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[慢性耳鸣医学康复的合理时间点:申请慢性病程的康复方案]

[Rational timepoint of medical rehabilitation in chronic tinnitus : Applying for rehabilitation options for a chronic course].

作者信息

Brueggemann Petra, Kastellis Georgios, Hesse Gerhard, Mazurek Birgit

机构信息

Tinnituszentrum, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.

Tinnitus-Klinik am Krankenhaus Bad Arolsen, Universität Witten-Herdecke, Große Allee 50, 34454, Bad Arolsen, Deutschland.

出版信息

HNO. 2024 Jul;72(7):526-535. doi: 10.1007/s00106-024-01473-4. Epub 2024 Apr 29.

Abstract

Chronic tinnitus is a common symptom of the auditory system. A causal therapy does not yet exist. The recommended treatment includes expert counseling, psychotherapeutic interventions, particularly cognitive behavioral therapy, and measures to improve hearing. The treatment modules are multimodal and can be combined individually. Depending on the severity of the different disease dimensions (tinnitus and comorbidities), a rehabilitative approach may be useful for maintaining health and occupational ability. In addition to a thorough and well-founded diagnosis and counseling, specific cognitive behavioral therapy and non-specific psychotherapeutic interventions (mindfulness/relaxation) on an individual or group basis, physiotherapy, and exercise, as well as auditory rehabilitation measures (hearing aids, auditory therapy) in the context of multimodal therapy approaches are necessary.

摘要

慢性耳鸣是听觉系统的常见症状。目前尚无因果疗法。推荐的治疗方法包括专家咨询、心理治疗干预,尤其是认知行为疗法,以及改善听力的措施。治疗模块是多模式的,可以单独组合。根据不同疾病维度(耳鸣和合并症)的严重程度,康复方法可能有助于维持健康和职业能力。除了全面且有充分依据的诊断和咨询外,在多模式治疗方法的背景下,进行个体或团体形式的特定认知行为疗法和非特定心理治疗干预(正念/放松)、物理治疗和运动,以及听觉康复措施(助听器、听觉治疗)都是必要的。

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