250例耳鸣患者听力结果分析  

The analysis of hearing results in 250 patients with tinnitus

作　　者：李桂芳 王春华 刘朝兵 

机构地区：[1]河北省眼科医院耳鼻喉科,河北邢台054001

出　　处：《河北医科大学学报》2016年第7期806-808,813,共4页Journal of Hebei Medical University

摘　　要：目的分析250例耳鸣患者的常规和扩展高频纯音听力结果。方法选取18～35岁单纯具有耳鸣症状的患者250例。对其进行声导抗检查、常频纯音听阈测听和扩展高频听阈测听。结果双耳常频听力正常者36.0%（90/250例,180耳）,听力下降者64.0%（160/250例,320耳）。听力正常耳鸣组与听力下降耳鸣组在4、8、10、12.5和16 k Hz检出率差异均有统计学意义（P〈0.05）;听力正常耳鸣组与健康对照组在12.5和16 k Hz检出率差异有统计学意义（P〈0.05）;单侧耳鸣患者中患侧与对侧比较检出率差异无统计学意义（P〉0.05）。结论耳鸣和听力下降有一定的关联,对于常频听力正常的耳鸣患者早期进行扩展高频测听有一定意义,对于耳鸣发病机制的研究有待进一步完善。Objective To analyze the hearing result of normal frequency and extended high frequency audiometry in 250 patients with tinnitus. Methods Acoustic impedance test, normal frequency and extended high frequency audiometry were applied to 250 patients with tinnitus at the period of between 18 to 35. Results 36. 0%（ 90 / 250 cases,180 ears） patients were diagnosed with normal hearing,and 64. 0%（ 160 / 250 cases,320ears） patients with abnormal hearing. There were statistically significant in the hearing threshold occurrence rate（ 4,8,10,12. 5 and 16 k Hz） between the groups of normal hearing and abnormal hearing with tinnitus（ P〈0. 05）. There were statistically different in the threshold occurrence rate（ 12. 5 and 16 k Hz） between the groups of normal hearing with tinnitus and control group（ P〈0. 05）. However, there was not statistically different between the affected and contralateral side with unilateral tinnitus patients（ P〈0. 05）. Conclusion Tinnitus and hearing loss have some relevance. It is meaningful to test extended high frequency audiometry, The study on the pathogenesis of tinnitus needs to be further improved.

关 键 词：耳鸣 听力 扩展高频测听 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]