慢性主观性耳鸣的认知行为疗法效果分析  

The curative effect of cognitive behavior therapy for the treatment of chronic subjective tinnitus

作　　者：钟纯[1] 钟庄龙 罗秋萍[1] 邱永亮[1] 杨启明[1] 刘月辉[2] 

机构地区：[1]萍乡市人民医院耳鼻咽喉科,江西萍乡337000 [2]江西省南昌大学第二附属医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第8期709-711,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨认知行为疗法治疗慢性主观性耳鸣的疗效。方法:将157例慢性主观性耳鸣患者随机分为对照组(68例)和治疗组(89例)。对照组行掩蔽疗法治疗;治疗组行认知行为疗法治疗。用耳鸣残疾评估量表(THI)对两组治疗后的评分结果进行分析。结果:治疗后2个月,两组THI评分疗效比较差异无统计学意义(P>0.05);治疗后6个月、12个月疗效比较差异均有统计学意义(均P<0.05)。结论:采用认知行为疗法治疗慢性主观性耳鸣,患者能快速达到对耳鸣感觉的适应,值得进一步临床应用。Objective：To explore the efficacy of the cognitive behavior therapy（CBT）for the treatment of chronic subjective tinnitus.Method：One hundred and fifty-seven patients were randomly divided into two groups.Sixty-eight patients of the control group were treated by masking therapy;and the other 89 patients of the experimental group were treated by CBT therapy.The score of tinnitus handicap inventory（THI）was utilized to analyze the treatment efficacy in the two groups respectively.Result：The effective rate assessed by of THI score in the experimental group was not significantly higher than the control group 2months after treatment（P〉0.05）,but was significantly higher than the control group 6months and 12 months after treatment（P〈0.05 respectively）.Conclusion：The CBT therapy contributed to achieve rapid adaptation of tinnitus feeling,which shows great value of further clinical application.

关 键 词：耳鸣 认知疗法 治疗结果 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]