200例主观性耳鸣患者听力损失临床分析

发布时间：2018-04-10 19:36

本文选题：耳鸣 + 听力损失　；参考：《新疆医科大学》2011年硕士论文

【摘要】：目的对主观性耳鸣患者的听力损失进行临床分析,进一步探讨耳鸣的发病原因,为检查方法提供临床依据。方法对以主观性耳鸣为主诉的200名患者进行耳科专科检查,声导抗检测,常频纯音听阈测听和高频扩展听阈测听检查。结果200例耳鸣患者中,听力正常者151耳(55%),轻度聋73耳(26%),中度聋26耳(13%),中重度聋15耳(5%),重度聋2耳(1%)；单侧耳鸣123例(61.5%)；双侧耳鸣77例(38.5%)；单侧耳鸣者中,患侧与对侧阈值比较0.125KHz-8KHz有统计学意义(P0.05),10kHz及其以上频率无统计学意义(P0.05)；常频听力正常组与听力异常组比较各频率阈值均具有统计学意义(P0.05),听力异常组阈值检出率低于听力正常组。结论耳鸣好发年龄段是31-60岁,随年龄增加听力减退的患病率逐渐增加,但耳鸣的患病率并未相应的增加；大部分耳鸣患者语言频率未受累积或影响不大,不影响日常交流；耳鸣可以存在于听力正常人群中；扩展高频测听能否为耳鸣患者提供早期听力损失的依据需要更多的临床资料进一步研究。
[Abstract]:Objective to analyze the hearing loss of patients with subjective tinnitus and explore the causes of tinnitus.Methods 200 patients with subjective tinnitus were examined with special otology, acoustic impedance test, normal frequency pure tone threshold audiometry and high frequency expanded audiometry.Compared with the contralateral threshold, 0.125KHz-8KHz had no significant difference in the frequency of 10 kHz or more than that in the normal group and the normal frequency group. The threshold of each frequency in the normal hearing group was significantly higher than that in the abnormal hearing group, and the detection rate of the threshold in the abnormal hearing group was lower than that in the normal hearing group.Conclusion the prevalence rate of hearing loss increases gradually with age, but the prevalence of tinnitus does not increase correspondingly, and the language frequency of most tinnitus patients is not accumulated or affected, and does not affect daily communication.Tinnitus may exist in the normal hearing population, and whether the extended high frequency audiometry can provide the basis of early hearing loss for tinnitus patients needs more clinical data.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R764

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