Centre for Speech and Language Therapy and Hearing Science, Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK.
Department of Hearing and Speech Science, Xinhua College, Sun Yat-Sen University, Guangzhou, China.
Int J Audiol. 2021 Mar;60(3):220-226. doi: 10.1080/14992027.2020.1804081. Epub 2020 Aug 13.
The objective of this study was to compare the severity of tinnitus in tinnitus patients with and without hearing loss.
73 tinnitus patients were included in this study at an audiology clinic in Amman, Jordan. Participants were assigned to two groups according to their hearing status. The severity of tinnitus was evaluated using the Tinnitus Functional Index questionnaire. All participants were interviewed, followed by an otoscopic examination, pure tone audiometry, and tests for admittance and tinnitus matching.
The normal hearing group included 34 participants (46.6%) whose TFI scores were divided as follows: mild annoyance (17), significant annoyance (14), and severe annoyance (3). The sensorineural loss group included 39 participants (53.4%) with mild annoyance (11), significant annoyance (12), and severe annoyance (16). A statistically significant association was found between hearing status and the severity of tinnitus using a Chi-Squared test (x = 0.487, = 0.007). There was no association between tinnitus severity and age or gender.
Tinnitus severity was significantly worse in tinnitus patients with a hearing loss than tinnitus patients with normal hearing thresholds. This should be taken into consideration when clinicians are planning counselling and management protocols for individual patients.
本研究旨在比较伴有听力损失和不伴听力损失的耳鸣患者的耳鸣严重程度。
本研究在约旦安曼的一家听力诊所纳入了 73 名耳鸣患者。根据听力状况将参与者分为两组。使用耳鸣残疾指数量表（Tinnitus Functional Index questionnaire）评估耳鸣严重程度。所有参与者均接受了访谈，随后进行了耳镜检查、纯音测听、声导抗和耳鸣匹配测试。
正常听力组包括 34 名参与者（46.6%），其 TFI 评分如下：轻度困扰（17）、中度困扰（14）和重度困扰（3）。感音神经性听力损失组包括 39 名参与者（53.4%），其 TFI 评分分别为轻度困扰（11）、中度困扰（12）和重度困扰（16）。使用卡方检验（x²=0.487，p=0.007）发现，听力状况与耳鸣严重程度之间存在统计学显著关联。耳鸣严重程度与年龄或性别无关。
与听力正常的耳鸣患者相比，伴有听力损失的耳鸣患者的耳鸣严重程度显著更差。临床医生为个体患者制定咨询和管理方案时应考虑这一点。
