272例突发性聋伴耳鸣患者耳鸣特征分析  

Characteristics of tinnitus related to idiopathic sudden sensorineural hearing loss in 272 patients

作　　者：尹自芳[1] 寇镓乐 王大勇[1] 关静[1] 张丽娜[1] 赵立东[1] 王秋菊[1] 

机构地区：[1]解放军总医院解放军医学院耳鼻咽喉头颈外科解放军耳鼻咽喉研究所,北京100853

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第14期1131-1133,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家重大科学研究计划项目(No:2014CB943001);国家自然基金重点国际合作项目(No:81120108009);国家自然科学基金重点项目(No:81530032)联合资助

摘　　要：目的:探讨突发性聋伴耳鸣患者的一般特征和耳鸣的特点。方法:采用耳鸣问诊表及耳鸣致残量表对272例突发性聋伴耳鸣患者进行问卷调查,分析耳鸣的类型、部位、耳鸣方式、对生活的影响、耳鸣加重影响因素等。结果:低频耳鸣占41.6%,中频耳鸣占2.0%,高频耳鸣占56.4%;持续性耳鸣占79%,间断性耳鸣占21%;从耳鸣对日常生活影响看,37.4%患者有轻微影响,44.8%有中度影响,17.8%有重度影响;加重耳鸣的影响因素有睡眠、噪音、压力和劳累等。从耳鸣致残量表看,轻度或轻微耳鸣占33.8%,中重度耳鸣42.2%;灾难性耳鸣23.5%。结论:突发性聋伴耳鸣患者对患者的影响较大,需加强个性化耳鸣评估,特别要关注患者的睡眠、情绪,进行针对性耳鸣咨询,优化患者休养环境,减少耳鸣对患者的影响。Objective：To investigate the characteristics of sudden sensorineural hearing loss（SSHL）patients with tinnitus.Method：Two-hundred and seventy two SSHL patients with tinnitus underwent evalution through Tinnitus Handicap Inventory（THI）and Tinnitus Questionnaire（TQ）.Demographic data and tinnitus characteristics were analyzed.Result：In 272 patients,41.6% of patients suffered from low frequency tinnitus,2.0% with medium frequency tinnitus,56.4% with high frequency tinnitus.There were 79% patients whose tinnitus were continous,while 21% were intermittent;From the view point of daily life compromising,37.4% were minor,44.8% were moderate,17.8% were serious.The most important factors that deteriorate tinnitus were bad sleep,noise,life pressure and tiredness.Conclusion：There were individual differences among patients with sudden deafness and tinnitus.Enough evaluation should be made to decrease the infection of tinnitus.

关 键 词：突发性聋 耳鸣 睡眠 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]