耳鸣的诊断与治疗

The diagnosis and therapy of tinnitus

根据掩蔽治疗与利多卡因试验的结果，对119例耳鸣患者采用了不同的方法进行治疗。首选掩蔽治疗，掩蔽无效者进行利多卡因试验，阳性者给予抗癫痫药物治疗，阴性者给予中枢抑制药物治疗，对耳鸣的产生机制进行了讨论。

Selection criteria for the therapeutic strategy are provided by a classification on the basis of the following points:①can be masked by a sound,②response to parenteral lidocaine. This classification was used to treat 119 patients with tinnitus. Masking is the first therapy for tinnitus. If masking had no effect,lidocaine test were undergone. The patient who has a positive response to lidocaine were treated by antiepileptic drugs. Patients with negative resporse to lidocaine negative were treated by suppressant. The prognosis for patients with positive masking effect was more better than the negative one. The mechanisms of tinnitus were discussed.