2171例耳鸣患者的临床特征分析

发布时间：2018-04-15 11:15

本文选题：耳鸣 + 听力　；参考：《听力学及言语疾病杂志》2017年04期

【摘要】：目的探讨耳鸣患者的临床特征,为耳鸣诊治提供参考。方法收集2014年1月至2015年12月就诊于中山大学孙逸仙纪念医院耳鼻喉科门诊以耳鸣为第一主诉的2 171例(2 736耳)耳鸣患者的临床资料,以耳鸣残疾量表(tinnitus handicap inventory,THI)及视觉模拟评分(visual analogue scale,VAS)评估耳鸣的严重程度,并分析耳鸣的发病年龄、耳鸣侧别、听力状况及可能病因等基本特征。结果 2 171例耳鸣患者平均年龄为44.08±15.37岁,其中41~50岁为分布最集中的年龄段(491例,22.60%),其次为31~40岁(445例,20.50%)1~60岁(438例,20.20%);主观性耳鸣2 120例(97.65%),客观性耳鸣51例(2.35%);单侧耳鸣(1 606例,73.98%)多于双侧耳鸣(539例,24.83%),颅鸣最少(26例,1.19%);2 736侧耳鸣耳8 000 Hz的平均听阈为69.26±27.70dB HL,高于1 606侧非耳鸣耳(54.16±30.98dB HL);THI分级以2、3级为主(55.78%,1 211/2 171),VAS分级以轻、中度耳鸣为主(83.83%,1 820/2 171);音调匹配以高频多见(4~8kHz,1 199例,55.23%);位于前三位的可能病因为不明原因591例(27.22%)、突发性聋549例(25.29%)及中耳疾病270例(12.44%)。结论本组耳鸣患者中以主观性耳鸣为主,中青年者居多,单侧耳鸣多于双侧耳鸣,耳鸣与听力关系密切;引起耳鸣的病因多而复杂,部分患者不明原因或与耳疾有关,习服治疗是值得推广的治疗方法。
[Abstract]:Objective to explore the clinical features of tinnitus patients and provide reference for the diagnosis and treatment of tinnitus.Methods from January 2014 to December 2015, the clinical data of 2 171 patients with tinnitus were collected from the otolaryngology clinic of Sun Yat-sen Memorial Hospital, Sun Yat-sen Memorial Hospital of Sun Yat-sen University of Sun Yat-sen University.Tinnitus handicap inventory scale and visual analogue scale were used to evaluate the severity of tinnitus, and the basic characteristics of tinnitus were analyzed, such as age of onset, side of tinnitus, hearing status and possible etiology of tinnitus.Results the mean age of 2 171 patients with tinnitus was 44.08 卤15.37 years old.491 cases (491 / 491) with the most concentrated distribution, followed by 445 cases (445 / 20.5050 / 160) and 438 (20.2020) respectively; subjective tinnitus (2 120 cases) and objective tinnitus (51 cases) (2.35); unilateral tinnitus (1 606 cases, 73.98)) more than bilateral tinnitus (539 cases) with 24.833M, with a minimum of 26 cases (1.19 / 22).The average hearing threshold of 8 000 Hz in 736 tinnitus ears was 69.26 卤27.70dB HL, which was higher than that in 1 606 non-tinnitus ears (54.16 卤30.98dB).The main causes of moderate tinnitus were 1820 / 2171g; the most common tonal matching was high frequency 44kHz, 1199 cases 55.2323T; the first three possible etiology were 591 cases with unexplained cause, 591 cases with sudden deafness, 549 cases with sudden deafness, and 270 cases with middle ear disease.Conclusion in this group of tinnitus patients, subjective tinnitus is the main cause, the middle and young people are the majority, unilateral tinnitus is more than bilateral tinnitus, tinnitus is closely related to hearing, the etiology of tinnitus is many and complex, and some patients have unknown causes or are related to ear diseases.Acclimatization therapy is a method worth popularizing.
【作者单位】：广东省清远市人民医院耳鼻喉科;中山大学孙逸仙纪念医院耳鼻喉科;
【基金】：广东省科技计划项目(2013B022000051);广东省科技计划项目(2013B021800230) 广州市协同创新重大项目(民生科技)(2014Y2-00511)
【分类号】：R764.45

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