262例耳鸣患者听力损失情况的临床调查  

An investigation into the correlation between tinnitus and hearing loss in 262 tinnitus patients

作　　者：刘蓬[1] 阮紫娟[1] 龚慧涵[1] 郭恩钦[1] 

机构地区：[1]广州中医药大学第一附属医院耳鼻咽喉科,广州510405

出　　处：《中华耳科学杂志》2009年第3期194-199,共6页Chinese Journal of Otology

摘　　要：目的对耳鸣患者的听力损失情况进行临床调查,为进一步探讨耳鸣的发病原因提供临床资料。方法对262例以耳鸣为第一主诉的患者进行纯音听阈测定,并详细询问耳鸣与听力损失发生的时间和部位,据此将耳鸣与听力的关系分为四种情况:听力正常,听力损失与耳鸣无相关性,听力损失与耳鸣有相关性,听力损失与耳鸣可能相关。结果262例患者中,50%的患者耳鸣与听力损失有相关性,其中27.5%的患者明确有相关性,22.5%的患者可能有相关性;50%的患者耳鸣与听力损失无明显相关性,其中28.2%的患者听力正常,21.8%的患者听力损失与耳鸣无明确的相关性。年龄分布中,20～60岁占78.6%,20岁以下及60岁以后较少。结论耳鸣与听力损失并非总是相伴相随,对耳鸣的发病原因及机理须从多角度进一步研究。Objective To provide hearing loss profiles in patients with tinnitus for further studying the cause of tinnitus. Methods Pure-tone hearing thresholds were tested in 262 patients who had tinnitus as their chief complaints. Details on the time course and location of tinnitus and hearing loss were obtained. Four types of presentation were identified based on the relationship between tinnitus and hearing：normal hearing,no correlation between hearing loss and tinnitus,hearing loss being correlated to tinnitus,and possible correlation between hearing loss and tinnitus. Results Among the 262 cases,50% showed possible tinnitus-hearing loss correlation and 50% showed no significant correlation. Among the 50% correlated cases,27.5% demonstrated significant correlation. Among the 50% uncorrelated cases,28.2% had normal hearing and 21.8% had no significant correlation between hearing loss and tinnitus. In the current series,patients of ages between 20 and 60 years accounted for 78.6% of the cases. Conclusion Tinnitus and hearing loss are not always correlated. A multi-factorial approach should be adopted when studying the causes and mechanism of tinnitus.

关 键 词：耳鸣 听力损失 相关性 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]