听力正常者耳鸣严重程度影响因素初步分析  

Preliminary analysis of factors influencing the severity of tinnitus with normal hearing

作　　者：王香香 熊海霞 张培丽 朱玉华[2] 刁明芳 WANG Xiangxiang;XIONG Haixia;ZHANG Peili;ZHU Yuhua;DIAO Mingfang(School of Medicine,South China University of Technology,Guangzhou 510006,China;Department of Endoscopic Ear Surgery,Senior Department of Otorhinolaryngology Head and Neck Surgery,the Sixth Medical Center of Chinese PLA General Hospital,Beijing 100048,China)

机构地区：[1]华南理工大学医学院,广州510006 [2]解放军总医院第六医学中心耳鼻咽喉头颈外科医学部耳内镜外科,北京100048

出　　处：《听力学及言语疾病杂志》2025年第2期140-144,共5页Journal of Audiology and Speech Pathology

基　　金：全军医学科技青年培育计划项目(17QNP019);首都卫生发展科研专项(首发2022-2-5072);海南省自然科学基金(820QN381)。

摘　　要：目的分析影响听力正常者耳鸣严重程度的相关因素,为听力正常的耳鸣患者诊疗提供临床依据。方法纳入2019年11月至2020年5月在解放军总医院第六医学中心耳鼻喉科门诊以耳鸣为第一主诉且听力正常的初诊患者150例,通过耳鸣障碍量表(THI)评估患者耳鸣严重程度,匹兹堡睡眠质量指数量表(PSQI)和焦虑抑郁量表(HADS)分别评估患者睡眠质量和焦虑抑郁情况。采用Pearson方法、Logistic多因素回归分析耳鸣严重程度与患者的性别、年龄、病程、耳鸣侧别、耳鸣主调频率、耳鸣主调响度、睡眠质量及焦虑抑郁之间的相关性。结果Pearson相关性分析提示睡眠质量(r=0.667,P<0.001)、焦虑状态(r=0.603,P<0.001)和抑郁状态(r=0.593,P<0.001)与耳鸣THI分级有相关性,睡眠质量较差,焦虑抑郁得分较高的患者,其耳鸣程度较重;Logistic多因素回归分析结果显示只有睡眠质量对THI分级有显著影响(P<0.001)。结论睡眠质量可能与听力正常耳鸣患者耳鸣严重程度有关,在这类患者的临床诊治中要重点关注其睡眠状态。Objective To investigate the influencing factors related to the severity of tinnitus with normal hearing and to provide a clinical basis for the treatment of such patients.Methods From November 2019 to May 2020,150 normal hearing patients with tinnitus as their first chief complain in the outpatient clinic of our center were selected.The severity of tinnitus was assessed by the tinnitus handicap inventory(THI),and the quality of sleep and psychological condition were assessed by the Pittsburgh sleep quality index inventory(PSQI)and the anxie-ty and depression scale(HADS).The relationship between tinnitus severity and patients'gender,age,duration of illness,tinnitus side,tinnitus dominant sound frequency,tinnitus dominant sound loudness,sleep quality,anxiety and depression were analyzed using Pearson's method and Logistic multi-factor regression.Results The Pearson correlation analysis suggested that sleep quality(r=0.667,P<0.001),anxiety status(r=0.603,P<0.001)and depression status(r=0.593,P<0.001)were correlated with the THI classification,and patients with poorer sleep quality and higher anxiety and depression scores had more severe tinnitus.Logistic multi-factor regression analysis showed that only sleep quality had a significant effect on THI classification(P<0.001).Conclusion Sleep quality may be related to the severity of tinnitus patients with normal hearing,and it is important to focus on their sleep status in the clinical management of such patients.

关 键 词：耳鸣 听力正常 严重程度 相关因素 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]