助听器对耳聋患者的耳鸣治疗效果观察
发布时间：2019-07-05 06:19
【摘要】：目的:观察助听器对耳聋伴有耳鸣患者的耳鸣治疗效果。方法:收集2014年10月至2016年10月间在我院就诊的耳聋伴有耳鸣的患者资料,将接受佩戴助听器治疗的、随访资料完整的45例双耳中度以上耳聋且耳鸣病程大于3个月的患者纳入该研究,随访1年,观察在治疗3、6、12个月后,助听器对耳鸣治疗总有效率并且分别观察在治疗3、6、12个月后,助听器对不同程度耳聋、耳聋和耳鸣发生先后顺序、不同性质耳鸣、不同音调耳鸣、不同耳鸣病程的耳鸣有效率,并使用SPSS20.0软件包进行统计分析。结果:1.助听器治疗3、6、12个月后疗效比较治疗12个月有效率最高,6个月次之,3个月最低,其中治疗3个月和治疗6个月的有效率差异有显著性(P0.05),但治疗6个月和治疗12个月的有效率差异无显著性(P0.05)。2.助听器对不同耳聋程度组的疗效比较中度耳聋组有效率最高、中重度组次之,重度耳聋组最低,但三组间比较无显著差异(P0.05),只有中度耳聋组与重度耳聋组治疗12个月有显著差异(P0.05)。3.助听器对耳鸣和耳聋发生先后顺序组的疗效比较耳鸣和耳聋同时发生组有效率最高,耳鸣后于耳聋发生组次之,耳鸣先于耳聋发组最低,但三组间比较均无显著差异(P0.05),只有耳鸣先于耳聋组和耳鸣和耳聋同时发生组在治疗12个月有显著差异(P0.05)。4.助听器对不同耳鸣性质组的疗效比较单声耳鸣改善的有效率最高,双声组次之、复合声组最低,但三组之间无显著差异(P0.05)。5.助听器对不同耳鸣音调组的疗效比较耳鸣低调组有效率稍高于高调组,两组组间无显著差异(P0.05)。6.助听器对不同耳鸣病程组的疗效比较耳鸣病程小于1年组耳鸣改善的有效率高于耳鸣病程大于1年组;仅在治疗12个月后,两组有显著差异(P0.05),其余组间无显著差异(P0.05)。结论:1.助听器对伴中度以上耳聋患者的耳鸣在治疗3~6个月后有明显效果;2.助听器对中度耳聋、耳鸣和耳聋同时发生、单声耳鸣、低调耳鸣的耳聋患者的耳鸣治疗效果较好;3.伴有中度以上耳聋的耳鸣患者应及时、尽早佩戴助听器。
[Abstract]:Objective: to observe the effect of hearing aid on tinnitus in patients with deafness and tinnitus. Methods: the data of deafness patients with tinnitus who were treated in our hospital from October 2014 to October 2016 were collected. 45 patients with moderate deafness in both ears and with a course of tinnitus more than 3 months were followed up for 1 year. The total effective rate of hearing aid in the treatment of tinnitus was observed after 3, 6 and 12 months of treatment, and the total effective rate of hearing aid in the treatment of tinnitus was observed after 3, 6 and 12 months of treatment, respectively. Hearing aids were used to analyze the effective rate of tinnitus in different degrees of deafness, deafness and tinnitus, tinnitus of different nature, tinnitus of different tones and course of tinnitus. SPSS20.0 software package was used to analyze the effective rate of tinnitus in different degrees of deafness, deafness and tinnitus. Result: 1. After 12 months of hearing aid treatment, the effective rate was the highest in 12 months, the second in 6 months, and the lowest in 3 months. There was significant difference in the effective rate between 3 months and 6 months (P 0.05), but there was no significant difference between 6 months and 12 months (P 0.05). Compared with the moderate deafness group, the hearing aid group had the highest effective rate, the moderate and severe deafness group was the second, and the severe deafness group was the lowest, but there was no significant difference among the three groups (P 0.05). There was only significant difference between the moderate deafness group and the severe deafness group for 12 months (P 0.05). The curative effect of hearing aid on tinnitus and deafness was the highest in the tinnitus and deafness group, the second in the deafness group after tinnitus, and the lowest in the deafness group before the deafness group, but there was no significant difference among the three groups (P 0.05). There was significant difference in tinnitus before deafness group and tinnitus and deafness group at 12 months (P 0.05). Compared with the different tinnitus nature groups, the effective rate of monophonic tinnitus was the highest, that of the double sound group was the second, and that of the compound sound group was the lowest, but there was no significant difference among the three groups (P 0.05). Comparison of the curative effect of hearing aids on different tinnitus tone groups the effective rate of tinnitus low-key group was slightly higher than that of high-profile group, and there was no significant difference between the two groups (P 0.05). 6. The effective rate of tinnitus improvement in tinnitus course less than 1 year group was higher than that in tinnitus course group more than 1 year group; only 12 months after treatment, there was significant difference between the two groups (P 0.05), but there was no significant difference between the other groups (P 0.05). Conclusion: 1. Hearing aids had obvious effect on tinnitus in patients with moderate deafness after 3 to 6 months of treatment. Hearing aids are effective in the treatment of deafness in patients with moderate deafness, tinnitus and deafness at the same time, monophonic tinnitus and low-key tinnitus. Tinnitus patients with moderate deafness should wear hearing aids as soon as possible.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R764.4
[Abstract]:Objective: to observe the effect of hearing aid on tinnitus in patients with deafness and tinnitus. Methods: the data of deafness patients with tinnitus who were treated in our hospital from October 2014 to October 2016 were collected. 45 patients with moderate deafness in both ears and with a course of tinnitus more than 3 months were followed up for 1 year. The total effective rate of hearing aid in the treatment of tinnitus was observed after 3, 6 and 12 months of treatment, and the total effective rate of hearing aid in the treatment of tinnitus was observed after 3, 6 and 12 months of treatment, respectively. Hearing aids were used to analyze the effective rate of tinnitus in different degrees of deafness, deafness and tinnitus, tinnitus of different nature, tinnitus of different tones and course of tinnitus. SPSS20.0 software package was used to analyze the effective rate of tinnitus in different degrees of deafness, deafness and tinnitus. Result: 1. After 12 months of hearing aid treatment, the effective rate was the highest in 12 months, the second in 6 months, and the lowest in 3 months. There was significant difference in the effective rate between 3 months and 6 months (P 0.05), but there was no significant difference between 6 months and 12 months (P 0.05). Compared with the moderate deafness group, the hearing aid group had the highest effective rate, the moderate and severe deafness group was the second, and the severe deafness group was the lowest, but there was no significant difference among the three groups (P 0.05). There was only significant difference between the moderate deafness group and the severe deafness group for 12 months (P 0.05). The curative effect of hearing aid on tinnitus and deafness was the highest in the tinnitus and deafness group, the second in the deafness group after tinnitus, and the lowest in the deafness group before the deafness group, but there was no significant difference among the three groups (P 0.05). There was significant difference in tinnitus before deafness group and tinnitus and deafness group at 12 months (P 0.05). Compared with the different tinnitus nature groups, the effective rate of monophonic tinnitus was the highest, that of the double sound group was the second, and that of the compound sound group was the lowest, but there was no significant difference among the three groups (P 0.05). Comparison of the curative effect of hearing aids on different tinnitus tone groups the effective rate of tinnitus low-key group was slightly higher than that of high-profile group, and there was no significant difference between the two groups (P 0.05). 6. The effective rate of tinnitus improvement in tinnitus course less than 1 year group was higher than that in tinnitus course group more than 1 year group; only 12 months after treatment, there was significant difference between the two groups (P 0.05), but there was no significant difference between the other groups (P 0.05). Conclusion: 1. Hearing aids had obvious effect on tinnitus in patients with moderate deafness after 3 to 6 months of treatment. Hearing aids are effective in the treatment of deafness in patients with moderate deafness, tinnitus and deafness at the same time, monophonic tinnitus and low-key tinnitus. Tinnitus patients with moderate deafness should wear hearing aids as soon as possible.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R764.4
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