453例失代偿性耳鸣患者临床特征分析  

Clinical characteristics of tinnitus complaint:an analysis of 453patients

作　　者：刘钊[1] 梁勇[1] 孙鹏程[1] 杨衬[1] 刘友利[1] 李衍菲[1] 韩晓燕[1] 曾林燕[1] 何萍香 

机构地区：[1]南方医科大学南方医院耳鼻咽喉头颈外科,广州510515

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第10期889-892,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:评估分析失代偿性耳鸣的临床特征。方法:以问卷调查的方式收集2013-10-2014-07期间以主观性耳鸣为第一主诉的628例患者的基本信息,从中筛选出工作、生活、睡眠明显受耳鸣影响的失代偿性患者453例,分析耳鸣、耳鸣诱因、全身伴随疾病的基本特征及互相关系。结果:耳鸣人群中≤30岁组失代偿性所占人数比例最高,失代偿性患者中持续性耳鸣人数比例和响度VAS评分均数均高于代偿性组;失代偿性患者中非首诊占总数65.4%(52.2%的患者可以耐受,13.2%无法耐受);左侧颅鸣多于右侧、复调耳鸣在双侧耳鸣患者中出现的比例高于单侧(P<0.05);59%的患者有耳鸣诱发因素,44%的患者有全身伴随疾病(前3位分别为耳鼻咽喉系统、心血管系统、消化系统),伴有疾病与不伴疾病的耳鸣严重程度人数构成比无差异。结论:失代偿性耳鸣人群具有耳鸣持续和响度VAS评分较高且在≤30岁组人数比例最高等特点,诱发因素与精神或躯体创伤存在密切的关系,伴随疾病具有按器官系统分类的显著特点。Objective：To evaluate the clinical characteristics of tinnitus complaint. Method：The information of 628 patients with subjective tinnitus was collected using questionnaires from October, 2013 to June, 2014. Among them, 453 cases were included in this study, whose quality of life and sleep were significantly affected. Then we e- lucidated the features of tinnitus, tinnitus incentives and systemic diseases, and analyzed their relationship. Result： The proportion of the patients complaint was highest in gruop≤30 y. The patients with tinnitus complaint were more likely to have persistent tinnitus with higher loudness VAS scores than their counterparts. 65.4% of the to- tal patients had at least one treatment （52.2% of patients can tolerate, and only 13.2% can not tolerate）. More patients had cranial Ming on the left than on the right ear. The proportion of patients with polyphony in bilateral tinnitus was higher than those with unilateral tinnitus （P〈0.05）. Moreover, 59% patients had tinnitus inducing factors, and 44 M patients had systemic comorbidities （The three most frequently involved systems were otolaryn- gologic, cardiovascular and digestive system）. There was no, significantly statistical difference of the tinnitus se- verity between patients with other systematic diseases and those without. Conclusion：Patients with tinnitus com- plaint were younger in age （430 y） and more likely to have persistent tinnitus with higher loudness VAS score- sPredisposing factors are closely associated with mental or physical trauma. The accompanied diseases can be clas- sified by organ system.

关 键 词：失代偿性耳鸣 特征 焦虑 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]