心理干预对特发性耳鸣治疗的影响  

Effect of psychological intervention on idiopathic tinnitus

作　　者：徐境 晏丹[1] 潘刚强 沈李 余璐 

机构地区：[1]武汉科技大学医学院,湖北武汉430065 [2]湖北省黄石爱康医院耳鼻喉科,湖北黄石435000

出　　处：《中国医药导报》2017年第27期124-127,共4页China Medical Herald

基　　金：湖北省卫生计生科研基金资助项目(WJ2017M176)

摘　　要：目的探索心理干预在特发性耳鸣治疗中的积极作用,为临床应用提供理论依据。方法选取2015年12月~2016年12月黄石爱康医院收治的特发性耳鸣患者66例,采用随机数字表法分为对照组和观察组各33例。两组均行常规治疗(药物治疗、鼓室内注射、高压氧)。此外,观察组联合心理干预(习服、认知、掩蔽、暗示)。所有患者治疗前后分别给予汉密尔顿焦虑量表(HAMA)和抑郁量表(HAMD)评分。分别比较两组患者治疗2周末和治疗结束后2个月的治疗有效率。结果组内比较,观察组患者治疗后的HAMA评分与HAMD评分均明显低于治疗前(P<0.05),而对照组患者治疗前后评分比较,差异无统计学意义(P>0.05)。组间比较,两组患者治疗前HAMA评分与HAMD评分比较,差异无统计学意义(P>0.05);观察组患者治疗后的HAMA评分与HAMD评分明显低于对照组(P<0.05)。观察组患者治疗2周末和治疗结束后2个月的有效率明显高于对照组(P<0.05)。结论在特发性耳鸣患者的常规治疗中结合习服、认知、掩蔽、暗示心理干预手段,可以明显的改善患者的焦虑抑郁情绪,提高治疗效果。Objective To investigate the role of psychological intervention in treatment of idiopathic tinnitus and provide the theoretical basis for clinical application. Methods From December 2015 to December 2016, 66 patients with idio pathic tinnitus in Huangshi Love ＆ Health Hospital were selected and divided into control group and observation group by random number table, with 33 cases in each group. Both groups were treated by routine treatment （drug therapy, intratympanic injection, hyperbaric oxygen）. Additionally, the observation group was combined with psychological intervention （acclimatization, cognitive, masking, implied）. Hamihon anxiety scale （HAMA） and Hamilton depression scale （HAMD） examinations were taken before and after treatment. The effective rates of two groups were compared at the end of 2- week treatment and 2 months after treatment, respectively. Results In observation group, the HAMA score and HAMD score after treatment were lower than those before treatment （P 〈 0.05）. But there was no significant difference in control group （P 〉 0.05）. Before treatment, there was no difference in HAMA score and HAMD score between two groups （P 〉 0.05）. After treatment, the HAMA score and HAMD score in the observation group were significantly lower than those in the control group （P 〈 0.05）. The effective rate of the observation group was significantly higher than that of the con- trol group both at the end of 2-week treatment and 2 months after treatment （P 〈 0.05）. Conclusion Psychological intervention in the conventional treatment of idiopathic tinnitus can reduce anxiety and depression and improve therapeutic effect.

关 键 词：特发性耳鸣 心理干预 临床疗效 

分 类 号：R76[医药卫生—耳鼻咽喉科]