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银杏叶提取物(EGb761)联合助听器治疗耳鸣的临床随机试验研究

Clinical randomized trial study of hearing aids effectiveness in association with Ginkgo biloba extract (EGb 761) on tinnitus improvement.

机构信息

Universidade Anhanguera de São Paulo (UNIAN), Programa de Mestrado Profissional em Farmácia, São Paulo, SP, Brazil.

Universidade Federal de São Paulo (UNIFESP), Departamento de Fonoaudiologia, São Paulo, SP, Brazil.

出版信息

Braz J Otorhinolaryngol. 2020 Nov-Dec;86(6):734-742. doi: 10.1016/j.bjorl.2019.05.003. Epub 2019 Jun 18.

Abstract

INTRODUCTION

Tinnitus is defined as the perception of sound without its actual presence in the environment. It has been the subject of a great number of studies, especially considering its consequences on patient's quality of life.

OBJECTIVE

This study aimed to investigate the effect of hearing aids and/or Ginkgo biloba extract EGb 761 on tinnitus in patients with hearing loss.

METHODS

This is a trial randomized-controlled treatment, parallel, double-blind, with three-arm. Thirty-three adults subjects were divided into three groups: group 1 - subjects undergoing drug therapy with Ginkgo biloba extract EGb 761; group 2 - individuals fitted with digital hearing aids; group 3 - individuals submitted to drug therapy with Ginkgo biloba extract EGb 761 and using hearing aids. The tinnitus handicap inventory and visual analogue scale were used to evaluate self-perception of tinnitus loudness and severity before treatment and 90 days after treatment.

RESULTS

This study demonstrated a significant correlation between tinnitus handicap inventory and visual analogue scale, before and after treatment. We observed a significant improvement in self-perception of tinnitus loudness and severity after 90 days of treatment with Ginkgo biloba extract EGb 761 and/or hearing aids. No correlation was found between tinnitus onset time and self-perception of tinnitus loudness and severity. Hearing aids were more effective in patients with a shorter tinnitus onset time and Ginkgo biloba extract was effective regardless of tinnitus duration.

CONCLUSIONS

It was possible to prove the effectiveness of the hearing aids and/or Ginkgo biloba extract EGb 761 treatment, which shows success in the control of tinnitus contributing to the improvement of this symptom.

摘要

简介

耳鸣是指在环境中不存在实际声音的情况下感知到声音。它已经成为大量研究的主题,尤其是考虑到它对患者生活质量的影响。

目的

本研究旨在调查助听器和/或银杏叶提取物 EGb 761 对听力损失患者耳鸣的影响。

方法

这是一项随机对照治疗试验,平行、双盲、三臂。33 名成年受试者分为三组:第 1 组-接受银杏叶提取物 EGb 761 药物治疗的受试者;第 2 组-佩戴数字助听器的个体;第 3 组-接受银杏叶提取物 EGb 761 药物治疗和使用助听器的个体。耳鸣残疾量表和视觉模拟量表用于评估治疗前和治疗后 90 天的耳鸣响度和严重程度的自我感知。

结果

本研究表明,治疗前后耳鸣残疾量表和视觉模拟量表之间存在显著相关性。我们观察到,银杏叶提取物 EGb 761 和/或助听器治疗 90 天后,耳鸣响度和严重程度的自我感知有显著改善。耳鸣发作时间与耳鸣响度和严重程度的自我感知之间无相关性。助听器在耳鸣发作时间较短的患者中更有效,而银杏叶提取物无论耳鸣持续时间如何都有效。

结论

可以证明助听器和/或银杏叶提取物 EGb 761 治疗的有效性,这表明它在控制耳鸣方面取得了成功,有助于改善这种症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9608/9422696/04096eb7c754/gr1.jpg

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