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[分析耳鸣响度和听力损失对耳鸣患者生活的影响]

[To analyse the impact of tinnitus loudness and hearing loss on the life of tinnitus patient].

作者信息

Yang Jing, Zhou Huifang, Yang Dong

机构信息

Department of Otorhinolaryngology, the General Hospital of Tianjin Medical University, Tianjin, 300052, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013 May;27(10):458-60, 464.

Abstract

OBJECTIVE

To analyse the impact of tinnitus loudness, tinnitus frequency, hearing loss, tinnitus subjective loudness on the life of tinnitus patient.

METHOD

To inspect the 154 tinnitus patients with pure tone audiometry, tinnitus matching, tinnitus classification questionnaire and THI scale. This study applies THI scale to evaluate the impact of tinnitus on the life of tinnitus patient. Using statistical methods to analyse the relationship between tinnitus loudness, tinnitus frequency, hearing loss, tinnitus subjective loudness and the impact of tinnitus on the life of tinnitus patient.

RESULT

(1) Tinnitus frequency is closed with the frequency of hearing loss. (2) There is no significant correlation between tinnitus loudness and the impact of tinnitus on the life of tinnitus patient. (3) There is no distinction between hearing loss and the THI scores. (4) The patient gets more scores in subgroup of THI with the increase of tinnitus subjective loudness classification.

CONCLUSION

The impact of tinnitus loudness, hearing loss on the life of tinnitus patient is not very clearly, while the impact of tinnitus subjective loudness classification on the life of tinnitus patient is significant. In clinical, we can not evaluate the effect of the tinnitus treatment relying on tinnitus loudness and hearing loss simply.The finding provides us individual treatment to tinnitus patients.

摘要

目的

分析耳鸣响度、耳鸣频率、听力损失、耳鸣主观响度对耳鸣患者生活的影响。

方法

对154例耳鸣患者进行纯音听力测试、耳鸣匹配、耳鸣分类问卷及耳鸣 handicap 量表(THI)测评。本研究应用THI量表评估耳鸣对耳鸣患者生活的影响。采用统计学方法分析耳鸣响度、耳鸣频率、听力损失、耳鸣主观响度与耳鸣对耳鸣患者生活影响之间的关系。

结果

(1)耳鸣频率与听力损失频率相关。(2)耳鸣响度与耳鸣对耳鸣患者生活的影响之间无显著相关性。(3)听力损失与THI评分无差异。(4)随着耳鸣主观响度分级增加,患者在THI各亚组得分增多。

结论

耳鸣响度、听力损失对耳鸣患者生活的影响不太明确,而耳鸣主观响度分级对耳鸣患者生活的影响显著。临床上不能单纯依靠耳鸣响度和听力损失来评估耳鸣治疗效果。该研究结果为耳鸣患者的个体化治疗提供了依据。

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