突发性聋早期耳鸣的特点

发布时间：2018-03-12 18:57

本文选题：耳鸣　切入点：突发性聋　出处：《临床耳鼻咽喉头颈外科杂志》2015年10期 　论文类型：期刊论文

【摘要】：目的:探讨突发性聋患者早期耳鸣的临床特点。方法:对47例突发性聋,伴有早期耳鸣的患者,进行主观测评,填写《耳鸣分类调查表》,再采用纯音测听的上升法进行测试,进行耳鸣匹配检查,从而得到患者的耳鸣分布,数量及匹配响度。结果:1客观检查:耳鸣的频率最为常见的为8 000 Hz及4 000 Hz,个数多为2个频率,匹配响度为(16.63±8.37)dB HL。2主观检查:耳鸣多为单调(74.0%),持续(89.0%),3级响度(45.0%),3级烦人(60.0%),高频(83.0%),蝉鸣(66.7%),最大影响因素为听力(28.2%)及情绪(29.5%)。3耳鸣与纯音曲线之间关系:纯音听阈频率与耳鸣匹配响度之间有显著性相关(r=-0.370,P0.01),纯音耳鸣频率与耳鸣匹配响度之间无显著性相关(r=-0.083,P0.05)。结论:1主观检查与客观检查结果相一致;2在突发性聋治疗的早期即应关注耳鸣。
[Abstract]:Objective: to investigate the clinical characteristics of early tinnitus in patients with sudden deafness. Methods: 47 patients with sudden deafness and early tinnitus were tested by subjective test, filling out the classification questionnaire of tinnitus, and then using the rising method of pure tone audiometry. The distribution, quantity and matching loudness of tinnitus were obtained by tinnitus matching examination. Results: the most common frequency of tinnitus was 8 000 Hz and 4 000 Hz, and the number was 2 frequencies. The matching loudness was 16.63 卤8.37dB HL.2 subjective examination: tinnitus was mostly monotonous 74.0g / L, and continued to be 89.0g / 3, 45.0g / 3 was tiresome 60.020 / 60.010, high frequency 83.0m, cicada singing 66.7b, the biggest influencing factor was hearing 28.22.The relationship between tinnitus and pure tone curve: pure tone threshold frequency and pure tone curve: pure tone audition threshold frequency and pure tone curve: pure tone audition threshold frequency and pure tone curve: pure tone audition threshold frequency and pure tone curve: pure tone audition threshold frequency and pure tone curve: pure tone audition threshold frequency and pure tone curve. There was a significant correlation between tinnitus frequency and tinnitus matching loudness. There was no significant correlation between pure tinnitus frequency and tinnitus matching loudness. Conclusion the results of subjective and objective examination are in agreement with the results of subjective and objective examination in the early stage of sudden deafness treatment.
【作者单位】：河北省人民医院耳鼻咽喉科;
【分类号】：R764.437

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