声音治疗232例慢性耳鸣患者的临床分析

发布时间：2018-06-29 11:38

本文选题：耳鸣 + 声音治疗　；参考：《天津医科大学》2014年硕士论文

【摘要】：目的：探讨声音治疗慢性耳鸣的临床效果,为慢性耳鸣个体化治疗提供新的方案。方法：对232例慢性耳鸣患者进行声音治疗。所有受试者于治疗前,治疗3、6、12个月后完成耳鸣评价量表、耳鸣烦躁级量化表。依据耳鸣评价量表和耳鸣烦躁级量化表评分进行效果评定,疗效分为痊愈、显效、有效、无效。按照佛德曼曲线类型,将声音治疗结果分为Ⅰ、Ⅱ、Ⅲ、Ⅳ、Ⅴ型。根据残余抑制试验结果,分成A组(完全阳性),B组(部分阳性),C组(阴性或反弹)。所有数据均在SPSS17.0统计软件包上进行统计分析。结果：将耳鸣严重程度2级及以下的患者量化为轻度,治疗前为54例(23.28%,54/232),治疗3个月为122例(52.59%,122/232),治疗6个月为172例(74.14%,172/232),治疗12个月为196例(84.48%,196/232)。3级及以上患者量化为重度,治疗前为178例(76.72%,178/232),治疗3个月为110例(47.41%,110/232),治疗6个月为60例(25.86%,60/232),治疗12个月为36例(15.52%,36/232)。治疗前和治疗3个月后轻度和重度患者的构成比差异具有统计学意义(χ2=42.33,P0.01)。治疗6个月和治疗3个月轻度和重度患者的构成比差异具有统计学意义(χ2=23.21,P0.01)。治疗12个月和治疗6个月轻度和重度患者的构成比差异具有统计学意义(χ2=7.57,P0.01)。声音治疗前后佛德曼曲线各组间有效率无统计学差异(P0.05)。按残余抑制试验结果分组,声音治疗3、6、12月后结果显示：A、B、C组有效率比较,差异无统计学意义(P0.05)。结论：声音治疗慢性耳鸣疗效明显,声音治疗6个月后,耳鸣症状具有显著意义的改善,治疗12个月后,疗效持续改善且稳定。声音治疗适用于佛德曼曲线各型患者及残余试验阴性患者,且疗效明显。为慢性耳鸣提供个体化标准化治疗方案。为慢性耳鸣患者提供经济、便利的治疗方案。
[Abstract]:Objective : To study the clinical effect of sound therapy on chronic tinnitus , and to provide a new solution for the individualized treatment of chronic tinnitus .

Methods : 232 patients with chronic tinnitus were treated with sound therapy . All the subjects were treated before and after treatment for 3 , 6 and 12 months . The results were divided into group A ( complete positive ) , group B ( partial positive ) and C group ( negative or rebound ) . All the data were analyzed by SPSS 17.0 statistical package .

Results : The patients with severe tinnitus severity grade 2 and below were quantified as mild , 54 cases ( 23.28 % , 54 / 232 ) were treated before treatment , 122 cases ( 52.59 % , 122 / 232 ) were treated for 3 months , 172 cases ( 84.48 % , 196 / 232 ) were treated for 6 months , 110 cases were treated before treatment ( 76.72 % , 178 / 232 ) , 60 cases were treated for 6 months ( 25.86 % , 60 / 232 ) , and 36 cases were treated for 12 months ( 15.52 % , 36 / 232 ) . The composition of mild and severe patients before and after treatment was statistically significant ( 蠂2 = 42.33 , P0.01 ) . The composition ratio of patients with mild and severe cases for 6 months and 3 months was statistically significant ( 蠂2 = 23.21 , P0.01 ) . The composition ratio of patients with mild and severe cases for 12 months and 6 months was statistically significant ( 蠂2 = 7.57 , P0.01 ) . There was no statistical difference between the two groups before and after sound therapy ( P0.05 ) . According to the results of residual inhibition test , the results showed that there was no significant difference between the groups A , B and C after 3 , 6 and 12 months ( P0.05 ) .

Conclusion : The effect of sound therapy on chronic tinnitus is obvious . After 6 months of sound treatment , the symptoms of tinnitus have significant improvement . After 12 months of treatment , the curative effect is continuously improved and stable . Sound therapy is suitable for patients with various types and residual test negative patients , and has obvious curative effect . It provides individualized standardized treatment plan for patients with chronic tinnitus .
【学位授予单位】：天津医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R764.45

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