134例肾精亏损型耳鸣患者的临床特征研究

Characteristics of Tinnitus of Damage of Kidney-essence:An Investigation of 134 Patients

目的:对2007年11月—2008年11月就诊的246例主观性耳鸣患者,排除其他中医证型,主要研究肾精亏损型耳鸣患者耳鸣的临床特征、变化规律及耳鸣产生的影响等。方法:选择肾精亏损型耳鸣患者,记录临床症状及体征,采用电测听及耳鸣匹配、听觉脑干诱发电位(ABR)等方法检查,并将资料进行统计分析。结果:患者年龄以51～60岁最多见,其次为61～70岁。耳鸣响度的自我评分与响度匹配值之间无关联。大多数病人的耳鸣病程在1年之内。大部分患者受耳鸣困扰的程度在中度以下。ABR测试结果听力正常者占25%,右侧和左侧听神经传导至脑干功能障碍患者分别占13%和19%,双侧听神经传导功能障碍占16%。结论:临床耳鸣患者多数为肾精亏损型,年龄以51～60岁最多见,男女比例相当,大部分患者听神经传导障碍和脑干功能障碍,高音调耳鸣患者居多。

Objective：In November 2007 to November 2008 visit of subjective tinnitus patients with 246 cases,the exclusion of other evidence-based Chinese medicine, research tinnitus patients of damage of kidney-essence with the clinical characteristics of the changes in the law and the impact of tinnitus. Methods ： In patients with tinnitus of damage of kidneyessence, record clinical symptoms and signs, the use of electricity and tinnitus match audiometry, auditory brainstem response （ABR） ,and other methods of inspection and data analysis. Results：Patients aged 51 to 60 is the most to see,followed by 61 to 70 years old. Tinnitus loudness and loudness of the self-score matches between unrelated. Most of the patients with tinnitus in the course of one year. Most of the patients affected by tinnitus disturbance in the level of moderately below. ABR hearing test results were normal 25% ,and the right side to left side of the auditory nerve conduction in patients with brain stem dysfunction were 13% and 19%, bilateral acoustic nerve dysfunction accounted for 16%. Conclusion：The clinical patients with tinnitus for most of damage of kidney-essence, age 51 to 60 up to see, quite a proportion of men and women,most of the patients and listen nerve conduction barriers to the brain stem dysfunction,most patients with high-pitch tinging in the ears.