音乐疗法治疗耳鸣的研究现状及展望
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摘要
基于对耳鸣神经病理的研究发现,音乐疗法作为一种新兴疗法逐渐应用于临床,取得了不错的成绩,并且逐渐被人们所接受。本文通过对耳鸣音乐疗法的机理及其在耳鸣治疗的临床应用进行论述,总结国内外音乐治疗耳鸣的现状,并对音乐治疗耳鸣的研究进行展望。
Based on the study of tinnitus neuropathology, music therapy as an emerging therapy, has been gradually applied in tinnitus treatment and achieved good results for which it has been increasingly accepted by patients and clinicians. This article will discuss the mechanism of music therapy and its application in the treatment of tinnitus, and summarize the current status of music therapy in treatment of tinnitus in China and overseas, and attempt to describe the research prospect of music therapy in tinnitus treatment.
Based on the study of tinnitus neuropathology, music therapy as an emerging therapy, has been gradually applied in tinnitus treatment and achieved good results for which it has been increasingly accepted by patients and clinicians. This article will discuss the mechanism of music therapy and its application in the treatment of tinnitus, and summarize the current status of music therapy in treatment of tinnitus in China and overseas, and attempt to describe the research prospect of music therapy in tinnitus treatment.
引文
1赖仁淙,马鑫.耳鸣观念的文艺复兴[J].中华耳科学,2016,14(2):140-144.Lai RC,Ma X.Renaissance of Tinnitus managemen[J].Chinese Journal of Otology,2016,14(2):140-144.
2 Rauschecker J,Leaver A,Mühlau M.Tuning out the noise:Limbic-auditory interactions in tinnitus[J].Neuron.2010,66(6):819-826.
3 Maudoux A,Lefebvre P,Cabay JE,et al.Auditory resting-state network connectivity in tinnitus:a functional MRI study[J].PLOSONE,2012,7(5):1-9.
4杨海弟,郑亿庆,区永康,等.耳鸣患者静息态fMRI的局部区域一致性研究[J].中华耳科学杂志,2014,12(2):203-206.Yang HD,Zheng YQ,Qu YK,et al.Resting-State fMRI Regional Homogeneity in Tinnitus Patients[J].Chinese Journal of Otology,2014,12(2):203-206.
5 Eggermont JJ,Tass PA.Maladaptive neural synchrony in tinnitus:origin and restoration[J].frontiers in neurology,2015,6(29):1-17.
6贾若,孙凤新,刘博.耳鸣和情绪认知的相关性研究[J].中华耳科学杂志,2016,14(2):158-162.Jia R,Sun FX,Liu B.Effects of cognition and emotion changes on tinnitus[J].Chinese Journal of Otology,2016,14(2):158-162.
7褚志华,张晓莹,孟彬彬.不同病程高频特发性耳鸣药物治疗初步研究[J].中华耳科学杂志,2016,14(3):378-383.Chu ZH,Zhang XY,Meng BB.A preliminary study on pharmacological treatment of idiopathic high pitched subjective tinnitus of various durations[J].Chinese Journal of Otology,2016,14(3):378-383.
8 Argstatter H,Grapp M,Hutter E,et al.Long-term effects of the“Heidelberg Model of Music Therapy”in patients with chronic tinnitus[J].Int J Clin Exp Med,2012,5(4):273-288.
9 Krick CM,Argstatter H,Grapp M,et al.Heidelberg Neuro-Music Therapy Restores Attention-Related Activity in the Angular Gyrus in Chronic Tinnitus Patients[J].frontiers in Neuroscience,2017,11(418):1-12.
10 Krick CM,Argstatter H,Grapp M,et al.Heidelberg Neuro-Music Therapy Enhances Task-Negative Activity in Tinnitus Patients[J].frontiers in Neuroscience,2017,7(11):1-9.
11 Stein A,Wunderlich R,Lau P,et al.Clinical trial on tonal tinnitus with tailor made notched music training[J].BMC Neurology,2016,3:1-17.
12 Stein A,Engel lA,Junghoefer M,et al.Inhibition-induced plasticity in tinnitus patients after repetitive exposure to tailor-made notched music[J].Clinical Neurophysiology,2015,126(5):1007-1015.
13丁毅,郭裕.音乐疗法浅析及其在耳鸣治疗中的应用[J].中国中西医结合耳鼻咽喉科杂志,2016,24(2):157-159.Ding Y,Guo Y.A brief analysis of music therapy and its application in tinnitus therapy[J].Chin J Otorhinolaryngol Integ Med,2016,24(2):157-159.
14陈春凤,王忆勤,郭睿,等.803例五脏病变患者语音的客观化采集与分析[J].中华中医药杂志(原中国医药学报),2012,27(5):1455-1457.Chen CF,Wang YQ,Guo R,et al.Analysis of voice signals of 803patients with fi ve organs illness in traditional Chinese medicine auscultation[J].Chinese journal of traditional Chinese medicine and Pharmacy(former Chinese medical journal),2012,27(5):1455-1457.
15张晶,田思胜.我国音乐疗法的中医理论探讨[J].中华中医药杂志(原中国医药学报),2011,26(05):1013-1017.Zhang J,Tian SS.Theoretic discussion of traditional Chinese medicine in Chinese music therapy[J].Chinese journal of traditional Chinese medicine and Pharmacy(former Chinese medical journal),2011,26(05):1013-1017.
16许继宗,李月明.音乐治疗曲目序列组成原则尝试及实验观察[J].黄钟(中国.武汉音乐学院学报),2012(01):108-111.Xu JZ,Li YM.Attempt and experimental observation of the principle of composing composition sequence for music therapy[J].Hangzhong(Journal of Wuhan Conservatory of Music).2012(1):108-111.
17冷辉,张琦.中医五音治疗耳鸣的理论及应用[J].中医眼耳鼻喉杂志.2018,8(3):124-127.Leng H,Zhang Q.Theory and application of Five Elements of TCMMusic therapy for tinnitus[J].J Chin Ophthalmol&Otorhinolaryngol.2018,8(3):124-127.
18 Argstatter H,Grapp M,Hutter E,et al.The effectiveness of neuro-music therapy according to the Heidelberg model compared to a single session of educational counseling as treatment for tinnitus:A controlled trial[J].Journal of Psychosomatic Research,2015,78(3):258-292.
19 Krick CM,Grapp M,Daneshvar-Talebi J,et al.Cortical reorganization in recent-onset tinnitus patients by the Heidelberg Model of Music Therapy[J].frontiers in Neuroscience,2015,2(9):1-9.
20 Pantev C,Okamoto H,Teismann H.Music-induced cortical plasticity and lateral inhibition in the human auditory cortex as foundations for tonal tinnitus treatment[J].frontiers in SYSTEMS NEU-ROSCIENCE,2012,6(6):1-19.
21蔡跃新,孙映凤,杨海荣,等.个性化切迹音乐治疗主观性耳鸣的初步观察[J].中华耳科学杂志,2017,15(4):465-470.Cai YX,Sun YF,Yang HR,et al.Preliminary Results of Retraining Using Tailor Made Notch Music in Patients with Subjective Tinnitus[J].Chinese Journal of Otology,2017,15(4):465-470.
22 Wunderlich R,Lau P,Stein A,et al.Impact of Spectral Notch Width on Neurophysiological Plasticity and Clinical Effectiveness of the Tailor-Made Notched Music Training[J].PLOS ONE,2015,10(9):1-15.
23 Pape J,Paraskevopoulos E,Bruchmann M,et al.Playing and Listening to Tailor-Made Notched Music:Cortical Plasticity Induced by Unimodal and Multimodal Training in Tinnitus Patients[J].Neural Plasticity,2014,5:1-10.
24 Teismann H,Okamoto H,Pantev C.Short and Intense Tailor-Made Notched Music Training against Tinnitus:The Tinnitus Frequency Matters[J].POSE ONE,2011,6(9):1-8.
25汪晓玲,王云甫.辨证针刺配合五行音乐疗法治疗特发性耳鸣的疗效观察[J].湖北中医药大学学报,2016,18(2):85-88.Wang XL,Wang YF.Clinical Observation on Differentiation of Acupuncture Combined with Five-elments Music Therapy in Treatment of Subjective Idiopathic Tinnitus[J].Journal of Hubei University of Chinese Medicine,2016,18(2):85-88.
26华爱军,唐娅琴.五行音乐疗法联合耳部循经艾灸改善患者耳鸣的临床研究[J].陕西中医药大学学报,2017,40(3):57-59.Hua AJ,Tang YQ.Curative Effects of Five-elements Music and Along-channel Moxibustion on Tinnitus Patients[J],Journal of Shaanxi University of Chinese Medicine,2017,40(3):57-59.
27张琦,石磊,冷辉,等.中医五行音乐疗法治疗肝气郁结型特发性耳鸣患者临床研究[J].辽宁中医药大学学报,2018,20(3):170-172.Zhang Q,Shi L,Leng H,et al.Clinical Study of TCM Five Elements Music Therapy on Liver Qi Stagnation Type Idiopathic Tinnitus Patients[J].JOURNAL OF LIAONING UNIVERSITY OF TCM,2018,20(3):170-172.
28温菊珍,蒋振兴.中医音乐疗法联合心理护理对耳鸣患者康复的影响[J].西部中医药,2018,31(1):121-123.Wen JZ,Jiang ZX.Influence of TCM Music Therapy Combined with Psychological Nursingon the Recovery of Tinnitus Patients[J].Western Journal of Traditional Chinese Medicine,2018,31(1):121-123.
2 Rauschecker J,Leaver A,Mühlau M.Tuning out the noise:Limbic-auditory interactions in tinnitus[J].Neuron.2010,66(6):819-826.
3 Maudoux A,Lefebvre P,Cabay JE,et al.Auditory resting-state network connectivity in tinnitus:a functional MRI study[J].PLOSONE,2012,7(5):1-9.
4杨海弟,郑亿庆,区永康,等.耳鸣患者静息态fMRI的局部区域一致性研究[J].中华耳科学杂志,2014,12(2):203-206.Yang HD,Zheng YQ,Qu YK,et al.Resting-State fMRI Regional Homogeneity in Tinnitus Patients[J].Chinese Journal of Otology,2014,12(2):203-206.
5 Eggermont JJ,Tass PA.Maladaptive neural synchrony in tinnitus:origin and restoration[J].frontiers in neurology,2015,6(29):1-17.
6贾若,孙凤新,刘博.耳鸣和情绪认知的相关性研究[J].中华耳科学杂志,2016,14(2):158-162.Jia R,Sun FX,Liu B.Effects of cognition and emotion changes on tinnitus[J].Chinese Journal of Otology,2016,14(2):158-162.
7褚志华,张晓莹,孟彬彬.不同病程高频特发性耳鸣药物治疗初步研究[J].中华耳科学杂志,2016,14(3):378-383.Chu ZH,Zhang XY,Meng BB.A preliminary study on pharmacological treatment of idiopathic high pitched subjective tinnitus of various durations[J].Chinese Journal of Otology,2016,14(3):378-383.
8 Argstatter H,Grapp M,Hutter E,et al.Long-term effects of the“Heidelberg Model of Music Therapy”in patients with chronic tinnitus[J].Int J Clin Exp Med,2012,5(4):273-288.
9 Krick CM,Argstatter H,Grapp M,et al.Heidelberg Neuro-Music Therapy Restores Attention-Related Activity in the Angular Gyrus in Chronic Tinnitus Patients[J].frontiers in Neuroscience,2017,11(418):1-12.
10 Krick CM,Argstatter H,Grapp M,et al.Heidelberg Neuro-Music Therapy Enhances Task-Negative Activity in Tinnitus Patients[J].frontiers in Neuroscience,2017,7(11):1-9.
11 Stein A,Wunderlich R,Lau P,et al.Clinical trial on tonal tinnitus with tailor made notched music training[J].BMC Neurology,2016,3:1-17.
12 Stein A,Engel lA,Junghoefer M,et al.Inhibition-induced plasticity in tinnitus patients after repetitive exposure to tailor-made notched music[J].Clinical Neurophysiology,2015,126(5):1007-1015.
13丁毅,郭裕.音乐疗法浅析及其在耳鸣治疗中的应用[J].中国中西医结合耳鼻咽喉科杂志,2016,24(2):157-159.Ding Y,Guo Y.A brief analysis of music therapy and its application in tinnitus therapy[J].Chin J Otorhinolaryngol Integ Med,2016,24(2):157-159.
14陈春凤,王忆勤,郭睿,等.803例五脏病变患者语音的客观化采集与分析[J].中华中医药杂志(原中国医药学报),2012,27(5):1455-1457.Chen CF,Wang YQ,Guo R,et al.Analysis of voice signals of 803patients with fi ve organs illness in traditional Chinese medicine auscultation[J].Chinese journal of traditional Chinese medicine and Pharmacy(former Chinese medical journal),2012,27(5):1455-1457.
15张晶,田思胜.我国音乐疗法的中医理论探讨[J].中华中医药杂志(原中国医药学报),2011,26(05):1013-1017.Zhang J,Tian SS.Theoretic discussion of traditional Chinese medicine in Chinese music therapy[J].Chinese journal of traditional Chinese medicine and Pharmacy(former Chinese medical journal),2011,26(05):1013-1017.
16许继宗,李月明.音乐治疗曲目序列组成原则尝试及实验观察[J].黄钟(中国.武汉音乐学院学报),2012(01):108-111.Xu JZ,Li YM.Attempt and experimental observation of the principle of composing composition sequence for music therapy[J].Hangzhong(Journal of Wuhan Conservatory of Music).2012(1):108-111.
17冷辉,张琦.中医五音治疗耳鸣的理论及应用[J].中医眼耳鼻喉杂志.2018,8(3):124-127.Leng H,Zhang Q.Theory and application of Five Elements of TCMMusic therapy for tinnitus[J].J Chin Ophthalmol&Otorhinolaryngol.2018,8(3):124-127.
18 Argstatter H,Grapp M,Hutter E,et al.The effectiveness of neuro-music therapy according to the Heidelberg model compared to a single session of educational counseling as treatment for tinnitus:A controlled trial[J].Journal of Psychosomatic Research,2015,78(3):258-292.
19 Krick CM,Grapp M,Daneshvar-Talebi J,et al.Cortical reorganization in recent-onset tinnitus patients by the Heidelberg Model of Music Therapy[J].frontiers in Neuroscience,2015,2(9):1-9.
20 Pantev C,Okamoto H,Teismann H.Music-induced cortical plasticity and lateral inhibition in the human auditory cortex as foundations for tonal tinnitus treatment[J].frontiers in SYSTEMS NEU-ROSCIENCE,2012,6(6):1-19.
21蔡跃新,孙映凤,杨海荣,等.个性化切迹音乐治疗主观性耳鸣的初步观察[J].中华耳科学杂志,2017,15(4):465-470.Cai YX,Sun YF,Yang HR,et al.Preliminary Results of Retraining Using Tailor Made Notch Music in Patients with Subjective Tinnitus[J].Chinese Journal of Otology,2017,15(4):465-470.
22 Wunderlich R,Lau P,Stein A,et al.Impact of Spectral Notch Width on Neurophysiological Plasticity and Clinical Effectiveness of the Tailor-Made Notched Music Training[J].PLOS ONE,2015,10(9):1-15.
23 Pape J,Paraskevopoulos E,Bruchmann M,et al.Playing and Listening to Tailor-Made Notched Music:Cortical Plasticity Induced by Unimodal and Multimodal Training in Tinnitus Patients[J].Neural Plasticity,2014,5:1-10.
24 Teismann H,Okamoto H,Pantev C.Short and Intense Tailor-Made Notched Music Training against Tinnitus:The Tinnitus Frequency Matters[J].POSE ONE,2011,6(9):1-8.
25汪晓玲,王云甫.辨证针刺配合五行音乐疗法治疗特发性耳鸣的疗效观察[J].湖北中医药大学学报,2016,18(2):85-88.Wang XL,Wang YF.Clinical Observation on Differentiation of Acupuncture Combined with Five-elments Music Therapy in Treatment of Subjective Idiopathic Tinnitus[J].Journal of Hubei University of Chinese Medicine,2016,18(2):85-88.
26华爱军,唐娅琴.五行音乐疗法联合耳部循经艾灸改善患者耳鸣的临床研究[J].陕西中医药大学学报,2017,40(3):57-59.Hua AJ,Tang YQ.Curative Effects of Five-elements Music and Along-channel Moxibustion on Tinnitus Patients[J],Journal of Shaanxi University of Chinese Medicine,2017,40(3):57-59.
27张琦,石磊,冷辉,等.中医五行音乐疗法治疗肝气郁结型特发性耳鸣患者临床研究[J].辽宁中医药大学学报,2018,20(3):170-172.Zhang Q,Shi L,Leng H,et al.Clinical Study of TCM Five Elements Music Therapy on Liver Qi Stagnation Type Idiopathic Tinnitus Patients[J].JOURNAL OF LIAONING UNIVERSITY OF TCM,2018,20(3):170-172.
28温菊珍,蒋振兴.中医音乐疗法联合心理护理对耳鸣患者康复的影响[J].西部中医药,2018,31(1):121-123.Wen JZ,Jiang ZX.Influence of TCM Music Therapy Combined with Psychological Nursingon the Recovery of Tinnitus Patients[J].Western Journal of Traditional Chinese Medicine,2018,31(1):121-123.