Department of Otolaryngology-Head and Neck Surgery, The Second Affiliated Hospital of Anhui Medical University, 678 Furong Road, Hefei, 230000, China.
Eur Arch Otorhinolaryngol. 2021 Nov;278(11):4199-4207. doi: 10.1007/s00405-020-06501-x. Epub 2021 Jan 3.
To study the psychoacoustic and audiological characteristics of patients with chronic subjective tinnitus and provide basis for the personalized diagnosis and treatment of tinnitus through a single tinnitus multielement integration sound therapy (T-MIST) and analysis of efficacy preliminarily.
145 patients with tinnitus were assessed by systematic medical history collection, professional examination of otolaryngology, audiology examination, full precision test (FPT), residual inhibition test (RIT), tinnitus handicap inventory (THI) and visual analog scale (VAS) annoyance. The correlation among factors was performed.
The frequency of tinnitus was correlated with the frequency of maximum hearing loss (P < 0.05). The loudness of tinnitus was correlated with the loudness of maximum hearing loss (P < 0.05). In this study, T-MIST was used to treat tinnitus. After treatment, tinnitus alleviated VAS annoyance (P < 0.05). The results of RIT were correlated with the effect of T-MIST (P < 0.05).
There was a correlation between tinnitus and hearing loss. The RIT may indicate the effectiveness of acoustic therapy in patients. The FPT can find the hidden hearing loss without display on routine pure tone audiometry, so as to provide a clinical reference for the detection of early hearing loss in tinnitus patients.
研究慢性主观性耳鸣患者的听力学和心理声学特征，通过单一耳鸣多元素整合声疗（T-MIST）并初步分析疗效，为耳鸣的个性化诊断和治疗提供依据。
对 145 例耳鸣患者进行系统的病史采集、耳鼻喉科专业检查、听力学检查、全精度测试（FPT）、残余抑制测试（RIT）、耳鸣残疾量表（THI）和视觉模拟量表（VAS）烦扰评估。对各因素之间的相关性进行分析。
耳鸣的频率与最大听力损失的频率呈正相关（P<0.05）。耳鸣的响度与最大听力损失的响度呈正相关（P<0.05）。本研究采用 T-MIST 治疗耳鸣。治疗后，耳鸣的 VAS 烦扰减轻（P<0.05）。RIT 的结果与 T-MIST 的疗效相关（P<0.05）。
耳鸣与听力损失之间存在相关性。RIT 可能表明声疗对患者的疗效。FPT 可以发现常规纯音测听无显示的隐匿性听力损失，为耳鸣患者早期听力损失的检测提供临床参考。
