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耳鸣治疗中的开放式耳助听器:与声音发生器的疗效比较。

Open ear hearing aids in tinnitus therapy: An efficacy comparison with sound generators.

机构信息

Consiglio Nazionale delle Ricerche, Istituto di Ingegneria Biomedica, Piazza Leonardo da Vinci 32, Milan, Italy.

出版信息

Int J Audiol. 2011 Aug;50(8):548-53. doi: 10.3109/14992027.2011.572263. Epub 2011 May 19.

Abstract

OBJECTIVE

This study aimed to compare the effectiveness of tinnitus retraining therapy (TRT) with sound generators or with open ear hearing aids in the rehabilitation of tinnitus for a group of subjects who, according to Jastreboff categories, can be treated with both approaches to sound therapy (borderline of Category 1 and 2).

DESIGN

This study was a prospective data collection with a parallel-group design which entailed that each subject was randomly assigned to one of the two treatments group: half of the subjects were fitted binaurally with sound generators, and the other half with open ear hearing aids. Both groups received the same educational counselling sessions.

STUDY SAMPLE

Ninety-one subjects passed the screening criteria and were enrolled into the study. Structured interviews, with a variety of measures evaluated through the use of visual-analog scales and the tinnitus handicap inventory self-administered questionnaire, were performed before the therapy and at 3, 6, and 12 months during the therapy.

RESULTS

Data showed a highly significant improvement in both tinnitus treatments starting from the first three months and up to one year of therapy, with a progressive and statistically significant decrease in the disability every three months.

CONCLUSIONS

TRT was equally effective with sound generator or open ear hearing aids: they gave basically identical, statistically indistinguishable results.

摘要

目的

本研究旨在比较耳鸣再训练疗法(TRT)与声音发生器或开放耳助听器在治疗 Jastreboff 分类中可采用两种声音治疗方法(1 类和 2 类边缘)的一组受试者耳鸣的疗效。

设计

这是一项前瞻性数据收集的平行组设计研究,每个受试者都被随机分配到两个治疗组之一:一半受试者双耳佩戴声音发生器,另一半受试者佩戴开放耳助听器。两组都接受相同的教育咨询课程。

研究样本

91 名受试者通过了筛选标准,并被纳入研究。在治疗前和治疗期间的 3、6 和 12 个月,通过使用视觉模拟量表和耳鸣残疾量表自我评估问卷进行了结构化访谈和各种措施评估。

结果

数据显示,两种耳鸣治疗方法在治疗的前三个月至一年均有显著改善,每三个月听力障碍逐渐且具有统计学意义地降低。

结论

TRT 与声音发生器或开放耳助听器同样有效:它们的疗效基本相同,在统计学上无法区分。

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