耳鸣评估：音匹配与响度、视觉模拟量表和耳鸣残疾量表之间的关系。
Tinnitus evaluation: relationship between pitch matching and loudness, visual analog scale and tinnitus handicap inventory.
机构信息
Universidade Federal da Paraíba (UFPB), Hospital Universitário Lauro Wanderley (HULW), João Pessoa, PB, Brazil.
Universidade Federal da Paraíba (UFPB), Departamento de Fonoaudiologia, João Pessoa, PB, Brazil; Universidade Federal da Paraíba (UFPB)/Universidade Federal do Rio Grande do Norte (UFRN), Programa Associado de Pós-graduação em Fonoaudiologia (PPgFon), Brazil; Universidade Federal da Paraíba (UFPB), Programa de Pós-graduação em Neurociência Cognitiva e Comportamento (PPGNeC), João Pessoa, PB, Brazil; Universidade Federal da Paraíba (UFPB), Programa de Pós-graduação em Modelos de Decisão e Saúde (PPgMDS), João Pessoa, PB, Brazil.
出版信息
Braz J Otorhinolaryngol. 2019 Sep-Oct;85(5):611-616. doi: 10.1016/j.bjorl.2018.05.006. Epub 2018 Jun 21.
INTRODUCTION
Tinnitus is a subjective auditory symptom usually associated with a sound, even in the absence of external sound sources. Its diagnosis is complex, and some of the forms of measurement alone or in combination, include self-assessment questionnaires, such as the tinnitus handicap inventory, the visual analog scale and/or pitch and loudness matching.
OBJECTIVE
To analyze the correlation among three tinnitus measurement methods: tinnitus handicap inventory, visual analog scale and pitch and loudness matching.
METHODS
The study consisted of 148 patients complaining of chronic tinnitus. An otorhinolaryngological evaluation, anamnesis directed to tinnitus, audiometry (pure tone and speech), imitanciometry, tinnitus handicap inventory, visual analog scale, and pitch and loudness matching were performed. The study was registered in the Ethics Committee of the Institution with no. 0129/12.
RESULTS
Regarding the frequency of tinnitus handicap inventory responses, a higher occurrence of the mild degree was observed. An average of 6 points was observed on the visual analog scale. The mean loudness matching in the right ear was 20dBNS, and in the left ear was 17dBNS. As for the type of stimulus, the most found was continuous pure tone. The frequency of the pitch sensation was 6000Hz in the largest number of cases. Regarding the measures of tinnitus handicap inventory and the visual analogical scale, a significant correlation was observed, and as one value increases the other also increases. Pitch and loudness matching and the visual analogical scale results are also significant.
CONCLUSION
There was a significant correlation between the values measured by the tinnitus handicap inventory, visual analogical scale (annoyance) and loudness matching in the evaluation of tinnitus. The selection of any one of the three evaluative methods for tinnitus investigation provides different dimensions of the tinnitus and complements the others.
简介
耳鸣是一种主观的听觉症状，通常与声音有关，即使没有外部声源也是如此。其诊断较为复杂，一些形式的单独或组合测量方法包括自我评估问卷，例如耳鸣残疾量表、视觉模拟量表和/或音高和响度匹配。
目的
分析三种耳鸣测量方法（耳鸣残疾量表、视觉模拟量表和音高和响度匹配）之间的相关性。
方法
该研究纳入了 148 名抱怨慢性耳鸣的患者。进行了耳鼻喉科评估、耳鸣病史、纯音和言语测听、声导抗测试、耳鸣残疾量表、视觉模拟量表和音高和响度匹配测试。该研究在机构伦理委员会注册，编号为 0129/12。
结果
关于耳鸣残疾量表的反应频率，观察到轻度程度的发生率更高。视觉模拟量表的平均评分为 6 分。右耳的平均响度匹配为 20dBNS，左耳为 17dBNS。对于刺激类型，最常见的是连续纯音。在大多数情况下，音调感觉的频率为 6000Hz。关于耳鸣残疾量表和视觉模拟量表的测量值，观察到显著相关性，一个值增加，另一个值也增加。音高和响度匹配与视觉模拟量表结果也具有显著相关性。
结论
在耳鸣评估中，耳鸣残疾量表、视觉模拟量表（烦恼）和响度匹配的测量值之间存在显著相关性。三种评估方法中的任何一种的选择都为耳鸣研究提供了不同的维度，并补充了其他方法。
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