Yuan Hao, Lu Pei-Heng, Chen Jia-Wei, Ma Peng-Wei, Wang Wei-Long, Ding Xue-Rui, Lun Yu-Qiang, Gao Wei, Lu Lian-Jun
Department of Otolaryngology Head and Neck Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Eur Arch Otorhinolaryngol. 2023 Jan;280(1):167-173. doi: 10.1007/s00405-022-07480-x. Epub 2022 Jun 15.
This study aimed to explore whether sex is influences tinnitus severity and whether the risk factors for tinnitus severity are the same in tinnitus patients of different sexes.
This was a retrospective study of data from 1427 patients complaining of tinnitus in a local hospital otolaryngology clinic from November 2019 to January 2022. All patients were interviewed and assessed by otoscopy, pure-tone audiometry, tinnitus handicap inventory (THI), visual analogue scale (VAS), and tinnitus refinement test.
THI values were higher in females than in males (P = 0.00). Types of tinnitus sounds (OR 0.667, P = 0.000) and degree of hearing loss (OR 1.318, P = 0.000) were risk factors for tinnitus severity in males. Types of tinnitus sounds (OR 0.789, P = 0.005), sensation level (OR 1.023, P = 0.037), tinnitus types (OR 1.163, P = 0.041), tinnitus location (OR 1.198, P = 0.026), and the degree of hearing loss (OR 1.303, P = 0.000) were risk factors for tinnitus severity in females. Sex was an influencing factor for tinnitus severity. There were different risk factors for the tinnitus severity in different sexes.
The risk factors for tinnitus severity differed according to sex in tinnitus patients, and the risk factors for tinnitus severity were greater in women than in men. These findings add to the literature on sex differences in tinnitus and suggest that medical and psychological screening of affected individuals and customized tinnitus treatment for each individual with tinnitus are needed.
TRIAL REGISTRATION NUMBER/DATE OF REGISTRATION: ChiCTR2200057958, 2022/3/24 (retrospectively registered trials).
本研究旨在探讨性别是否影响耳鸣严重程度，以及不同性别的耳鸣患者中耳鸣严重程度的危险因素是否相同。
这是一项对2019年11月至2022年1月在当地医院耳鼻喉科门诊就诊的1427例主诉耳鸣患者的数据进行的回顾性研究。所有患者均接受耳镜检查、纯音听力测定、耳鸣障碍量表（THI）、视觉模拟量表（VAS）和耳鸣细化测试的访谈和评估。
女性的THI值高于男性（P = 0.00）。耳鸣声音类型（OR 0.667，P = 0.000）和听力损失程度（OR 1.318，P = 0.000）是男性耳鸣严重程度的危险因素。耳鸣声音类型（OR 0.789，P = 0.005）、感觉水平（OR 1.023，P = 0.037）、耳鸣类型（OR 1.163，P = 0.041）、耳鸣位置（OR 1.198，P = 0.026）和听力损失程度（OR 1.303，P = 0.000）是女性耳鸣严重程度的危险因素。性别是耳鸣严重程度的一个影响因素。不同性别的耳鸣严重程度存在不同的危险因素。
耳鸣患者中，耳鸣严重程度的危险因素因性别而异，女性耳鸣严重程度的危险因素多于男性。这些发现增加了耳鸣性别差异的文献，并表明需要对受影响个体进行医学和心理筛查，并为每个耳鸣患者定制耳鸣治疗方案。
试验注册号/注册日期：ChiCTR2200057958，2022/3/24（回顾性注册试验）
