification and attention training for treating tinnitus.用于治疗耳鸣的物体识别与注意力训练
Prog Brain Res. 2007;166:441-60. doi: 10.1016/S0079-6123(07)66043-9.
4
The role of neural plasticity in tinnitus.神经可塑性在耳鸣中的作用。
Prog Brain Res. 2007;166:37-45. doi: 10.1016/S0079-6123(07)66003-8.
5
Tinnitus: presence and future.耳鸣:现状与未来。
Prog Brain Res. 2007;166:3-16. doi: 10.1016/S0079-6123(07)66001-4.
6
Which tinnitus patients benefit from transcranial magnetic stimulation?哪些耳鸣患者能从经颅磁刺激中获益?
Otolaryngol Head Neck Surg. 2007 Oct;137(4):589-95. doi: 10.1016/j.otohns.2006.12.007.
7
Neuromonics Tinnitus Treatment: third clinical trial.诺莫尼克斯耳鸣治疗法:第三次临床试验。
Ear Hear. 2007 Apr;28(2):242-59. doi: 10.1097/AUD.0b013e3180312619.
8
Course of hearing loss and occurrence of tinnitus.听力损失的病程及耳鸣的发生
Hear Res. 2006 Nov;221(1-2):59-64. doi: 10.1016/j.heares.2006.07.007. Epub 2006 Sep 7.
9
Enriched acoustic environment after noise trauma abolishes neural signs of tinnitus.噪声性创伤后丰富的声学环境可消除耳鸣的神经信号。
Neuroreport. 2006 Apr 24;17(6):559-63. doi: 10.1097/00001756-200604240-00001.
10
Clinical management of tinnitus using a "progressive intervention" approach.采用“渐进性干预”方法对耳鸣进行临床管理。
J Rehabil Res Dev. 2005 Jul-Aug;42(4 Suppl 2):95-116. doi: 10.1682/jrrd.2005.01.0005.