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探讨非重复性首选音乐与教育咨询相结合治疗慢性耳鸣的疗效:一项初步研究。

Investigation on chronic tinnitus efficacy of combination of non-repetitive preferred music and educational counseling: a preliminary study.

机构信息

College of Electronics and Information Engineering, Sichuan University, Chengdu, China.

Hearing Center/Hearing and Speech Science Laboratory, Department of Otolaryngology/Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, China.

出版信息

Eur Arch Otorhinolaryngol. 2021 Aug;278(8):2745-2752. doi: 10.1007/s00405-020-06340-w. Epub 2020 Sep 5.

Abstract

PURPOSE

To improve the efficacy of music therapy on tinnitus relief, specific music that was not repetitively played and satisfies individualized preference was developed. The aim of this study was to investigate effects of combination of the specific music and educational counseling on tinnitus relief in short term.

METHODS

Sixty patients suffering from chronic tinnitus were included. The non-randomized controlled study was designed with two intervention groups: educational counseling (EC, which included a 1-h individualized instruction) and preferred music therapy [PMT, which included EC plus 15, 30-min preferred music sessions (PMS)]. Three assessments-the Chinese-Mandarin version of Tinnitus Handicap Inventory (THI-CM), Tinnitus Evaluation Questionnaire (TEQ), and Visual Analogue Scale (VAS) were administered before and 1, 2, 3 weeks after initiation of treatment to evaluate the efficacy.

RESULTS

Twenty-six patients in PMT group attained a clinically meaningful improvement in THI compared to 15 in the EC group, though both groups achieved a statistically relevant reduction in the 3 assessments.

CONCLUSION

The PMT had a positive impact on chronic tinnitus and related distress in a short term. It outperformed the separate EC, which is an appropriate treatment option in clinic. Therefore, it presents a possible complement to the therapeutic spectrum in chronic tinnitus.

TRIAL REGISTRATION

Chinese Clinical Trial Registry, ChiCTR1900022624. Registered on 19 April 2019.

摘要

目的

为了提高音乐疗法治疗耳鸣的疗效,开发了不重复播放且满足个性化喜好的特定音乐。本研究旨在探讨特定音乐与教育咨询相结合在短期内缓解耳鸣的效果。

方法

纳入 60 名患有慢性耳鸣的患者。采用非随机对照研究设计,分为两个干预组:教育咨询组(EC,包括 1 小时的个性化指导)和偏好音乐治疗组(PMT,包括 EC 加 15 次、30 分钟的偏好音乐疗程(PMS))。在治疗开始前、1 周、2 周、3 周后进行三次评估——中文耳鸣残疾量表(THI-CM)、耳鸣评估问卷(TEQ)和视觉模拟量表(VAS),以评估疗效。

结果

与 EC 组的 15 名患者相比,PMT 组的 26 名患者在 THI 方面达到了临床意义上的改善,尽管两组在 3 项评估中均取得了统计学上的显著降低。

结论

PMT 在短期内对慢性耳鸣及其相关困扰有积极影响。它优于单独的 EC,这是一种在临床上合适的治疗选择。因此,它为慢性耳鸣的治疗谱提供了一种可能的补充。

试验注册

中国临床试验注册中心,ChiCTR1900022624。于 2019 年 4 月 19 日注册。

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