Kalsotra Gopika, Sharma Rupali, Saraf Aditiya, Manhas Monica, Manhas Arun, Raj Dev
Department of Otorhinolaryngology, SMGS Hospital, Government Medical College, Jammu, Jammu and Kashmir, UT India.
Department of Physiology, Government Medical College, Jammu, Jammu and Kashmir, UT India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):4218-4225. doi: 10.1007/s12070-021-02922-0. Epub 2021 Oct 11.
Chronic tinnitus has a lot impact on the quality of life of person by affecting his/ her physical health, occupational health and social relations. It can lead to sleep interference, cognitive difficulties, lack of concentration, anxiety, frustration, anger and depression. The present study showed the severity and impact of tinnitus on quality of life of subjects with or without hearing loss using tinnitus functional index (TFI).
Subjects with history of tinnitus with or without hearing loss including informed consent, otoscopy, pure tone audiometry (PTA) were done. Grading of tinnitus was done by using tinnitus functional index score.
The mean age of participants were 50.20 ± 4.2 years and male to female ratio were found to be 1.05:1. On PTA, 122 participants had hearing loss and 28 had no hearing loss. 49 patients had mild TFI score, 85 had moderate TFI score and 16 had severe hearing loss. The difference in the severity of tinnitus using TFI between normal hearing and sensorineural hearing loss individual was statistically significant. On the other hand, the severity of tinnitus and degree of hearing loss were also found to be statistically significant with p value < 0.0001 chi. Sq = 77.39. This shows that with increase in increase in hearing loss there is increase in TFI sore.
Tinnitus has a negative impact on the quality of life like pshycological, emotional and physical effects. The effects of tinnitus is more in those with co-existing hearing loss.
慢性耳鸣通过影响个人的身体健康、职业健康和社会关系，对其生活质量有很大影响。它可导致睡眠干扰、认知困难、注意力不集中、焦虑、沮丧、愤怒和抑郁。本研究使用耳鸣功能指数（TFI）显示了耳鸣对有或无听力损失受试者生活质量的严重程度和影响。
对有或无听力损失的耳鸣病史受试者进行包括知情同意、耳镜检查、纯音听力测定（PTA）。通过使用耳鸣功能指数评分对耳鸣进行分级。
参与者的平均年龄为50.20±4.2岁，男女比例为1.05:1。在PTA检查中，122名参与者有听力损失，28名没有听力损失。49例患者TFI评分为轻度，85例为中度，16例为重度。正常听力和感音神经性听力损失个体之间使用TFI的耳鸣严重程度差异具有统计学意义。另一方面，耳鸣严重程度和听力损失程度也具有统计学意义，p值<0.0001，卡方值=77.39。这表明随着听力损失的增加，TFI评分也增加。
耳鸣对生活质量有负面影响，如心理、情绪和身体方面的影响。耳鸣对同时存在听力损失的患者影响更大。
