个性化切迹音乐治疗主观性耳鸣的初步观察

发布时间：2018-04-29 10:54

本文选题：个性化切迹音乐 + 主观性耳鸣　；参考：《中华耳科学杂志》2017年04期

【摘要】：目的探讨个性化切迹音乐对主观性耳鸣的治疗效果,以及耳鸣频率、相关听力学频率特性对治疗效果的影响。方法选取纯音听阈在70d B HL以内的主观性耳鸣患者20名,接受1个月的个性化切迹音乐治疗。以耳鸣致残量表(tinnitus handicap inventory,THI)评价患者治疗前后变化。结果经过个性化切迹音乐治疗后,患者总THI得分明显降低,呈显著差异。治疗有效组中听力损伤患者平均耳鸣频率接近平均边缘频率,两者呈显著相关性;同时,最大听力损伤频率明显高于平均耳鸣频率,存在显著差异。然而,无效组平均耳鸣频率则接近平均最大听力损伤频率,且两者存在显著相关性;另外,无效组平均耳鸣频率明显高于边缘频率,存在显著差异。结论个性化切迹音乐治疗能有效减轻耳鸣带来的困扰,改善主观症状与生活质量。耳鸣频率与相关听力学频率特性之间的关系可能作为反映耳鸣患者中枢机制与预测个性化切迹音乐治疗效果的指标。
[Abstract]:Objective to investigate the effect of individualized notch music on subjective tinnitus and the influence of tinnitus frequency and related audiological frequency on the therapeutic effect. Methods Twenty patients with subjective tinnitus whose pure tone hearing threshold was less than 70 d B HL were treated with individualized notch music for one month. Tinnitus handicap inventory test was used to evaluate the changes before and after treatment. Results after individualized notch music therapy, the total THI score of the patients decreased significantly. In the effective group, the average tinnitus frequency was close to the average marginal frequency, and the maximum hearing loss frequency was significantly higher than the average tinnitus frequency, and there was significant difference. However, the average tinnitus frequency in the ineffective group was close to the average maximum hearing loss frequency, and there was a significant correlation between the two, in addition, the average tinnitus frequency in the ineffective group was significantly higher than the marginal frequency, and there was a significant difference. Conclusion Personalized notch music therapy can effectively alleviate the troubles caused by tinnitus and improve subjective symptoms and quality of life. The relationship between tinnitus frequency and related audiological frequency characteristics may be used as an index to reflect the central mechanism of tinnitus patients and predict the effect of individualized notch music therapy.
【作者单位】：中山大学孙逸仙纪念医院耳鼻喉-头颈外科;中山大学听力及言语研究所;中山大学新华学院听力言语科学系;英国卡迪夫大学城市大学言语治疗与听觉科学研究中心;
【基金】：国家自然科学基金青年科学基金项目(No.81600808);国家自然科学基金面上项目(No.81570935) 广东省自然科学基金自由申请项目(No.2016A030313318);广东省自然科学基金博士启动项目(No.2015A030310134) 部属高校省级大学生创新创业训练计划项目(No.201601133)支持~~
【分类号】：R764.45

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