助听器对伴听力损失的慢性主观性耳鸣的临床效果分析  

Clinical effects of hearing aids in the treatment of chronic subjective tinnitus with hearing loss

作　　者：周玲玲 周晶 韩朝 刘月红 ZHOU Lingling;ZHOU Jing;HAN Zhao;LIU Yuehong(Department of Otolaryngology Head and Neck Surgery,Huadong Hospital,Fudan University,Geriatric Tinnitus and Deafness Center of Huadong Hospital,Shanghai,200040,China)

机构地区：[1]复旦大学附属华东医院耳鼻咽喉科,华东医院老年耳鸣耳聋中心,上海200040

出　　处：《中国耳鼻咽喉头颈外科》2025年第2期90-93,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

基　　金：华东医院重点学科(ZDXK2214)。

摘　　要：目的探究助听器对伴中重度感音性神经性聋的慢性主观性耳鸣的治疗效果。方法前瞻性研究纳入95例患者,耳鸣侧患耳佩戴助听器,佩戴前进行纯音测听、声导抗及耳鸣检查,佩戴前、佩戴后3个月及6个月填写耳鸣障碍量表(tinnitus handicap inventory,THI),医院焦虑抑郁量表(hospital anxiety and depression scale,HADS)及视觉模拟量表(visual analogue scale,VAS)问卷并进行数据采集,采用SPSS 22进行统计分析。结果患者佩戴助听器3个月、6个月后,THI、HADS及VAS评分明显下降,佩戴前及佩戴后有明显统计学差异(P<0.05)。灾难组患者THI分值下降最多,达44.5分。年龄、性别、耳鸣持续时间、耳鸣侧别及听力损失程度对助听器的效果无影响。结论助听器不仅能提高患者听力,同时能减轻耳鸣,缓解焦虑抑郁情绪。OBJECTIVE To explore the therapeutic effect of hearing aids on chronic subjective tinnitus with moderate to severe sensorineural hearing loss.METHODS Ninety-five patients were enrolled in this prospective study.Pure tone audiometry,acoustic immittance and tinnitus were performed before hearing aids were worn.The tinnitus handicap inventory(THI),hospital anxiety and depression scale(HADS)and visual analogue scale(VAS)were completed before and after 3 and 6 months after wearing the device.SPSS 22 was used for statistical analysis.RESULTS After 3 months and 6 months of hearing aid wearing,THI,HADS and VAS scores of the patients were significantly decreased,and there were significant differences before and after wearing the hearing aid(P<0.05).The THI score of patients in the catastrophic group decreased the most,reaching 44.5 points.Age,gender,duration of tinnitus,the side of tinnitus and the degree of hearing loss have no effect on the treatment effect of hearing aids.CONCLUSION Hearing aids can not only improve the hearing of patients,but also reduce tinnitus,relieve anxiety and depression.

关 键 词：耳鸣 助听器 耳聋 感音神经性耳聋 耳鸣障碍量表 医院焦虑抑郁量表 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]