耳鸣患者与睡眠质量相关性的临床分析及治疗探讨  

Discussion on clinical analysis and treatment of the correlation between tinnitus and sleep quality

作　　者：连纯利 刘元献[1] 杨龙[1] 刘霞[1] 胡镇 何强亮 LIAN Chunli;LIU Yuanxian;YANG Long;LIU Xia;HU Zhen;HE Qiangliang(Department of Otorhinolaryngology,Shenzhen Traditional Chinese Medicine Hospital,Shenzhen518000,China)

机构地区：[1]深圳市中医院耳鼻咽喉科,广东深圳518000

出　　处：《中国现代医生》2021年第17期73-77,共5页China Modern Doctor

摘　　要：目的探讨耳鸣患者与睡眠相关性的临床分析,为耳鸣提供有效治疗方法。方法对2018年8月至2020年1月在深圳市中医院就诊的268例耳鸣患者进行一般情况调查、耳鸣致残量表THI、匹兹堡睡眠质量指数进行评估,同时进行纯音听阈电测听、耳鸣音调、频率匹配。结果耳鸣患者女性占47.76%,男性占52.24%,其中44岁以下占48.51%,45~59岁占43.28%,60~74岁占5.22%,>75岁占2.99%,伴听力下降耳鸣患者占62.69%,耳鸣声以纯音为主占66.42%,耳鸣频率以高频为主占68.66%,睡眠障碍患者THI评分显著高于睡眠正常患者,耳鸣患者耳鸣致残量表(THI)与匹兹堡睡眠质量指数(PSQI)呈显著正相关(r=0.291,P<0.001)。结论患者耳鸣程度越严重,睡眠质量越差,且二者互相影响。治疗应以改善睡眠质量为主的多方综合治疗,有利于改善耳鸣。Objective To analyze clinically the correlation between tinnitus patients and sleep to provide effective treatment for tinnitus.Methods A total of 268 patients with tinnitus admitted to Shenzhen Hospital of Traditional Chinese Medicine from August 2018 to January 2020 were evaluated by general survey,tinnitus disability scale THI and Pittsburgh sleep quality index.Meanwhile,pure tone audiology,tinnitus pitch and frequency matching were also performed.Results The patients with tinnitus were 47.76%for female and 52.24%for male,including 48.51%under 44 years old,43.28%between 45 and 59 years old,5.22%between 60 and 74 years old and 2.99%over 75 years old.Tinnitus patients with hearing loss accounted for 62.69%;tinnitus mainly with pure tone accounted for 66.42%;tinnitus frequency mainly with high frequency accounted for 68.66%.The THI scores of patients with sleep disorders were significantly higher than those with normal sleep;a significant positive correlation between tinnitus disability scale(THI)and Pittsburgh sleep quality index(PSQI)was observed(r=0.291,P<0.001).Conclusion The more serious the tinnitus,the worse the sleep quality,and the two affect each other.The multiple comprehensive treatment should be adopted based on the improvement of sleep quality,which is beneficial to relieve tinnitus.

关 键 词：耳鸣 睡眠治疗 耳鸣治疗 耳鸣睡眠 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]