耳鸣患者多元叠加整合声治疗的临床应用研究
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摘要
目的:通过多元叠加整合声治疗(T-MIST)诊治耳鸣,观察耳鸣患者的一般临床特征并分析TMIST诊治耳鸣的优势及应用价值。方法:收集172例主观性耳鸣患者和54名非耳鸣受试者,通过T-MIST记录病史,观察耳鸣患者分布的疾病人群特征,精确检测患者耳鸣相关指标并分析性别、年龄、听力损失及听力损失频率与耳鸣的相关性,同时进行精准治疗并分析其疗效。结果:(1)耳鸣患者中高血压、睡眠障碍、糖尿病、长期噪声接触史、鼻炎、耳鸣期间感冒、颈椎病人群较多,且耳鸣频率及听力损失频率多集中在高频区;(2)耳鸣与性别、年龄、听力损失等差异无统计学意义(P>0.05);(3)对耳鸣频率与听力损失频率进行双变量相关分析,发现耳鸣频率与听力损失频率具有正相关性(r=0.545);(4)T-MIST治疗耳鸣的有效率为64.5%。结论:T-MIST可以同步记录患者病史,精细化检测患者耳鸣和听力情况,有针对性的进行个性化治疗,较传统治疗方法的准确度更高。
Objective:To analyze the advantages and application value of tinnitus multielement integration sound therapy(T-MIST)in the diagnosis and treatment of tinnitus.Method:Collect 172 patients with subjective tinnitus and 54 non-tinnitus subjects,record history through T-MIST,observe the distribution of the tinnitus patients,an illness population characteristics,precise detection in patients with tinnitus related status indicators and analysis of gender,age,hearing loss,and the correlation of frequency of hearing loss and tinnitus,at the same time in surgical treatment and analysis of its curative effect.Result:The incidence of hypertension,sleep disturbance,diabetes,chronic noise exposure,rhinitis,colds and cervical spondylosis during tinnitus was high,and the frequency of tinnitus and hearing loss were high.There was no statistically significant difference between tinnitus and gender,age and hearing loss(P>0.05).As for the bivariate correlation analysis of tinnitus frequency and hearing loss frequency,tinnitus frequencywas positively correlated with hearing loss frequency(r=0.545).The effective rate of acoustic T-MIST treatment was 64.5%.Conclusion:T-MIST can record the patients' medical history synchronously,accurately detect their tinnitus and hearing condition,and conduct targeted treatment,which is more comprehensive and accurate than traditional treatment.
Objective:To analyze the advantages and application value of tinnitus multielement integration sound therapy(T-MIST)in the diagnosis and treatment of tinnitus.Method:Collect 172 patients with subjective tinnitus and 54 non-tinnitus subjects,record history through T-MIST,observe the distribution of the tinnitus patients,an illness population characteristics,precise detection in patients with tinnitus related status indicators and analysis of gender,age,hearing loss,and the correlation of frequency of hearing loss and tinnitus,at the same time in surgical treatment and analysis of its curative effect.Result:The incidence of hypertension,sleep disturbance,diabetes,chronic noise exposure,rhinitis,colds and cervical spondylosis during tinnitus was high,and the frequency of tinnitus and hearing loss were high.There was no statistically significant difference between tinnitus and gender,age and hearing loss(P>0.05).As for the bivariate correlation analysis of tinnitus frequency and hearing loss frequency,tinnitus frequencywas positively correlated with hearing loss frequency(r=0.545).The effective rate of acoustic T-MIST treatment was 64.5%.Conclusion:T-MIST can record the patients' medical history synchronously,accurately detect their tinnitus and hearing condition,and conduct targeted treatment,which is more comprehensive and accurate than traditional treatment.
引文
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[7] NOROOZIAN M,JAFARI Z,SHAHMIRI E,et al.Effect of Age,Gender and Hearing Loss on the Degree of Discomfort Due to Tinnitus[J].Basic Clin Neurosci,2017,8:435-442.
[8] RIGA M,KOMIS A,MARAGOUDAKIS P,et al.Objective assessment of subjective tinnitus through contralateral suppression of otoacoustic emissions by white noise:effects of frequency,gender,tinnitus bilaterality and age[J].Acta Otorhinolaryngol Ital,2018,38:131-137.
[9] FORMANEK M,MIGALOVA P,KRULOVA P,et al.Combined transcranial magnetic stimulation in the treatment of chronictinnitus[J].Ann Clin Transl Neurol,2018,5:857-864.
[10]ELZAYAT S,RAGAB S,EISA M,et al.Evaluation of Adding Lidocaine to Dexamethasone in the Intra-tympanic Injection for Management of Tinnitus:A Prospective,Randomized,Controlled Double-blinded Trial[J].Int Tinnitus J,2018,22:54-59.
[11]何晶晶,朱清平,关丽梅.多元复合声治疗原发性耳鸣的疗效[J].中国卫生标准管理,2018,9(4):61-63.
[12]罗彬,熊彬彬,孙伟,等.个性化多元复合声对慢性主观性耳鸣临床疗效的初步分析[J].临床耳鼻咽喉头颈外科杂志,2018,32(11):819-822,826.
[2] WALLHAUSSER-FRANKE E,SCHREDL M,DELB W.Tinnitus and insomnia:is hyperarousal the common denominator[J]?Sleep Med Rev,2013,17:65-74.
[3] MCCORMACK A,EDMONDSON-JONES M,FORTNUM H,et al.Investigating the association between tinnitus severity and symptoms of depression and anxiety,while controlling for neuroticism,in a large middle-aged UK population[J].Int J Audiol,2015,54:599-604.
[4]刘博,李谨,张祎,等.糖尿病患者的耳鸣调查与分析[J].临床耳鼻咽喉头颈外科杂志,2018,32(8):566-569.
[5] SHARMA A,MUNJAL S,PANDA N,et al.Demographic Variations in Tinnitus Subjects with and without Hearing Loss:A Study of 175Subjects[J].Int Tinnitus J,2018,22:77-83.
[6] UDUPI V A,UPPUNDA A K,MOHAN K M,et al.The relationship of perceived severity of tinnitus with depression,anxiety,hearing status,age and gender in individuals with tinnitus[J].Int Tinnitus J,2013,18:29-34.
[7] NOROOZIAN M,JAFARI Z,SHAHMIRI E,et al.Effect of Age,Gender and Hearing Loss on the Degree of Discomfort Due to Tinnitus[J].Basic Clin Neurosci,2017,8:435-442.
[8] RIGA M,KOMIS A,MARAGOUDAKIS P,et al.Objective assessment of subjective tinnitus through contralateral suppression of otoacoustic emissions by white noise:effects of frequency,gender,tinnitus bilaterality and age[J].Acta Otorhinolaryngol Ital,2018,38:131-137.
[9] FORMANEK M,MIGALOVA P,KRULOVA P,et al.Combined transcranial magnetic stimulation in the treatment of chronictinnitus[J].Ann Clin Transl Neurol,2018,5:857-864.
[10]ELZAYAT S,RAGAB S,EISA M,et al.Evaluation of Adding Lidocaine to Dexamethasone in the Intra-tympanic Injection for Management of Tinnitus:A Prospective,Randomized,Controlled Double-blinded Trial[J].Int Tinnitus J,2018,22:54-59.
[11]何晶晶,朱清平,关丽梅.多元复合声治疗原发性耳鸣的疗效[J].中国卫生标准管理,2018,9(4):61-63.
[12]罗彬,熊彬彬,孙伟,等.个性化多元复合声对慢性主观性耳鸣临床疗效的初步分析[J].临床耳鼻咽喉头颈外科杂志,2018,32(11):819-822,826.