癔病性耳鸣耳聋的治疗

Treatment of Patients with Hysteria Tinnitus and Deafness

目的提高对癔病性耳鸣耳聋的认识和治疗水平,探讨其治疗模式。方法回顾分析4例癔病性耳鸣耳聋患者的诊治过程及预后。结果4例以耳鸣为第一主诉的患者,经过主观和客观听力学检查以及其他检查均排除了器质性病变,确诊为癔病性耳鸣耳聋,经过耳鼻咽喉科和心理医生的共同治疗,患者均康复,随访8月～4年无复发。结论癔病性耳鸣耳聋的治疗比诊断困难,一旦确诊,不必按突聋进行治疗,需要请心理医生针对心因治疗。

Objective To improve the treatment techniques of patients with hysteria tinnitus and deafness and to establish a clinical model of managing these patients for ENT doctors. Research papers on hysteria deafness were reviewed. Methods Four patients were studied with their diagnosis and treatment course and prognosis. Tinnitus was their first complaint. Results The dignosis of hysteria tinnitus and deafness were made when patients＇ subjective hearing losses were reported,but their hearing was normal through objective measures. Fanctional abnomalities were excluded by physical tests. Patients were recovered from hysteria tinnitus after treatment by ENT doctors and psychological doctors. No recurrence was found during a follow--up from 8 months to 4 years. Conclusion Treatment is much more difficult than dignosis in patients with hysteria tinnitus and deafness. Psychological treatment is very important for these patients.