突发性聋伴耳鸣与短期耳鸣的比较。
Comparison of Sudden Sensorineural Hearing Loss with Tinnitus and Short-Term Tinnitus.
机构信息
Department of Otorhinolaryngology, Head and Neck Surgery, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, China.
出版信息
Neural Plast. 2021 Apr 20;2021:6654932. doi: 10.1155/2021/6654932. eCollection 2021.
OBJECTIVE
As one of the common symptoms of sudden sensorineural hearing loss (SSH), tinnitus seriously affects the life and work of SSH patients. The present study is aimed at exploring whether SSH can receive acoustic therapy and the factors that affect the efficacy of SSH acoustic therapy.
METHODS
A total of 162 patients were outpatients and inpatients, 86 were SSH, and 76 were short-term tinnitus (STT). Both groups received pure tone audiometry, tinnitus matching, and residual inhibition test (RI). The Tinnitus Handicap Inventory (THI), visual analog scale with respect to tinnitus loudness (VAS), and RI in each group were evaluated. The effects of age, degree of hearing loss, and tinnitus course on the efficacy of SSH acoustic therapy were also evaluated.
RESULTS
In the comparison of RI, THI, and VAS, there was no difference between SSH and STT ( > 0.05). SSH patients with mild hearing loss showed better acoustic therapy efficacy compared with SSH patients with severe hearing loss ( < 0.05), but there is no statistical difference in age and the course of tinnitus ( > 0.05).
CONCLUSION
The present study showed that SSH may improve tinnitus symptom through receiving acoustic therapy and SSH patients with mild hearing loss can get better acoustic therapy effects.
目的
耳鸣是突发性聋（SSH）的常见症状之一，严重影响 SSH 患者的生活和工作。本研究旨在探讨 SSH 是否可以接受声治疗以及影响 SSH 声治疗效果的因素。
方法
共 162 例门诊和住院患者，86 例为 SSH，76 例为短期耳鸣（STT）。两组均进行纯音测听、耳鸣匹配和残余抑制试验（RI）。评估每组的耳鸣残疾量表（THI）、耳鸣响度的视觉模拟量表（VAS）和 RI。还评估了年龄、听力损失程度和耳鸣病程对 SSH 声治疗效果的影响。
结果
在 RI、THI 和 VAS 的比较中，SSH 和 STT 之间没有差异（>0.05）。轻度听力损失的 SSH 患者的声治疗效果优于重度听力损失的 SSH 患者（<0.05），但年龄和耳鸣病程无统计学差异（>0.05）。
结论
本研究表明，SSH 可能通过接受声治疗来改善耳鸣症状，并且轻度听力损失的 SSH 患者可以获得更好的声治疗效果。
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