耳鸣患者的听力阈值、验证问卷和心理声学测量的相关分析。
Correlation analysis of hearing thresholds, validated questionnaires and psychoacoustic measurements in tinnitus patients.
机构信息
Federal University of Rio de Janeiro, Medical School of Valença, RJ.
出版信息
Braz J Otorhinolaryngol. 2010 Jul-Aug;76(4):522-6. doi: 10.1590/S1808-86942010000400018.
UNLABELLED
One of the most criticized points in tinnitus clinical studies arise from the lack of consensus about measurement methods.
AIM
To evaluate the correlation between audiometric thresholds, pitch matching (PM), minimum masking level (MML), Tinnitus Handicap Inventory (THI) and the Beck Depression Inventory (BDI) in tinnitus patients.
STUDY DESIGN
Prospective, cross-sectional.
MATERIALS AND METHODS
Subjects were submitted to tonal audiometry, PM and MML for tinnitus. They also filled out the THI and BDI. Data was statistically compared for correlation purposes between audiometric thresholds, psycho-acoustic measures and questionnaires.
RESULTS
There was no statistically significant correlation between THI and MML, both in patients with BDI scores under and over 14 points. There was no statistically significant correlation between the worst hearing frequency and PM, as well as between the cut-off frequency and the PM in patients with descending hearing curves in their audiograms.
CONCLUSIONS
There is no statistically significant correlation between psycho-acoustic measures (PM and MML), audiometric thresholds, THI and BDI. Tinnitus is a very complex symptom and isolated measures by psycho-acoustic methods; tinnitus and depression questionnaires are not satisfactory.
未加标签
耳鸣临床研究中最受批评的一点之一源于测量方法缺乏共识。
目的
评估耳鸣患者的听阈、音调匹配（PM）、最小掩蔽级（MML）、耳鸣残疾量表（THI）和贝克抑郁量表（BDI）之间的相关性。
研究设计
前瞻性、横断面研究。
材料和方法
受试者接受纯音测听、PM 和 MML 以评估耳鸣。他们还填写了 THI 和 BDI。为了进行相关性统计分析，对听阈、心理声学测量和问卷数据进行了比较。
结果
在 BDI 评分低于和高于 14 分的患者中，THI 和 MML 之间均无统计学显著相关性。在听力图中下降型曲线的患者中，最差听力频率与 PM 之间以及截止频率与 PM 之间均无统计学显著相关性。
结论
心理声学测量（PM 和 MML）、听阈、THI 和 BDI 之间无统计学显著相关性。耳鸣是一种非常复杂的症状，通过单一的心理声学方法进行评估是不够的；耳鸣和抑郁问卷也不能令人满意。
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