Zhao D, Jiang Z G
Department of Otology,Qinhuangdao First Hospital, Qinhuangdao, 066000, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Apr;32(8):583-586. doi: 10.13201/j.issn.1001-1781.2018.08.006.
To analyze the curative effect of tinnitus retraining therapy on patients with chronic decompensated tinnitus and to explore an effective method to treat patients with chronic decompensated tinnitus.Thirty patients were treated for tinnitus retraining therapy for 12 months. The content of retraining therapy includes: tinnitus counseling,low intensity natural sound therapy, shift attention, and relaxation training.The severity of tinnitus was compared in grading before treatment and after 12 months treatment: 56.7%(17/30) of grade Ⅲ before treatment, 36.7%(11/30) of grade Ⅳ and 6.7% (2/30) of grade Ⅴ;16.7%(5/30) of grade Ⅰ after treatment, 60.0% (18/30) of grade Ⅱ,16.7%(5/30) of grade Ⅲ,6.7% (2/30) of grade Ⅳ, where compensatory tinnitu was 76.7%(23/30), and decompensated tinnitus was 23.3%(7/30). The composition ratio of 30 subjects compensated tinnitus and decompensated tinnitus before and after treatment has significant changes, with statistical differences(<0.01). The mean score of tinnitus severity before treatment was 14.40±2.60 in 30 subjects and 9.00±2.82 after treatment in assessment scale. There was a significant difference between the both groups(<0.01).Tinnitus retraining therapy is an effective treatment of chronic decompensated tinnitus.
分析耳鸣习服疗法对慢性失代偿性耳鸣患者的疗效，探索治疗慢性失代偿性耳鸣患者的有效方法。30例患者接受耳鸣习服疗法治疗12个月。习服疗法内容包括：耳鸣咨询、低强度自然声疗法、转移注意力及放松训练。比较治疗前及治疗12个月后耳鸣严重程度分级情况：治疗前Ⅲ级占56.7%（17/30），Ⅳ级占36.7%（11/30），Ⅴ级占6.7%（2/30）；治疗后Ⅰ级占16.7%（5/30），Ⅱ级占60.0%（18/30），Ⅲ级占16.7%（5/30），Ⅳ级占6.7%（2/30），其中代偿性耳鸣占76.7%（23/30），失代偿性耳鸣占23.3%（7/30）。30例受试者治疗前后代偿性耳鸣与失代偿性耳鸣构成比有显著变化，差异有统计学意义（<0.01）。30例受试者治疗前耳鸣严重程度评分均值在评估量表中为14.40±2.60，治疗后为9.00±2.82。两组间差异有统计学意义（<0.01）。耳鸣习服疗法是治疗慢性失代偿性耳鸣的有效方法。
