慢性主观性耳鸣的治疗方法及疗效探讨

发布时间：2018-12-25 20:14

【摘要】：目的:研究分析习服疗法和掩蔽疗法治疗慢性主观性耳鸣的临床疗效及方法探讨。方法:对我院收治的120例慢性主观性耳鸣患者进行资料分析并研究。将这120例患者随机分为两组,一组习服疗法组,有患者72例,另一组掩蔽疗法组,有48例患者。治疗后比较两组患者的耳鸣残疾度量化表(THI)评分及治疗前后焦虑自评量表(SAS)、睡眠情况的变化情况。结果:治疗1个月后,两组患者的THI评分比较无显著性差异(P0.05);治疗6个月至12个月后,习服疗法组评分明显低于掩蔽疗法组,患者烦躁程度也低于掩蔽疗法组,具有显著性差异(P0.05)。患者焦虑状况也与耳鸣严重情况密切相关,患者焦虑状况越重,耳鸣程度越重。结论:耳鸣严重程度与患者焦虑状况和睡眠状况息息相关,耳鸣程度越严重,患者越焦虑,睡眠质量越差。掩蔽疗法和习服疗法治疗慢性主观性耳鸣都有临床疗效,习服疗法效果更好,它能够治疗掩蔽疗法治疗后没有治愈或效果不佳的患者。
[Abstract]:Objective: to investigate the clinical effects and methods of acclimatization therapy and masking therapy in the treatment of chronic subjective tinnitus. Methods: 120 cases of chronic subjective tinnitus in our hospital were analyzed and studied. The 120 patients were randomly divided into two groups, one group was acclimatized group, 72 cases were in acclimatization group, and 48 cases were in masking therapy group. After treatment, the (THI) score of tinnitus disability scale and the changes of (SAS), sleep status before and after treatment were compared between the two groups. Results: after one month of treatment, there was no significant difference in THI score between the two groups (P0.05). After 6 months to 12 months of treatment, the score of acclimatization group was significantly lower than that of masking therapy group, and the degree of irritability of patients was lower than that of masking therapy group, which had significant difference (P0.05). Anxiety is also closely related to severe tinnitus, the more serious anxiety, the more severe tinnitus. Conclusion: the severity of tinnitus is closely related to anxiety and sleep. The more serious the tinnitus, the more anxious the patient is and the worse the sleep quality is. Both masking therapy and acclimatization therapy have clinical effect in treating chronic subjective tinnitus, and acclimatization therapy is more effective. It can treat patients who have not been cured or have poor effect after masking therapy.
【作者单位】：山西省天脊煤化工集团有限公司天脊医院;
【分类号】：R764.45

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