Wang Haiyan, Tang Dongmei, Wu Yongzhen, Zhou Li, Sun Shan
ENT Institute and Otorhinolaryngology Department of Eye and ENT Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Fudan University, Shanghai, China NHC Key Laboratory of Hearing Medicine, Fudan University, Shanghai, China.
Shanghai High School, Shanghai, China.
Ther Adv Chronic Dis. 2020 Sep 14;11:2040622320956426. doi: 10.1177/2040622320956426. eCollection 2020.
Sound therapy is a clinically common method of tinnitus management. Various forms of sound therapy have been developed, but there are controversies regarding the selection criteria and the efficacy of different forms of sound therapy in the clinic. Our goal was to review the types and forms of sound therapy and our understanding of how the different characteristics of tinnitus patients influence their curative effects so as to provide a reference for personalized choice of tinnitus sound therapy.
Using an established methodological framework, a search of six databases including PubMed identified 43 records that met our inclusion criteria. The search strategy used the following key words: tinnitus AND (acoustic OR sound OR music) AND (treatment OR therapy OR management OR intervention OR measure).
There are various forms of sound therapy, and most of them show positive therapeutic effects. The effect of customized sound therapy is generally better than that of non-customized sound therapy, and patients with more severe initial tinnitus respond better to sound therapy.
Sound therapy can effectively suppress tinnitus, at least in some patients. However, there is a lack of randomized controlled trials to identify effective management strategies. Further studies are needed to identify the most effective form of sound therapy for individualized therapy, and large, multicenter, long-term follow-up studies are still needed in order to develop more effective and targeted sound-therapy protocols. In addition, it is necessary to analyze the characteristics of individual tinnitus patients and to unify the assessment criteria of tinnitus.
声疗法是临床上常用的耳鸣治疗方法。已经开发出多种形式的声疗法，但在临床中，关于不同形式声疗法的选择标准和疗效存在争议。我们的目标是回顾声疗法的类型和形式，以及我们对耳鸣患者不同特征如何影响其治疗效果的理解，以便为耳鸣声疗法的个性化选择提供参考。
使用既定的方法框架，对包括PubMed在内的六个数据库进行检索，共识别出43条符合我们纳入标准的记录。检索策略使用了以下关键词：耳鸣AND（声学的OR声音OR音乐）AND（治疗OR疗法OR管理OR干预OR措施）。
声疗法有多种形式，且大多数都显示出积极的治疗效果。定制声疗法的效果通常优于非定制声疗法，初始耳鸣较严重的患者对声疗法的反应更好。
声疗法可以有效抑制耳鸣，至少在部分患者中如此。然而，缺乏随机对照试验来确定有效的管理策略。需要进一步研究以确定针对个体化治疗的最有效声疗法形式，并且仍需要大规模、多中心、长期随访研究来制定更有效、有针对性的声疗法方案。此外，有必要分析个体耳鸣患者的特征并统一耳鸣评估标准。
