老年慢性主观性耳鸣严重程度与睡眠质量的相关性研究

发布时间：2017-12-28 22:03

本文关键词：老年慢性主观性耳鸣严重程度与睡眠质量的相关性研究　出处：《华南国防医学杂志》2016年06期 　论文类型：期刊论文

【摘要】：目的分析老年慢性主观性耳鸣患者的睡眠质量情况。方法纳入2015-01/2015-12月,作者医院门诊就诊的老年慢性主观性耳鸣患者120例,以耳鸣致残量表(tinnitus handicap inventory,THI)评估耳鸣严重程度,以匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)调查睡眠质量,对比不同严重程度耳鸣患者的睡眠质量评分情况和发生睡眠异常的比例。结果本组轻度(18≤THI≤36分)、中度(38≤THI≤56分)和重度(THI≥58分)耳鸣患者分别约占42.5%(51/120)、33.3%(40/120)和24.2%(29/120),重度耳鸣患者的PSQI评分明显高于中度和轻度耳鸣患者(9.8±5.1 vs 7.5±4.3 vs 6.5±3.2,F=6.035,P0.05),重度耳鸣患者发生睡眠异常的比例明显高于中度和轻度患者(72.4%vs 47.5%vs 27.5%,χ~2=15.253,P0.05),患者THI评分与PSQI评分存在显著正相关(r=0.402,P0.05)。结论老年慢性主观性耳鸣患者的严重程度与睡眠质量存在相关性,耳鸣越严重发生睡眠异常的风险越高,应加强对患者睡眠质量的关注和干预。
[Abstract]:Objective to analyze the quality of sleep in the elderly patients with chronic subjective tinnitus. Methods included in the 2015-01/2015-12 month, 120 elderly patients with chronic subjective tinnitus hospital outpatient patients with tinnitus handicap inventory (tinnitus handicap inventory, THI) to assess the severity of tinnitus, sleep quality index in Pittsburgh (Pittsburgh sleep quality index, PSQI) survey of sleep quality, sleep quality score comparison of different severity of tinnitus patients and the proportion of abnormal sleep. Results in the group of mild (THI = 18 ~ 36), moderate (THI = 38 ~ 56) and severe (THI = 58) of patients with tinnitus were accounted for 42.5% (51/120), 33.3% (40/120) and 24.2% (29/120), severe tinnitus patients PSQI score was significantly higher than that of moderate and mild tinnitus patients (9.8 + 5.1 vs 7.5 + 4.3 vs 6.5 + 3.2, F=6.035, P0.05), severe tinnitus patients with sleep disorders was significantly higher than the proportion of moderate and mild patients (72.4%vs 47.5%vs 27.5%, X ~2=15.253, P0.05), there was a significant positive correlation with THI score and PSQI score (r=0.402, P0.05). Conclusion the severity of chronic subjective tinnitus in elderly patients is related to sleep quality. The higher the risk of sleep disorders is, the more attention should be paid to sleep quality.
【作者单位】：南京军区福州总医院九五临床部耳鼻咽喉头颈外科;
【分类号】：R764.45
【正文快照】： 主观性耳鸣是指没有外界声刺激的情况下,耳内的主观听觉感知症状。病程超过1年者,属于慢性耳鸣范畴[1]。成人耳鸣的发病率约为10%~15%,2%~3%的耳鸣严重影响患者身心健康和生活质量,年龄超过50岁的人群中发病率进一步提高。目前,国内外研究已表明该病与焦虑、抑郁等精神心理障

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