College of Otolaryngology Head and Neck Surgery, Chinese PLA General Hospital, Beijing 100853, China; National Clinical Research Center for Otolaryngologic Diseases, Beijing 100853, China; Key Lab of Hearing Science, Ministry of Education, Beijing 100853, China; Beijing Key Lab of Hearing Impairment for Prevention and Treatment, Beijing 100853, China.
The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing 100853, China.
Am J Otolaryngol. 2021 Nov-Dec;42(6):103151. doi: 10.1016/j.amjoto.2021.103151. Epub 2021 Jun 27.
To evaluate the efficacy of Tinnitus Retraining Therapy (TRT) in the treatment of tinnitus.
Computer retrieval of PubMed, Embase, The Cochrane Library, Web of Science, China National Knowledge Internet (CNKI), Wanfang data, etc., were conducted. According to the inclusion and exclusion criteria, the literature's quality was evaluated, and useful data was extracted. All statistical analyses were performed by RevMan5.3 software.
13 eligible RCTs with a total of 1345 patients were included in this meta-analysis. The meta-analysis results showed that the 1-month response rate, 3-month response rate, 6-month response rate, and overall response rate of TRT with drugs for tinnitus were higher than that of drugs only (P < 0.05). The results demonstrated that the THI scale after the treatment period of TRT with medications for tinnitus was lower than that of drugs only (P < 0.05).
Analysis of limited studies low-quality evidence with a high risk of bias showed that the TRT was an effective treatment for tinnitus, which could improve the response rate of tinnitus and reduce the THI scale. However, more multicenter RCTs with a large sample number and high quality should verify the conclusion mentioned above.
评估耳鸣再训练疗法(TRT)治疗耳鸣的疗效。
计算机检索PubMed、Embase、The Cochrane Library、Web of Science、中国知网(CNKI)、万方数据等数据库,根据纳入与排除标准对文献进行质量评价和资料提取,采用 RevMan5.3 软件进行统计学分析。
共纳入 13 项随机对照试验,总计 1345 例患者。Meta 分析结果显示,药物联合 TRT 治疗耳鸣的 1 个月、3 个月、6 个月的有效率及总有效率均高于单纯药物治疗(P<0.05);药物联合 TRT 治疗耳鸣后 THI 量表评分低于单纯药物治疗(P<0.05)。
分析结果提示,TRT 是一种治疗耳鸣有效的方法,可提高耳鸣的有效率,降低 THI 量表评分,但需要更多大样本、高质量的多中心随机对照试验加以验证。