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摘要: 目的:探讨定制的声音对耳鸣的治疗效果及影响因素分析。方法:303例耳鸣患者均接受6个月的定制声音治疗。于治疗前及治疗1、2、3、4、5、6个月时用耳鸣障碍量表评估治疗效果,并分析声音治疗效果的影响因素。结果:治疗1、2、3、4、5、6个月较治疗前THI评分显著下降(均P<0.01)。性别、耳鸣类型及有无声音过敏在治疗前和治疗6个月的THI评分的差异无统计学意义(P>0.05)。结论:定制的声音治疗能够降低耳鸣患者的THI评分,改善耳鸣产生的不良影响和困扰,并且治疗效果不受性别、耳鸣类型及有无声音过敏的影响。Abstract: Objective: To explore the effect and influencing factors of customized sound on tinnitus. Method: 303 patients with tinnitus who received customized sound therapy for 6 months were enrolled in this study. Tinnitus handicap inventory (THI) was used to evaluate the treatment effect before treatment, 1 month, 2 months, 3 months, 4 months, 5 months and 6 months after treatment, and the influencing factors of sound treatment effect were analyzed. Result: The THI score decreased at the 1, 2, 3, 4, 5 and 6 months after treatment (P<0.01), compared with that before treatment. Gender, tinnitus type and presence or absence of voice allergy had no effect on THI score before treatment and 6 months after treatment (P>0.05). Conclusion: Customized sound therapy can reduce the score of THI in tinnitus patients, which supports that sound therapy can reduce the negative impact and disturbances produced by tinnitus, and its curative effect is not affected by gender, tinnitus type and presence or absence of voice allergy.
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Key words:
- tinnitus /
- sound therapy /
- treatment effectiveness /
- influencing factor
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[1] BAUER C A.Tinnitus[J].N Engl J Med, 2018, 378:1224-1231.
[2] ZENNER H P, DELB W, KRÖNER-HERWIG B, et al.A multidisciplinary systematic review of the treatment for chronic idiopathic tinnitus[J].Eur Arch Otorhinolaryngol, 2017, 274:2079-2091.
[3] JASTREBOFF P J.Tinnitus retraining therapy[J].Br J Audiol, 1999, 33:68-70.
[4] SEARCHFIELD G D, DURAI M, LINFORD T.AState-of-the-Art Review:Personalization of Tinnitus Sound Therapy[J].Front Psychol, 2017, 8:1599.
[5] HOARE D J, SEARCHFIELD G D, EL REFAIE A, et al.Sound therapy for tinnitus management:practicable options[J].J Am Acad Audiol, 2014, 25:62-75.
[6] 石秋兰, 卜行宽, 王俊国, 等.耳鸣致残量表中文版的研译与临床应用[J].南京医科大学学报 (自然科学版), 2007, 27 (5):476-479.
[7] MCCORMACK A, EDMONDSON-JONES M, SOM-ERSET S, et al.A systematic review of the reporting of tinnitus prevalence and severity[J].Hear Res, 2016, 337:70-79.
[8] RYAN D, BAUER C A.Neuroscience of Tinnitus[J].Neuroimaging Clin N Am, 2016, 26:187-196.
[9] TAKACS J D, FORREST T J, BASURA G J.Noise exposure alters long-term neural firing rates and synchrony in primary auditory and rostral belt cortices following bimodal stimulation[J].Hear Res, 2017, 356:1-15.
[10] CASPARY D M, LLANO D A.Auditory thalamic circuits and GABAA receptor function:Putative mechanisms in tinnitus pathology[J].Hear Res, 2017, 349:197-207.
[11] VIEIRA D, EIKELBOOM R, IVEY G, et al.A multicentre study on the long-term benefits of tinnitus management using Neuromonics Tinnitus Treatment[J].Int Tinnitus J, 2011, 16:111-117.
[12] YANG S, WEINER B D, ZHANG L S, et al.Homeostatic plasticity drives tinnitus perception in an animal model[J].Proc Natl Acad Sci U S A, 2011, 108:14974-14979.
[13] 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, 463 (11):22-25, 29.
[14] STEIN A, WUNDERLICH R, LAU P, et al.Clinical trial on tonal tinnitus with tailor-made notched music training[J].BMC Neurol, 2016, 16:38.
[15] NEFF P, MICHELS J, MEYER M, et al.10 Hz Amplitude Modulated Sounds Induce Short-Term Tinnitus Suppression[J].Front Aging Neurosci, 2017, 9:130.
[16] HERZFELD M, CIURLIA-GUY E, SWEETOW R.Clinical trial on the effectiveness of Widex Zen Therapy for tinnitus[J].Hear Rev, 2014, 21:24-29.
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