耳鸣临床特征与主观心理严重程度的关系  

The relationship between clinical characteristics of tinnitus and subjective psychology

作　　者：王涂路[1] 李颖雯[2] 李松键[1] 冯娟[3] 

机构地区：[1]广东省中医院耳鼻喉科,广东广州510120 [2]广州中医药大学针灸推拿学院 [3]广州中医药大学第二临床医学院

出　　处：《现代预防医学》2012年第9期2198-2200,共3页Modern Preventive Medicine

基　　金：广东省中医药局课题(2010149)

摘　　要：目的了解耳鸣匹配频率及听力下降的关系及THI和VAS对耳鸣患者评价的相关性。方法对70例以主观性耳鸣为第一主诉的耳鸣患者了解病史,进行耳科常规检查及纯音听阈、耳鸣匹配检查,并由患者填写耳鸣残疾评估量表(tinnitus handicap inventory,THI)及视觉模拟量表(visual-analogue scale VAS),综合分析各项结果。结果在70例耳鸣患者中高音调(4000～8000Hz)42例,中音调(1000～3000Hz)16例,低音调(125～750Hz)12例;其与患者听力下降的最高频率(rs=0.455,P=0.000)差异有统计学意义。而不同频率及响度大小与VAS和THI评分量表差异无统计学意义。结论不同耳鸣的频率与听力下降最高频率具有相关性,VAS和THI评分量表两者具有相关性,二者与耳鸣的主频及响度相关性不大。OBJECTIVE To know the relationship between tinnitus matching frequency and hearing loss,and the correlativity between THI and VAS to evaluate the tinnitus patients.METHODS 70 patients with the subjective tinnitus as the first chief complain were selected,and we performed the otology routine examination,pure-tone hearing threshold test,tinnitus matching test.The tinnitus handicap inventory and visual-analogue scales were completed by the patients,and finally we made a comprehensive analysis on the results.RESULTS There were 42 high-pitched（4 000-8 000 Hz）patients,16 medium loudness（1 000-3 000 Hz）patients,12 low in tune（125-750 Hz）patients among the 70 tinnitus patients;It had the statistical significance with the highest frequency（rs=0.455,P = 0.000）of the hearing loss patients,but different frequencies and loudness sizes havd no statistic significance of the THI and VAS rating scales.CONCLUSION Different tinnitus frequencies have the correlativity with the highest frequency of hearing loss;THI and VAS rating scales have correlativity,while the two rating scales have little relevance with tinnitus dominant frequencies and loudness.

关 键 词：耳鸣匹配 VAS THI 相关性 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]