Ni Tianyi, Jiang Yun, Lin Ziyuan, Ruan Jian, Wang Yulu, Liu Yuehong, Han Zhao
Department of Otorhinolaryngology Head and Neck Surgery, Huadong Hospital Affiliated Fudan University, Shanghai, China.
Geriatric Tinnitus and Deafness Center of Huadong Hospital, Shanghai, China.
Front Neurosci. 2025 May 14;19:1544723. doi: 10.3389/fnins.2025.1544723. eCollection 2025.
The aim of our study is to explore the predictive value of the short-course acoustic test in determining the efficacy of customized music therapy for chronic subjective tinnitus.
Patients with tinnitus as one of the core complaints were included from October 2022 to June 2024. According to the short-course acoustic test results, the participants were divided into three groups: tinnitus disappeared group, tinnitus relieved group and tinnitus unchanged group. All the participants indiscriminately underwent the 10-months of customized music therapy (CMT) and follow-up visits.
Before therapy, only the duration of tinnitus was significantly different among the three groups ( < 0.001). After 10-months of CMT treatment, the Tinnitus Loudness Visual Analogue Scale (THI), Hospital Anxiety Scale (HADS-A) and Tinnitus Loudness Visual Analogue Scale (VAS) scores of the three groups showed a decreasing trend ( < 0.05), and the treatment efficacy rate of the tinnitus disappeared group was higher than that of the tinnitus relieved group, while the treatment efficacy rate of the tinnitus relieved group was higher than that of the tinnitus unchanged group. The logistic regression results showed that the results of the short-course acoustic test, baseline THI scores, and the presence of hearing loss had significant effects on the efficacy of CMT.
The short-course acoustic test to some extent can predict the efficacy of CMT in patients with chronic subjective tinnitus and can be used to guide clinical therapy.
本研究旨在探讨短程听力测试在确定定制音乐疗法对慢性主观性耳鸣疗效方面的预测价值。
纳入2022年10月至2024年6月以耳鸣为核心主诉之一的患者。根据短程听力测试结果,将参与者分为三组:耳鸣消失组、耳鸣缓解组和耳鸣未改变组。所有参与者均接受为期10个月的定制音乐疗法(CMT)及随访。
治疗前,三组间仅耳鸣持续时间有显著差异(<0.001)。经过10个月的CMT治疗后,三组的耳鸣响度视觉模拟量表(THI)、医院焦虑量表(HADS-A)和耳鸣响度视觉模拟量表(VAS)评分均呈下降趋势(<0.05),耳鸣消失组的治疗有效率高于耳鸣缓解组,耳鸣缓解组的治疗有效率高于耳鸣未改变组。逻辑回归结果显示,短程听力测试结果、基线THI评分及听力损失情况对CMT疗效有显著影响。
短程听力测试在一定程度上可预测CMT对慢性主观性耳鸣患者的疗效,可用于指导临床治疗。