242例不同类型听力曲线耳鸣患者心理声学分析

发布时间：2018-02-17 03:07

本文关键词： 听力损失耳鸣心理声学　出处：《中华耳科学杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨不同听力曲线类型耳鸣患者耳鸣心理声学特点。方法回顾性研究符合纳入排除标准的耳鸣患者的纯音测听结果及耳鸣心理声学检查结果,采用SPSS 20.0中文版软件对所收集的相关数据进行分析,P≤0.05时差异有统计学意义。结果共收集符合标准的耳鸣患者242例,听力曲线分别为听力正常型82例(占33.88%),低频下降型14例(占5.79%),高频下降型94例(占38.84%),平坦下降型52例(21.49%);耳鸣主调声频率以4000Hz和8000Hz居多,耳鸣主调声响度则大多小等于5d B SL,Feldmann曲线主要是汇聚型和重叠型,残余抑制试验结果以阴性为多;经卡方检验或Fisher精确检验,不同听力曲线类型耳鸣患者耳鸣主调声频率差异有统计学意义,但耳鸣主调声响度、Feldmann曲线和残余抑制试验结果的差异没有统计学意义。结论不同听力曲线类型耳鸣患者的耳鸣心理声学差异大都没有统计学意义,我们并不能根据听力曲线预估患者的耳鸣心理声学及预后。
[Abstract]:Objective to investigate the psychological acoustic characteristics of different types of audiometric curve in patients with tinnitus and tinnitus. Methods: according to inclusion and exclusion criteria in tinnitus patients with the results of pure tone audiometry and tinnitus psychoacoustic examination results of related research, on the collected data were analyzed using SPSS 20 software Chinese version, P is less than 0.05 when the difference was statistically significant. Results a total of 242 tinnitus patients with standard cases, hearing curve respectively with normal hearing in 82 cases (33.88%), low frequency descent type in 14 cases (5.79%), high-frequency descent type in 94 cases (38.84%), flat down type in 52 cases (21.49%); the main acoustic frequency to 4000Hz and tinnitus 8000Hz mostly, tinnitus loudness tone most small B is equal to 5D SL, the Feldmann curve is mainly convergent and overlapping, residual inhibition test results in negative; chi square test or Fisher exact test, different types of patients with tinnitus tinnitus and hearing curve There was statistical significance to adjust the sound frequency difference, but tinnitus loudness differences in tone, Feldmann curve and residual inhibition test results were not statistically significant. Conclusion the differences of different tinnitus psychoacoustic hearing curve type tinnitus patients were not statistically significant, we can according to the prediction of tinnitus psychoacoustic auditory curve and prognosis of the patients.

【作者单位】：贵州省人民医院;广州中医药大学;广州中医药大学第一附属医院;
【分类号】：R764.45

【相似文献】