Ylikoski Jukka
Helsinki Ear Institute.
Duodecim. 2009;125(17):1859-67.
Tinnitus is a symptom caused by the dysfunction of the auditory system associated with hyperactive networks of the central auditory tract. Intimate relationship of the auditory tract with the limbic system may lead to a stress reaction with subsequent sleep disturbances, distress and depression. The target of tinnitus treatment shoud be the annoyance caused by tinnitus, not the sensation itself. Optimally, all tinnitus patients should be treated according to the TRT-principles including careful diagnostics, informational counceling and sound-based therapies. Some patients need sleep therapy as well as anti-depressive therapy.
耳鸣是一种由听觉系统功能障碍引起的症状，与中枢听觉通路的过度活跃网络有关。听觉通路与边缘系统的密切关系可能导致应激反应，继而出现睡眠障碍、痛苦和抑郁。耳鸣治疗的目标应该是耳鸣引起的烦恼，而不是耳鸣的感觉本身。理想情况下，所有耳鸣患者都应根据TRT原则进行治疗，包括仔细诊断、信息咨询和基于声音的疗法。一些患者还需要睡眠治疗和抗抑郁治疗。
