加入背景音的复合声治疗不同频率失代偿性耳鸣的疗效分析

doi:10.6040/j.issn.1673-3770.1.2019.047

山东大学耳鼻喉眼学报 ›› 2019, Vol. 33 ›› Issue (5): 37-39.doi: 10.6040/j.issn.1673-3770.1.2019.047

加入背景音的复合声治疗不同频率失代偿性耳鸣的疗效分析

周星¹,钱相容¹,顾黎安¹,于亚峰²()

1. 常熟市第一人民医院耳鼻咽喉科，江苏常熟 215500
2. 苏州大学附属第一医院耳鼻咽喉科，江苏苏州 215006

收稿日期:2019-07-13 修回日期:2019-08-02 出版日期:2019-09-20 发布日期:2019-10-15
通讯作者: 于亚峰 E-mail:yfyu1024@163.com
基金资助:
江苏省卫计委项目(H2017061);苏州市科技局项目(SS201861)

Effect of combined acoustic therapy with background sound on decompensated tinnitus with different frequencies

Xing ZHOU¹,Xiangrong QIAN¹,Li’an GU¹,Yafeng YU²()

1. Department of Otolaryngology, Changshu First People′s Hospital, Changshu 215500, Jiangsu, China
2. Department of Otolaryngology, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, China

Received:2019-07-13 Revised:2019-08-02 Online:2019-09-20 Published:2019-10-15
Contact: Yafeng YU E-mail:yfyu1024@163.com

摘要/Abstract

摘要： 目的

探讨加入背景音的复合声治疗对各频率失代偿性耳鸣的治疗效果，以及耳鸣频率与治疗效果的关系。

方法

研究对象为就诊于耳鼻咽喉科门诊的失代偿性耳鸣患者130例，其中脱落6例，病程均＞6个月。完善耳科检查及听力学检查，将患者随机分为试验组和对照组，试验组给予加入了背景音的复合声治疗，对照组单独给予复合声治疗，进行为期30 d声治疗。同时根据患者耳鸣频率再将试验组患者分为低频组、中频组、高频组。用耳鸣致残量表（THI）和焦虑自评量表（SAS）来评价治疗效果，并比较各组间的差异。

结果

124例（试验组65例，对照组59例）完成了本次试验。两组治疗后THI评分和SAS评分均下降，与治疗前相比有统计学差异。治疗后两组间的THI评分相比无统计学差异，然而试验组的SAS评分低于对照组。试验组中低频组治疗后THI评分低于高频组。SAS评分各频率组间无统计学差异。

结论

加入或不加入背景音的复合声治疗都能改善失代偿耳鸣患者的症状。加入背景音的复合声治疗能更好地改善患者的焦虑症状，而且对低频耳鸣患者的症状改善更明显。

关键词: 失代偿性耳鸣, 复合声治疗, 背景音, 频率

Abstract: Objective

To explore the therapeutic effect of complex sound therapy on decompensated tinnitus with different frequencies.

Methods

One hundred and twenty-four patients with decompensated tinnitus for more than 6 months were admitted to the otolaryngology clinic. Following ear and audiology examinations, patients were randomly divided into an experimental group and a control group. The experimental group received combined acoustic therapy with background sound, while the control group received combined acoustic therapy alone for 30 days. According to the patient′s tinnitus frequency, the experimental group was further divided into low-, medium-, and high-frequency subgroups. All the patients were evaluated before and after treatment using the Tinnitus Handicap Inventory (THI) and the Self-Rating Anxiety Scale (SAS).

Results

THI and SAS scores significantly decreased after treatment in both the groups. There was no significant difference in THI scores between the groups. However, SAS scores were significantly lower in the experimental group than in the control group. Post-treatment THI scores were significantly lower in the low-frequency subgroup than in the high-frequency subgroup.

Conclusion

Combined acoustic therapy with or without background sound can improve decompensated tinnitus symptoms. Combined acoustic therapy with background sound can improve decompensated tinnitus-associated anxiety symptoms and is, particularly, helpful for symptomatic relief in patients with low-frequency tinnitus.

Key words: Decompensated tinnitus, Complex sound, Background sound, Frequency

中图分类号:

R764.45

周星,钱相容,顾黎安,于亚峰. 加入背景音的复合声治疗不同频率失代偿性耳鸣的疗效分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 37-39.

Xing ZHOU,Xiangrong QIAN,Li’an GU,Yafeng YU. Effect of combined acoustic therapy with background sound on decompensated tinnitus with different frequencies[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 37-39.

参考文献 10

1	Lockwood AH , Salvi RJ , Burkard RF . Tinnitus[J]. N Engl J Med, 2002, 347(12): 904-910. doi:10.1056/nejmra013395 . doi: 10.1056/nejmra013395
2	李明, 王洪田 . 耳鸣诊治新进展[M]. 2版. 北京: 人民卫生出版社, 2017.
3	李明, 张剑宁 . 2014年美国《耳鸣临床应用指南》解读[J]. 听力学及言语疾病杂志, 2015, 23(2): 112-115. doi:10.3969/j.issn.1006-7299.2015.02.003 . doi: 10.3969/j.issn.1006-7299.2015.02.003
4	黄治物 . 耳鸣的心理声学测试方法(2)[J]. 听力学及言语疾病杂志, 2013, 21(1): 97-98. doi:10.3969/j.issn. 1006-7299.2013.01.029 . doi: 10.3969/j.issn. 1006-7299.2013.01.029
5	贺璐, 王国鹏, 彭哲, 等 . 耳鸣临床应用指南[J]. 听力学及言语疾病杂志, 2015, 23(2): 116-139. doi:10. 3969/j.issn.1006-7299.2015.02.004 . doi: 10. 3969/j.issn.1006-7299.2015.02.004
6	Horii A , Kitahara T , Osaki Y , et al . Intractable benign paroxysmal positioning vertigo: long-term follow-up and inner ear abnormality detected by three-dimensional magnetic resonance imaging[J]. And, 2010, 31(2): 250-255. doi:10.1097/MAO.0b013e3181cabd77 . doi: 10.1097/MAO.0b013e3181cabd77
7	廖礼兵, 刘绮明, 宗凌, 等 . 42例耳鸣伴听觉过敏患者特征分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 31-36. doi:10.6040/j.issn.1673-3770.0.2018.199 . doi: 10.6040/j.issn.1673-3770.0.2018.199
	LIAO Libing ， LIU Qiming , ZONG Ling , et al . Characteristics of 42 patients with tinnitus and hyperacusis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 31-36. doi:10.6040/j.issn.1673-3770.0.2018.199 . doi: 10.6040/j.issn.1673-3770.0.2018.199
8	Oldani L , Dell′Osso B , Altamura AC . Long-term effects of vagus nerve stimulation in treatment-resistant depression: a 5-year follow up case series[J]. Brain Stimul, 2015, 8(6): 1229-1230. doi:10.1016/j.brs.2015.08.007 . doi: 10.1016/j.brs.2015.08.007
9	辛颖, 陶立元, 王洁, 等 . 耳鸣残疾问卷中文版的信度和效度检验及其临床应用[J]. 听力学及言语疾病杂志, 2015, 23(5): 457-461. doi:10.3969/j.issn.1006-7299.2015. 05.003 . doi: 10.3969/j.issn.1006-7299.2015.05.003
	XIN Ying , TAO Liyuan , WANG Jie , et al . Translation and application of tinnitus handicap questionnaire[J]. Journal of Audiology and Speech Pathology, 2015, 23(5): 457-461. doi:10.3969/j.issn.1006-7299.2015.05.003 . doi: 10.3969/j.issn.1006-7299.2015.05.003
10	Koelsch S . A neuroscientific perspective on music therapy doi: 10.1111/j.1749-6632. 2009.04592.x
	[J]. Annals of the New York Academy of Sciences，2009，1169（1）：374-384.doi: 10.1111/j.1749-6632. 2009.04592.x . doi: 10.1111/j.1749-6632. 2009.04592.x

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed

[1]	刘绮明,马钊恩,翟锦明,丘理子,毛敏,张建国. 不同类型鼓室图患者中耳共振频率分析[J]. 山东大学耳鼻喉眼学报, 2011, 25(4): 29-31.
[2]	林彬,王挥戈 . 功能性内镜鼻窦手术后鼻黏膜纤毛转归的研究[J]. 山东大学耳鼻喉眼学报, 2006, 20(6): 481-487 .

加入背景音的复合声治疗不同频率失代偿性耳鸣的疗效分析

Effect of combined acoustic therapy with background sound on decompensated tinnitus with different frequencies

RichHTML

PDF (PC)

摘要/Abstract

引用本文

使用本文

参考文献 10

相关文章 2

多维度评价

本文评价

推荐阅读 0