助听器结合心理咨询改善耳聋患者耳鸣的疗效观察

张敏敏; 周慧芳; 张静; 郭玉玺; 王秀珍; 王诺

doi:10.13201/j.issn.1001-1781.2013.10.008

助听器结合心理咨询改善耳聋患者耳鸣的疗效观察

- 1 天津医科大学总医院耳鼻咽喉科(天津, 300052);
- 2 天津市残联

详细信息

通讯作者: 周慧芳,E-mail:ZYYZHF@163.com

中图分类号: R764.43

收稿日期: 2012-11-19

Evaluating the effects of hearing aids combined with psychological counseling on tinnitus in patients with deafness

- 1 Department of Otorhinolaryngology, the General Hospital of Tianjin Medical University, Tianjin, 300052, China;
- 2 Disabled Persons' Federation of Tianjin

More Information

Corresponding author: ZHOU Huifang, E-mail: ZYYZHF@163.com

Received Date: 19 November 2012

摘要

摘要: 目的:观察助听器结合心理咨询对耳聋患者主观性耳鸣的改善效果。方法:将入选的154例患者随机分成2组:实验组84例,给予助听器结合心理咨询干预;对照组70例,给予心理咨询干预。2组在3、6、12 个月后随访,进行疗效判定。实验组6例双耳佩戴助听器,78例单耳佩戴;对78例单耳佩戴患者根据听力损失情况分成3个亚组:A组(中度听力损失)、B组(中重度听力损失)、C组(重度听力损失)。结果:3、6、12个月后疗效判定结果显示,实验组有效率为26.19%、63.10%、72.62%,对照组有效率为8.57%、18.57%、25.71%;2组疗效比较,差异有统计学意义(P<0.01)。A组耳鸣改善效果最好,C组最差;A组疗效均优于B、C组,差异有统计学意义(P<0.01);B组有效率均高于C组,差异无统计学意义(P>0.05)。结论:助听器不仅改善耳聋患者的听力问题,同时对伴有的耳鸣症状有明显改善作用,助听器结合心理咨询是临床治疗耳聋患者耳鸣的理想方法。
- 耳鸣 /
- 耳聋 /
- 助听器 /
- 心理咨询
Abstract: Objective: To evaluate the effects of hearing aids combined with psychological counseling on subjective tinnitus.Method: One hundred and fifty four tinnitus patients with deafness were randomly divided into two groups: 84 cases in study group, receiving hearing aids combined with psychological counseling therapy;70 cases in control group, receiving counseling therapy only. Two groups were assessed at 3, 6 and 12 months after the beginning of the therapy. In study group, 6 cases were bilaterally aided and 78 cases were unilaterally aided. The 78 cases are divided into three subgroups: Group A (moderate hearing loss),Group B(moderate to severe hearing loss), and Group C(severe hearing loss) according to the severity of hearing loss.Result: At 3,6 and 12 months after the beginning of the therapy,the effective rates in study group are 26.19%,63.10% and 72.62% respectively and the effective rates in control group are 8.57%,18.57% and 25.71% respectively. There are statistically significant differences between the effective rates of the two groups after 3,6 and 12 months since the therapy started(P<0.01). The tinnitus improvement of Group A is the most, and that of Group C is the least. The effective rate of Group A is higher than groups B and C with statistically significant differences(P<0.016 7). The effective rate of Group B is higher than Group C while with no statistically significant difference(P>0.05).Conclusion: Hearing aids can not only improve hearing but also help with the treatment of tinnitus. Hearing aids combined with psychological counseling treatment is an ideal method for dealing with tinnitus in patients with deafness.
- tinnitus /
- deafness /
- hearing aids /
- psychological counseling

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