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三联疗法治疗慢性耳鸣的疗效。

Outcomes of Triple-Combination Therapy for Chronic Tinnitus.

机构信息

Department of Traditional Chinese Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan, R.O.C.

Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan, R.O.C.

出版信息

In Vivo. 2019 Sep-Oct;33(5):1707-1712. doi: 10.21873/invivo.11660.

Abstract

BACKGROUND/AIM: Patients with tinnitus suffer not only from auditory dysfunction but also physical, mental, and social difficulties. Our aim was to investigate the outcomes of our triple-combination therapy for chronic tinnitus, which includes narrow-band noise masking, auricular acupuncture and cognitive behavioral therapy.

PATIENTS AND METHODS

The tinnitus handicap inventory (THI) scores of 78 adults with chronic tinnitus who received triple-combination therapy for 12 weeks were analyzed retrospectively.

RESULTS

There were 39 females and 39 males in this study. The mean age was 60.5 years [standard deviation (SD)=13.0, range=27-88 years] for all subjects. Mean pure tone average=39.5 decibel hearing level (SD=23.09). Pre-treatment mean THI score was 41.4 (SD=21.13), functional (F) subscore was 17.9 (SD=10.69), emotional (E) subscore was 10.6 (SD=6.87), and catastrophic (C) subscore was 12.9 (SD=4.85). Post-treatment THI total score was significantly lower compared to pre-treatment THI total score. Also, post-treatment subscores were significantly lower compared to pre-treatment subscores in F and C subsocres, but not in E subscore. In addition, multivariate logistic regression analysis showed that coffee and tea consumption was significantly positively associated with a reduction of THI total score.

CONCLUSION

Triple-combination therapy could be helpful for chronic tinnitus patients. It seemed that coffee and tea consumption may elicit increased improvement in conjunction with combined therapy for chronic tinnitus.

摘要

背景/目的:患有耳鸣的患者不仅遭受听觉功能障碍,还遭受身体、心理和社会困难。我们的目的是调查我们的慢性耳鸣三联疗法的结果,该疗法包括窄带噪声掩蔽、耳针和认知行为疗法。

患者和方法

回顾性分析了 78 名接受三联疗法治疗 12 周的慢性耳鸣成人患者的耳鸣残疾量表(THI)评分。

结果

本研究中共有 39 名女性和 39 名男性,所有受试者的平均年龄为 60.5 岁[标准差(SD)=13.0,范围 27-88 岁]。平均纯音平均=39.5 分贝听力水平(SD=23.09)。治疗前 THI 总分为 41.4(SD=21.13),功能(F)子分为 17.9(SD=10.69),情感(E)子分为 10.6(SD=6.87),灾难性(C)子分为 12.9(SD=4.85)。治疗后 THI 总分明显低于治疗前 THI 总分。此外,治疗后 F 和 C 子评分明显低于治疗前子评分,但 E 子评分则不然。此外,多元逻辑回归分析表明,咖啡和茶的消费与 THI 总分的降低呈显著正相关。

结论

三联疗法对慢性耳鸣患者可能有帮助。似乎咖啡和茶的消费可能会增加与慢性耳鸣联合治疗的改善。

相似文献

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Effects of tinnitus retraining therapy involving monaural noise generators.耳鸣再训练疗法中使用单耳噪声发生器的效果。
Eur Arch Otorhinolaryngol. 2013 Feb;270(2):443-8. doi: 10.1007/s00405-012-1951-5. Epub 2012 Feb 14.

本文引用的文献

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Analysis of the prevalence and associated risk factors of tinnitus in adults.成人耳鸣患病率及相关危险因素分析
PLoS One. 2015 May 28;10(5):e0127578. doi: 10.1371/journal.pone.0127578. eCollection 2015.

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