Lindberg P, Lyttkens L, Melin L, Scott B
Scand Audiol. 1984;13(4):287-91. doi: 10.3109/01050398409042138.
A questionnaire investigation, comprising 1091 patients, was conducted at a hearing centre. A majority of patients, 59%, claimed that they were troubled by tinnitus. A strong correlation was found between the laterality of tinnitus and that of subjective hearing loss. Neither a greater degree of hearing loss nor a longer duration of tinnitus was shown to be associated with more severe tinnitus. Among patients with both subjective hearing loss and tinnitus, 23% stated that tinnitus was the greater problem and 38% that their tinnitus and hearing loss were equally troublesome. The corresponding figures for patients with hearing impairment of such a degree that a hearing aid had been fitted were 9% and 41% respectively. Stress symptoms such as headache, tension of facial muscles and sleep disturbances were correlated to tinnitus. Psychosomatic complaints should therefore be taken into account in the treatment of tinnitus. Of patients with tinnitus, 83% were interested in obtaining treatment for their tinnitus. It is postulated that the previously reported predominance of left-sided tinnitus is due to a higher frequency of left-sided hearing impairment. A majority of patients with tinnitus and hearing impairment regarded their tinnitus as the major problem. Efforts towards investigation and treatment of tinnitus might therefore considerably improve the prospects for hearing rehabilitation.
在一家听力中心对1091名患者进行了问卷调查。大多数患者（59%）称他们受到耳鸣困扰。耳鸣的侧别与主观听力损失的侧别之间存在很强的相关性。听力损失程度更大或耳鸣持续时间更长均未显示与更严重的耳鸣相关。在既有主观听力损失又有耳鸣的患者中，23%表示耳鸣是更大的问题，38%表示耳鸣和听力损失同样令人困扰。对于已佩戴助听器的听力受损患者，相应比例分别为9%和41%。头痛、面部肌肉紧张和睡眠障碍等应激症状与耳鸣相关。因此，在耳鸣治疗中应考虑身心方面的主诉。耳鸣患者中，83%有兴趣寻求耳鸣治疗。据推测，先前报道的左侧耳鸣占优势是由于左侧听力受损的频率较高。大多数耳鸣和听力受损患者将耳鸣视为主要问题。因此，对耳鸣进行调查和治疗的努力可能会大大改善听力康复的前景。
