耳鸣的神经生物反馈疗法

赵泽祺; 雷冠雄; 李雅兰; 张铎; 申卫东; 杨仕明; 乔月华

doi:10.13201/j.issn.1001-1781.2018.03.020

耳鸣的神经生物反馈疗法

- 1. 徐州医科大学(江苏徐州, 221000);
- 2. 湘南学院;
- 3. 解放军总医院耳鼻咽喉头颈外科
基金项目:
国家自然科学基金（No：81470684）；2014年省级条件建设与民生科技专项资金（No：BL2014032）；中国博士后科学基金（No：2015M571817）；国家自然科学基金面上项目（No：81670940）

详细信息

通讯作者: 乔月华,E-mail:oto8558@163.com

中图分类号: R764.45

收稿日期: 2017-10-17

Neurofeedback therapy in the treatment of tinnitus

More Information

Corresponding author: QIAO Yuehua, E-mail: oto8558@163.com

Received Date: 17 October 2017

摘要

- 耳鸣 /
- 生物反馈疗法 /
- 神经生物反馈疗法 /
- 脑电生物反馈疗法
Abstract: Neurofeedback therapy is a fast-growing field of tinnitus treatment, which is a new type of biofeedback therapy. In the past, the "muscle tone" and "blood flow" were used as feedback signals in biofeedback therapy to treat tinnitus, however there was no long-term follow-up report. Instead, neurofeedback therapy utilizes EEG (electroencephalogram) as the feedback signal, which is also called EEG biofeedback therapy. At present, most treatments of tinnitus only record subjective measures of patients as evaluation indicators, whereas neurofeedback therapy is more convincing for using comprehensive evaluation including changes of brain wave as objective indicators and subjective measures of patients. A significant number of tinnitus patients have varying degree of hearing loss. As neurofeedback therapy takes advantage of EEG as feedback signal that is delivered to the patients through visual information, it has unique advantages of being not affected by the degree of hearing loss compared to the sound masking or other sound treatment.Long-term follow-up results showed that the efficacy of neurofeedback therapy was stable after half a year of short-term treatment. This paper summarizes the progress of the various types of biofeedback therapy in the treatment of tinnitus, and focuses on the neurofeedback therapy for the mechanism, indication, process,efficacy evaluation, defect and prospect of neurofeedback therapy in tinnitus treatment in order to help promote the development of domestic clinical neurofeedback therapy in tinnitus.
- tinnitus /
- biofeedback therapy /
- neurofeedback therapy /
- eeg biofeedback therapy

HTML全文

参考文献(27)

[1]	田勇泉, 韩东一, 迟放鲁, 等.耳鼻咽喉头颈外科学[M].8版.北京:人民卫生出版社, 2013:366-367.
[2]	HOUSE J W.Management of the tinnitus patient[J].Ann Otol Rhinol Laryngol, 1981, 90(6Pt 1):597-601.
[3]	WALSH W M, GERLEY P P.Thermal biofeedback and the treatment of tinnitus[J].Laryngoscope, 1985, 95:987-989.
[4]	唐功元, 张作礼.耳鸣的肌电生物反馈治疗[J].中华耳鼻咽喉头颈外科杂志, 1991, 26(3):83-183.
[5]	张薇, 齐颖.生物反馈与医学综合治疗神经性耳鸣的探讨[J].内蒙古医学杂志, 2009, 41(5):25-26.
[6]	DOHRMANN K, WEISZ N, SCHLEE W, et al.Neurofeedback for treating tinnitus[J].Prog Brain Res, 2007, 166:473-485.
[7]	邹明德.探索脑电波生物反馈技术[J].北京生物医学工程, 2000, 19(1):39-42.
[8]	HALLER S, KOPEL R, JHOOTI P, et al.Dynamic reconfiguration of human brain functional networks through neurofeedback[J].Neuroimage, 2013, 81:243-252.
[9]	EMMERT K, KOPEL R, KOUSH Y, et al.Continuous vs.intermittent neurofeedback to regulate auditory cortex activity of tinnitus patients using real-time fMRI-A pilot study[J].Neuroimage Clin, 2017, 97-104.
[10]	LOFTHOUSE N, ARNOLD L E, HERSCH S, et al.A review of neurofeedback treatment for pediatric ADHD[J].J Atten Disord, 2012, 16:351-372.
[11]	WEISZ N, MORATTI S, MEINZER M, et al.Tinnitus perception and distress is related to abnormal spontaneous brain activity as measured by magnetoencephalography[J].PLoS Med, 2005, 2:e153.
[12]	SCHLEE W, SCHECKLMANN M, LEHNER A, et al.Reduced variability of auditory alpha activity in chronic tinnitus[J].Neural Plast, 2014, 2014:436146.
[13]	WEISZ N, DOHRMANN K, ELBERT T.The relevance of spontaneous activity for the coding of the tinnitus sensation[J].Prog Brain Res, 2007, 166:61-70.
[14]	GOSEPATH K, NAFE B, ZIEGLER E, et al.[Neurofeedback in therapy of tinnitus] [J].HNO, 2001, 49:29-35.
[15]	SCHENK S, LAMM K, GUNDEL H, et al.[Neurofeedback-based EEG alpha and EEG beta training.Effectiveness in patients with chronically decompensated tinnitus] [J].HNO, 2005, 53:29-37.
[16]	HARTMANN T, LORENZ I, MULLER N, et al.The effects of neurofeedback on oscillatory processes related to tinnitus[J].Brain Topogr, 2014, 27:149-157.
[17]	MULLER N, LORENZ I, LANGGUTH B, et al.rTMSinduced tinnitus relief is related to an increase in auditory cortical alpha activity[J].PLoS One, 2013, 8:e55557.
[18]	MILNER R, LEWANDOWSKA M, GANC M, et al.Slow Cortical Potential Neurofeedback in Chronic Tinnitus Therapy:A Case Report[J].Appl Psychophysiol Biofeedback, 2016, 41:225-249.
[19]	BAGULEY D, MCFERRAN D, HALL D.Tinnitus[J].Lancet, 2013, 382:1600-1607.
[20]	HILLER W, GOEBEL G.Factors influencing tinnitus loudness and annoyance[J].Arch Otolaryngol Head Neck Surg, 2006, 132:1323-1330.
[21]	MULLER A R.Neural plasticity in tinnitus[J].Prog Brain Res, 2006, 157:365-372.
[22]	PARK H J, FRISTON K.Structural and functional brain networks:from connections to cognition[J].Science, 2013, 342:1238411.
[23]	DEHAENE S, CHANGEUX J P, NACCACHE L, et al.Conscious, preconscious, and subliminal processing:a testable taxonomy[J].Trends Cogn Sci, 2006, 10:204-211.
[24]	DEHAENE S, CHANGEUX J P.The Cognitive Neurosciences of Consciousness[M].American:Bradford Book, 2002:150-189.
[25]	韩朝, 张剑宁.耳鸣[M].上海:上海世纪出版股份有限公司及上海科学技术出版社联合出版, 2015:139-145.
[26]	FOLMER R L, THEODOROFF S M, MARTIN WH, et al.Experimental, controversial, and futuristic treatments for chronic tinnitus[J].J Am Acad Audiol, 2014, 25:106-125.
[27]	贾若, 刘博.情绪认知理论在耳鸣研究中的应用[J].临床耳鼻咽喉头颈外科杂志, 2015, 29(8):691-695.