90例耳鸣患者心理声学特征研究

doi:10.6040/j.issn.1673-3770.0.2014.004

摘要/Abstract

摘要： 目的研究耳鸣的心理声学特征,调查耳鸣患者性别、年龄、心理状况与残余抑制效果的关系，探索耳鸣的正确预防及有效治疗方法。方法对93例以耳鸣为第一主诉的患者，用听尼特^TM耳鸣综合诊断治疗仪进行耳鸣心理声学测试,对相关结果进行统计学分析。结果耳鸣主调声类型以纯音窄带居多，主调以较高频率居多。耳鸣的频率与听力损失频率有较高的一致性。结论患者的耳鸣残疾度量化表(THI)得分不同，其掩蔽后效抑制效果存在差异。THI得分较高的患者中，男性的后效抑制效果优于女性。

关键词: 掩蔽后效抑制, 性别, 耳鸣, 年龄, 心理声学特征, 耳鸣残疾度量化表

Abstract: Objective To study the psychoacoustic characteristics of tinnitus by investigating the relationship of gender, age, THI and residual inhibition with tinnitus. Methods 93 tinnitus patients underwent psychoacoustic tests with TinniTest-1000A, and the results were analyzed. Results The tinnitus frequency was closely related with the frequency of hearing loss. Conclusion There were significant deviations in THI score for different residual inhibition and therapeutic efficacy. In the patients with higher THI scores, the significant deviations in residual inhibition and therapeutic efficacy between male and female were noted.

Key words: Gender, Residual inhibition, Psychoacoustic characteristics, Age, Tinnitus, Tinnitus Handicap Inventory

中图分类号:

R764.45

朱亚骄, 薛飞, 王秋萍. 90例耳鸣患者心理声学特征研究[J]. 山东大学耳鼻喉眼学报, 2014, 28(5): 14-17.

ZHU Ya-jiao, XUE Fei, WANG Qiu-ping. Psychoacoustic characteristics of 90 tinnitus patients[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(5): 14-17.

参考文献

[1] McFadden D. Tinnitus: Facts,Theories,and Treatments[M].Washington, DC: National Academy Press, 1982: 4-10.
[2] Hoffman H J, Reed G W. Epidemiology of tinnitus[M]. In: Snow JB, editor. Tinnitus: Theory and management. Hamilton, London: BC Decker, 2004: 16-41.
[3] Davis A, El Refaie A. Epidemiology of tinnitus[M]. In: Tyler RS, editor. Tinnitus Handbook. San Diego: Singular Publishing, 2000: 1-23.
[4] 石秋兰,卜行宽,王信国,等.耳鸣致残量表中文版的研究与临床应用[J].南京医科大学学报,2007,27(5):476-479. SHI Qiulan, BU Hangkuan, WANG Xinguo, et al. Tinnitus handicap inventorystudy and clinical application ofChinese edition[J]. J Nanjing Med University Sci, 2007, 27(5):476-479
[5] Newman G W, Sandridge S A, Jacobsen G P. Psychometric adequacy of the Tinnitus Handicap Inventory(THI) for evaluating treatment outcome[J]. J Am Acad Audiol, 1998, 9(2):153-160.
[6] 陈秋坚,郑亿庆,邱泽恒,等.伴感音神经性聋耳鸣的心理声学和听力学特征[J].临床耳鼻咽喉头颈外科杂志,2012,26(10)：449-451. CHEN Qiujian, ZHENG Yiqing, QIU Zeheng, et al. With sensorineural hearing loss tinnitus psychoacoustic and audiological characteristics[J]. Clin J Otorhinolaryngology Head Neck Surgery, 2012, 26(10):449-451.
[7] 杨海弟,郑亿庆, 张志钢,等. 主观性耳鸣的掩蔽及习服治疗效果分析[J].临床耳鼻咽喉头颈外科杂志,2010,24(10)：442-446. YANG Haidi, ZHENG Yiqing, ZHANG Zhigang, et al. Tinnitus masking andacclimatization treatment effect analysis of [J]. Clin J Otorhinolaryngol Head Neck Surgery, 2010,24 (10): 442-446.
[8] Jastreboff P J. Tinnitus as a phantom perception: Theories and clinical Implications[M]. In: Vernon J, Moller A R,editors. Mechanisms of Tinnitus. Boston: Allyn & Bacon,1995: 73-94.
[9] 陈玲,杨海弟,区永康. 217例主观性耳鸣的临床特征分析[J].国际医药卫生导报,2011,17(20)：2513-2515. CHEN Ling, YANG Haidi, OU Yongkang. The clinical features of 217patients with subjective tinnitus analysis of [J]. Inter J Pharmaceutical Med, 2011, 17(20):2513-2515.
[10] Muhlnickel W, Elbert T, Taub E, et al. Reorganization of auditory cortex in tinnitus[J]. Proc Natl Acad Sci USA, 1998, 95(10):340-344.
[11] 叶放蕾, 王乐,陈蓓,等. 耳鸣患者耳鸣的心理声学特征分析[J]. 听力学及言语疾病杂志,2012,20(4):339-341. YE Fanglei, WANG Le, CHEN Bei, et al. Psycho acoustic characteristics oftinnitus patients with tinnitus analysis[J]. J Audiol Speech Disorders, 2012, 20(4):339-341.
[12] Jatreboff P J, Gray W C, Gold S M. Neurophysological approach to tinnitus patients[J]. American Journal of Otology, 1998, 17:226-230.
[13] 李昕琚,梁勇,赵靖,等.特发性耳鸣心理声学及临床特征的多因素分析[J]. 中华耳科学杂志,2013,11(2):250-255. LI Xinju, LIANG Yong, ZHAO Jing, et al. Multivariate Analysis of psychoacoustic and clinical characteristics in patients with idiopathic tinnitus[J]. Chin J Otol, 2013, 11(2):250-255.

相关文章 15

[1]	刘迪,谢应恒,朱斌,马霖,关兵,王莹,曹清,焦成,严齐,孙海勇,马伟. 不同性别未成年人鼻出血与环境气象因素相关性及滞后效应[J]. 山东大学耳鼻喉眼学报, 2026, 40(3): 47-54.
[2]	肖俊华,潘庆春,晋舒. 基于全球疾病负担数据库分析职业硫酸暴露下喉癌患者的死亡趋势[J]. 山东大学耳鼻喉眼学报, 2026, 40(3): 55-61.
[3]	高奇歌,张华. 搏动性耳鸣的治疗研究进展[J]. 山东大学耳鼻喉眼学报, 2026, 40(2): 95-101.
[4]	陶朵朵,史彬,赵云舒,李勇刚,刘济生. 年龄相关性听力损失患者前扣带回神经递质水平及其与听力水平关系的初步研究[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 31-39.
[5]	凌雯琛,陈佳旭,徐智辉,郑伟,刘广宇,赵鑫宇,黄平. 基于R语言数据挖掘技术对黄平教授治疗耳鸣用药规律及诊疗特色[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 8-19.
[6]	王莹,蔡燕文. 以听力减退为主要表现的中枢神经系统表面铁沉积症1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 89-96.
[7]	汪盛,黄旭东. 铁死亡与年龄相关性白内障的研究新进展[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 161-168.
[8]	董凌康,于栋祯. 1990—2021年中国年龄相关性听力下降负担变化趋势及预测[J]. 山东大学耳鼻喉眼学报, 2025, 39(3): 61-69.
[9]	张丽霞,李琳. 基于GEO数据库筛选年龄相关性听力损失关键基因的分析研究[J]. 山东大学耳鼻喉眼学报, 2025, 39(3): 104-114.
[10]	毛一恒,冯洁,何润田. 高血脂对视网膜损害与脉络膜厚度关系研究[J]. 山东大学耳鼻喉眼学报, 2025, 39(3): 162-167.
[11]	董雪林,张治军. 掩蔽声治疗慢性主观性耳鸣的焦虑抑郁状态分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(2): 18-24.
[12]	郭振平,李雪冰. 慢性主观性耳鸣患者心理特征、睡眠质量调查及与临床效果相关性[J]. 山东大学耳鼻喉眼学报, 2025, 39(1): 1-7.
[13]	卜苓南,李茂才,宫丽丽. 以搏动性耳鸣就诊的外伤性颞浅动静脉瘘1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(1): 101-104.
[14]	张杰,陈敏,申征征,吴宇华,刘原虎,孙浩,谭新华,倪树仁,杨书勋,史雪峥,倪鑫. 过敏性鼻炎与儿童新冠病毒肺炎感染及症状的关联性研究[J]. 山东大学耳鼻喉眼学报, 2024, 38(4): 36-42.
[15]	代红磊,王秋阳,马文学,官兵,齐静静. 基于Joinpoint回归及年龄-时期-队列模型分析鼻咽癌患者的死亡率发展趋势[J]. 山东大学耳鼻喉眼学报, 2024, 38(1): 27-31.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed