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听力与掩蔽联合装置对耳鸣严重程度及感知的有效性:一项随机、对照、双盲研究。

Effectiveness of the combined hearing and masking devices on the severity and perception of tinnitus: a randomized, controlled, double-blind study.

作者信息

Oz Isilay, Arslan Fatih, Hizal Evren, Erbek Seyra H, Eryaman Esra, Senkal Ozgul A, Ogurlu Terkan, Kizildag Alp Ertunga, Ozluoglu Levent N

机构信息

Department of ENT Surgery, Faculty of Medicine, Baskent University, Ankara, Turkey.

出版信息

ORL J Otorhinolaryngol Relat Spec. 2013;75(4):211-20. doi: 10.1159/000349979. Epub 2013 Jul 26.

Abstract

OBJECTIVE

The aim of this study was to evaluate the effect of combined hearing and tinnitus masking devices that are appropriately programmed for acoustic stimulations using wide-band noise over the specific frequency range of tinnitus.

MATERIAL AND METHODS

A total of 21 patients were randomly divided into 2 groups. Group I (12 patients) was managed with betahistine dihydrochloride (2HCl) and fitted either with a combined hearing aid or a sound generator, and group II (9 patients) was treated with betahistine 2HCl for 3 months. Audiological tests, pitch matching to determine the frequency of tinnitus, an assessment of tinnitus severity, and subjective scores (visual analog scale, VAS; Mini-Tinnitus Questionnaire) were used to assess the patients in both groups, and a loudness scale was also analyzed in group I. The results were evaluated in a double-blinded manner.

RESULTS

Significant decreases in the severity of tinnitus, Mini-Tinnitus Questionnaire score and VAS were observed in both groups. No significant differences were obtained in pitch-matched frequency of tinnitus in the two groups.

CONCLUSION

The findings obtained using either the combined devices or the masking devices with wide-band masking demonstrate that these devices are an effective tinnitus treatment alternative.

摘要

目的

本研究旨在评估经适当编程,能在耳鸣特定频率范围内使用宽带噪声进行声学刺激的听力与耳鸣掩蔽组合装置的效果。

材料与方法

总共21名患者被随机分为2组。第一组(12名患者)接受二盐酸倍他司汀治疗,并佩戴听力辅助装置或发声器,第二组(9名患者)接受二盐酸倍他司汀治疗3个月。使用听力测试、通过音调匹配确定耳鸣频率、评估耳鸣严重程度以及主观评分(视觉模拟量表,VAS;迷你耳鸣问卷)对两组患者进行评估,并且对第一组患者还分析了响度量表。结果采用双盲方式进行评估。

结果

两组患者的耳鸣严重程度、迷你耳鸣问卷评分和VAS均显著降低。两组患者耳鸣的音调匹配频率无显著差异。

结论

使用组合装置或宽带掩蔽的掩蔽装置所获得的研究结果表明,这些装置是一种有效的耳鸣治疗替代方法。

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