Otolaryngology and Cervicofacial Surgery Clinic, University of Perugia, Perugia, Italy.
Eur Arch Otorhinolaryngol. 2010 Jan;267(1):51-6. doi: 10.1007/s00405-009-1015-7.
We present the results of tinnitus retraining therapy (TRT) in a group of patients suffering from tinnitus and/or hyperacusia. Based on the scores from a specific questionnaire and the Tinnitus Handicap Inventory (THI), the patients were classified into five categories and began therapy according to Jastreboff's criteria. Depending on the individual case, therapy envisaged counselling sessions, ambient sound enrichment, sound generators and hearing aids. At the end of the 18-month period, therapeutic success was observed in 79% of the patients. The initial numerical values of the scale of the symptoms and the THI seem predictive of treatment outcome. The use of instruments (sound generators) increases the success rate, but the study also demonstrates the effectiveness of counselling and ambient sound enrichment. Failures mainly involved patients with hypacusia who refused to wear hearing aids, as this influenced the effectiveness of ambient sound enrichment and counselling. Paralleling the data in the literature, the results demonstrate the effectiveness of TRT, which cannot be attributed to a placebo effect given the extended duration of treatment.
我们呈现了一组患有耳鸣和/或听觉过敏的患者接受耳鸣再训练疗法 (TRT) 的结果。根据特定问卷和耳鸣残疾量表 (THI) 的评分，患者被分为五类，并根据 Jastreboff 的标准开始治疗。根据个体情况，治疗包括咨询、环境声音丰富、声音发生器和助听器。在 18 个月的治疗期结束时，79%的患者取得了治疗成功。症状量表和 THI 的初始数值似乎可以预测治疗效果。仪器（声音发生器）的使用增加了成功率，但研究也证明了咨询和环境声音丰富的有效性。失败主要涉及拒绝佩戴助听器的听力减退患者，因为这会影响环境声音丰富和咨询的效果。与文献中的数据类似，这些结果证明了 TRT 的有效性，由于治疗时间延长，不能将其归因于安慰剂效应。
