Li Ying, Feng Guodong, Wu Haiyan, Gao Zhiqiang
a Department of Otolaryngology , Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College , Beijing , China.
Acta Otolaryngol. 2019 Mar;139(3):284-293. doi: 10.1080/00016489.2019.1575522. Epub 2019 Feb 26.
Tinnitus treatments present a quandary for clinicians, but no thoroughly satisfactory medical treatments are offered to tinnitus patients.
We compared sound therapy effects of the broad band noise (BBN) and the mixed pure tones on tinnitus patients with normal to mild hearing loss, and the possible mechanisms were discussed.
This study was a double-blinded randomized controlled trial. The patients in two groups were followed up for three months. We used a BBN in group A, and mixed pure tones of nine different frequencies in group B. The Tinnitus Handicap Inventory (THI) and Visual Analog Scale (VAS) measuring were used to evaluate the handicap, loudness and anxiety of tinnitus.
The THI, VAS scores of group B after 3 months were lower than those at baseline. The VAS scores of group B were lower than those of group A at 8 and 12 weeks.
The mixed pure tones were more advantageous than BBN as the sound therapy for tinnitus patients with normal to mild hearing loss.
This trial provides a special and effective sound therapy method. Tinnitus patients with normal to mild hearing loss will experience more positive effects.
耳鸣治疗给临床医生带来了难题,目前尚无能让耳鸣患者完全满意的医学治疗方法。
比较宽带噪声(BBN)和混合纯音对听力正常至轻度听力损失耳鸣患者的声音治疗效果,并探讨其可能机制。
本研究为双盲随机对照试验。两组患者随访3个月。A组使用宽带噪声,B组使用9种不同频率的混合纯音。采用耳鸣障碍量表(THI)和视觉模拟量表(VAS)评估耳鸣的障碍程度、响度和焦虑程度。
3个月后B组的THI、VAS评分低于基线水平。8周和12周时B组的VAS评分低于A组。
对于听力正常至轻度听力损失的耳鸣患者,混合纯音作为声音治疗比宽带噪声更具优势。
本试验提供了一种特殊且有效的声音治疗方法。听力正常至轻度听力损失的耳鸣患者将获得更积极的效果。