Noble William
Discipline of Psychology, School of Behavioural, Cognitive and Social Sciences, University of New England, Armidale, Australia.
Trends Amplif. 2008 Sep;12(3):236-41. doi: 10.1177/1084713808320552. Epub 2008 Jul 17.
The various forms of treatment for tinnitus that have been tested in properly controlled trials can be classified as pharmacological, acoustic-physical, and psychological. In clinical trials, no pharmacological agent has been shown to have lasting effect on the presence or severity of tinnitus, although there are promising signs in an animal model. Acoustic devices do not seem to influence tinnitus, although appropriately fitted hearing aids may slightly reduce its prominence. Of physical treatments, cortical implantation may hold some promise of being effective for tinnitus suppression in selected cases. A psychological treatment that has emerged as consistently beneficial is cognitive-behavior therapy in terms of affecting overall well-being and reducing level of tinnitus annoyance.
在经过适当对照试验测试的各种耳鸣治疗方法可分为药物治疗、声物理治疗和心理治疗。在临床试验中,尽管在动物模型中有一些有希望的迹象,但尚未证明有任何药物对耳鸣的存在或严重程度有持久影响。声学设备似乎不会影响耳鸣,不过合适佩戴的助听器可能会略微降低其突出程度。在物理治疗中,皮质植入在某些特定病例中可能有望有效抑制耳鸣。一种已被证明持续有益的心理治疗方法是认知行为疗法,它能影响整体幸福感并降低耳鸣困扰程度。