耳鸣患者的非听觉问题

Non-auditory disorders in tinnitus patients

严重耳鸣常常与一些非听觉问题相伴随,主要包括焦虑、抑郁和失眠等。有研究表明这些非听觉问题往往是影响耳鸣患者生活质量的重要因素。有鉴于目前尚缺少根治耳鸣的有效办法,正确识别和处理耳鸣患者的非听觉问题就愈加成为耳鸣治疗的重要组成部分。根椐指征适当使用有关药物和进行恰当的心理治疗常常可以有效地缓解耳鸣病人的症状并改善其生活质量。诊治严重心理疾患常常需要有关专业人员的参与,耳科人员的职责应当包括及时识别这类问题,并及时取得有关专科的协助。

Severe tinnitus is often associated with non-auditory disorders, including anxiety, depression and insomnia. Study evidence has suggested that non-auditory disorders are important factors that can impact life-quality of tinnitus patients. As there still lacks effective means to eradicate tinnitus, timely recognition and adequate management of non-auditory disorders associated with tinnitus are an important part in treating tinnitus patients. Appropriate pharmaceutical and psychological interventions frequently result in improvement of symptoms and life-quality in tinnitus. Management of severe psychological/psychiatric disorders should be implemented by adequately trained specialists. Clinicians dealing with tinnitus patients, however, should be able to recognize these problems and provide referral to relevant disciplines as demanded by needs.