听力正常耳鸣患者焦虑敏感性的研究  

Study on Anxiety Sensitivity of Tinnitus Patients with Normal Hearing

作　　者：陈茹 陈橹冰 时晨 张云美[3] 苏俊[1] Chen Ru;Chen Lubing;Shi Chen;Zhang Yunmei;Su Jun(Zhejiang Chinese Medical University,Hangzhou,310053,China;不详)

机构地区：[1]浙江中医药大学,杭州310053 [2]青岛大学附属医院耳鼻咽喉头颈外科 [3]苏州大学附属第一医院

出　　处：《听力学及言语疾病杂志》2022年第5期515-518,共4页Journal of Audiology and Speech Pathology

基　　金：国家级大学生创新训练计划项目(202110344044);浙江省高等教育“十三五”第二批教学改革项目(jg20190222);2019年浙江省“十三五”省级产学合作协同育人项目(浙江中医药大学——美国斯达克高级助听器验配师产学联合项目)。

摘　　要：目的探讨听力正常耳鸣患者的焦虑敏感性特征。方法124例以耳鸣为第一主诉、符合耳鸣诊断标准且听力正常者为耳鸣组,110例听力正常无耳鸣的青年人作为正常对照组(正常组);记录基本信息,填写焦虑敏感指数量表3版(ASI-3),有耳鸣主诉者,记录耳鸣特征资料,填写耳鸣障碍量表(THI)。分析听力正常耳鸣患者的焦虑敏感性特征及其与耳鸣病程、严重程度的关系。结果耳鸣组ASI-3总分、躯体关注、认知关注的评分均显著高于正常组,差异统计学意义(P<0.01),两组社会关注评分差异无统计学意义(P>0.05);轻微、轻度耳鸣者的ASI-3总分及躯体关注、认知关注、社会关注3个维度评分显著低于中度、重度耳鸣者(P<0.01);THI总分与ASI-3总分及各维度评分具有相关性(r值分别为0.501、0.421、0.505、0.417,P<0.01),THI分级与ASI-3总分及各维度评分呈正相关(r值分别为0.513、0.446、0.511、0.469,P<0.01);亚急性耳鸣者的ASI-3总分、认知关注的评分显著低于急性、慢性耳鸣者(P<0.05)。结论听力正常耳鸣患者的焦虑敏感性高于正常人,听力正常中重度耳鸣患者焦虑敏感性显著增高,焦虑敏感性可能会随耳鸣病程的进展而变化。Objective To study the characteristics of anxiety sensitivity in tinnitus patients with normal hearing.Methods One hundred and twenty four people with normal hearing who had tinnitus as the first complaint and met the diagnostic criteria for tinnitus served as the tinnitus group.One hundred and ten people with normal hearing without tinnitus served as the normal control group(the normal control group).Both groups recorded basic information,filled in the anxiety sensitivity index-3(ASI-3).In addition,the tinnitus group recorded tinnitus characteristics and filled in the tinnitus handicap inventory(THI).The relationship between tinnitus severity,tinnitus course and anxiety sensitivity was analyzed.Results The tinnitus group was significantly higher than the control group in the ASI-3 total score,physical concern score,and cognitive concern score(P<0.01),but the social concern score was not statistically significant(P>0.05).Slight tinnitus and mild tinnitus were significantly lower than moderate tinnitus and severe tinnitus in the ASI-3 total scores,physical concern score,cognitive concern score and social concern score(P<0.01).The total THI score was correlated with the ASI-3 total score and the score of each dimension(r=0.501,0.421,0.505,0.417,P<0.01).The THI classification was positively correlated with the ASI-3 total score and the score of each dimension(r=0.513,0.446,0.511,0.469,P<0.01).The subacute tinnitus was lower than the acute and chronic tinnitus in the ASI-3 total score and the cognitive concern score(P<0.05).Conclusion The anxiety sensitivity of tinnitus patients with normal hearing is higher than that of normal people.Patients with normal hearing who had moderate to severe tinnitus have significantly higher anxiety sensitivity.Anxiety sensitivity may change as the course of tinnitus progresses.

关 键 词：焦虑敏感性 听力正常 耳鸣 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]