Zhang Minmin, Zhou Huifang, Zhang Jing, Guo Yuxi, Wang Xiuzhen, Wang Nuo
Department of Otorhinolaryngology, the General Hospital of Tianjin Medical University, Tianjin, 300052, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013 May;27(10):461-4.
To evaluate the effects of hearing aids combined with psychological counseling on subjective tinnitus.
One hundred and fifty four tinnitus patients with deafness were randomly divided into two groups: 84 cases in study group, receiving hearing aids combined with psychological counseling therapy; 70 cases in control group, receiving counseling therapy only. Two groups were assessed at 3, 6 and 12 months after the beginning of the therapy. In study group, 6 cases were bilaterally aided and 78 cases were unilaterally aided. The 78 cases are divided into three subgroups: Group A (moderate hearing loss), Group B (moderate to severe hearing loss), and Group C(severe hearing loss) according to the severity of hearing loss.
At 3, 6 and 12 months after the beginning of the therapy ,the effective rates in study group are 26.19%, 63.10% and 72.62% respectively and the effective rates in control group are 8.57%, 18.57% and 25.71% respectively. There are statistically significant differences between the effective rates of the two groups after 3,6 and 12 months since the therapy started (P < 0.01). The tinnitus improvement of Group A is the most, and that of Group C is the least. The effective rate of Group A is higher than groups B and C with statistically significant differences (P < 0.0167). The effective rate of Group B is higher than Group C while with no statistically significant difference(P > 0.05).
Hearing aids can not only improve hearing but also help with the treatment of tinnitus. Hearing aids combined with psychological counseling treatment is an ideal method for dealing with tinnitus in patients with deafness.
评估助听器联合心理咨询对主观性耳鸣的疗效。
将154例伴有耳聋的耳鸣患者随机分为两组：研究组84例，接受助听器联合心理咨询治疗；对照组70例，仅接受心理咨询治疗。两组在治疗开始后的3个月、6个月和12个月进行评估。研究组中，6例为双侧佩戴助听器，78例为单侧佩戴助听器。根据听力损失的严重程度，将这78例患者分为三个亚组：A组（中度听力损失）、B组（中度至重度听力损失）和C组（重度听力损失）。
治疗开始后的3个月、6个月和12个月，研究组的有效率分别为26.19%、63.10%和72.62%，对照组的有效率分别为8.57%、18.57%和25.71%。治疗开始3个月、6个月和12个月后，两组的有效率存在统计学显著差异（P<0.01）。A组的耳鸣改善最为明显，C组的改善最少。A组的有效率高于B组和C组，差异具有统计学显著性（P<0.0167）。B组的有效率高于C组，但差异无统计学显著性（P>0.05）。
助听器不仅可以改善听力，还有助于耳鸣的治疗。助听器联合心理咨询治疗是治疗伴有耳聋的耳鸣患者的理想方法。
