声治疗对不同频率主观性耳鸣的疗效观察  

Curative effect of sound therapy on subjective tinnitus with different frequency

作　　者：刘晶[1,2] 陆玲[1,2] 张小莉[1,2] 钱晓云[1,2] 谭长强[1,2] 

机构地区：[1]南京大学医学院附属鼓楼医院耳鼻咽喉头颈外科,江苏南京210008 [2]南京大学医学院附属鼓楼医院耳鼻咽喉研究所,江苏南京210008

出　　处：《现代医学》2017年第6期803-806,共4页Modern Medical Journal

基　　金：江苏省科教强卫工程项目资助;南京市医学科技发展项目(YKK16089)

摘　　要：目的:观察主观性耳鸣临床特点及声治疗对不同频率主观性耳鸣的疗效。方法:对104例主观性耳鸣患者(病程大于3个月,或用药治疗大于3个月耳鸣无明显改善)进行问卷调查(THI量表、PSQI量表、PHQ-9量表、GAD-7量表)、耳科专科检查、听力学检查、耳鸣心理声学测试及声治疗。结果:男性50例(48.08%);女性54例(51.92%)。耳鸣患者在年龄段分布情况如下:<20岁1例(0.96%),20~29岁10例(9.62%),30~39岁15例(14.42%),40~49岁23例(22.11%),50~59岁25例(24.04%),60~69岁18例(17.31%);70~79岁12例(11.54%)。中年段(40~59岁)耳鸣人数最多,48例(46.15%)。不同年龄段耳鸣患者男女分布无统计学差异,P>0.05。3.85%耳鸣患者存在严重的睡眠障碍,58.65%耳鸣患者存在不同程度的抑郁,46.15%耳鸣患者存在不同程度的焦虑。主观性耳鸣频率分布情况如下:低频(<1 k Hz)33例(31.73%),中频(1 k Hz^4 k Hz)17例(16.35%),高频(≥4 k Hz)54例(51.92%)。声治疗对104例主观性耳鸣患者总有效率为96.15%,其中低频有效率为96.97%,中频有效率为94.12%,高频有效率为96.30%。声治疗对三组不同频率段耳鸣的疗效无统计学差异,P>0.05。结论:主观性耳鸣患者男女分布比例相当。耳鸣与年龄有相关性,中年人出现耳鸣的可能性高于其他年龄段。耳鸣患者普遍存在非听觉问题。主观性耳鸣以高频耳鸣最多见,其次低频,最后中频。声治疗适用于不同频率主观性耳鸣的治疗。Objective： To investigate the clinical characteristics of subjective tinnitus and the curative effect of sound therapy on subjective tinnitus with different frequency. Methods： A total of 104 patients with subjective tinnitus（ disease lasting for more than 3 months or not reponsive to drug treatment for more than 3 months） were recruited for the study. Each patient received questionaire, including detailed medical historty, completed questionnaires（ THI,PSQI,PHQ-9 and GAD-7）,special examination,audiological examination,psychoacoustic characteristics of tinnitus inspection and sound therapy. Results： 50 cases were male（ 48. 08%） and 54 cases female（ 51. 92%）. The age distribution of patients with subjective tinnitus was as follows： 20 years old 1 cases（ 0. 96%）,20-29 years old 10 cases（ 9. 62%）,30-39 years old 15 cases（ 14. 42%）,40-49 years old 23 cases（ 22. 11%）,50-59 years old 25 cases（ 24. 04%）,60-69 years old 18 cases（ 17. 31%）,70-79 years old 12 cases（ 11. 54%）. Most of the case were middle-aged（ 40 to 59 years old）,accounting for 46. 15%. There was no significant difference in the distribution of male and female between different age groups（ P〉0. 05）. 3. 85% of the patients had serious sleep disorder,58. 65% of the patients had different degrees of depression and 46. 15% of the patients had different degrees of anxiety. The distribution of different frequency of tinnitus was as follows： low frequency（ 〈1 k Hz） 33 cases（ 31. 73%）,intermediate frequency（ 1 k Hz-4 k Hz） 17 cases（ 16. 35%）,high frequency（ ≥4 k Hz） 54 cases（ 51. 92%）. The total effective rate of sound therapy was 96. 15% in 104 patients with subjective tinnitus. The ffective rate for subjective tinnitus with low frequency was 96. 97%,that with intermediate frequency 94. 12% and that with high frequency 96. 30%. There was no statistical significance in the curative effect of the three groups of subjective tinnitus（ P〉0. 05）. Conclusion： There was a

关 键 词：主观性耳鸣 声治疗 频率 

分 类 号：R764.5[医药卫生—耳鼻咽喉科]