早期噪声性听力损失伴耳鸣患者的掩蔽效果分析

发布时间：2018-06-16 02:32

本文选题：耳鸣 + 噪声性听力损失　；参考：《临床耳鼻咽喉头颈外科杂志》2015年01期

【摘要】：目的:观察耳鸣掩蔽疗法在早期噪声性听力损失伴耳鸣患者中的掩蔽效果,为临床该类耳鸣患者的治疗提供依据。方法:对68例早期噪声性听力损失伴耳鸣患者进行常规听力学检查和耳鸣检测,所有患者掩蔽治疗6个月后对其疗效进行比较分析。疗效评估采用耳鸣残疾评估量表及主观视觉模拟量表,测试比较其治疗前后的最小掩蔽声大小。结果:耳鸣检测结果显示该类患者的耳鸣主频绝大部分(59例,86.8%)为4kHz,残余抑制试验完全阳性者居多(44例,64.7%),掩蔽治疗效果好,有效率达83.8%,其中3例耳鸣完全消失;治疗前后耳鸣残疾评估量表得分、主观视觉模拟量表得分和最小掩蔽声大小比较均差异有统计学意义(均P0.01)。结论:早期噪声性听力损失伴耳鸣患者的掩蔽治疗效果显著,值得推广。
[Abstract]:Objective: To observe the masking effect of tinnitus masking therapy in early noise hearing loss and tinnitus patients and provide basis for clinical treatment of tinnitus patients. Methods: 68 cases of early noise hearing loss and tinnitus patients were examined by routine audiology and tinnitus detection, and the curative effect was compared after 6 months of masking treatment. The evaluation of tinnitus disability assessment scale and subjective visual analogue scale were used to test the minimum masking sound size before and after treatment. Results: tinnitus detection results showed that most of the main frequency of tinnitus (59 cases, 86.8%) was 4kHz, the residual inhibition test was mostly positive (44 cases, 64.7%), and the effect of masking treatment was good. The effective rate was 83.8%, of which 3 cases of tinnitus completely disappeared; the scores of the tinnitus disability assessment scale before and after treatment, the subjective visual analogue scale score and the minimum masking sound size were statistically significant (all P0.01). Conclusion: the early noise hearing loss with tinnitus patients' masking treatment was significant and worthy of promotion.
【作者单位】：中南大学湘雅医院耳鼻咽喉头颈外科;上海交通大学医学院附属仁济医院耳鼻咽喉头颈外科;
【基金】：国家自然科学基金项目资助(No:81170923,81260160) 湖南省科技计划项目资助(No:2013FJ4110)
【分类号】：R764.45

【共引文献】