突发性聋伴耳鸣患者治疗前耳鸣性状分析

Analysis of Tinnitus Characteristics in the Idiopathic Sudden Sensorineural Hearing Loss Patients

目的分析突发性聋伴耳鸣患者的耳鸣性状及其与听力损失之间的关系,探讨耳鸣对患者影响的评估方法。方法对56例(56耳)突发性聋伴耳鸣患者行听力检测和耳鸣主观分级(评估)及耳鸣匹配检查。结果①耳鸣匹配的频率集中于听力损失的频率范围,耳鸣匹配的类型主要为窄带噪声,匹配响度分布较为广泛;②耳鸣主观分级与匹配类型、响度、听力损失程度之间无明显关系;听力损失程度与耳鸣匹配类型无明显关系。结论突发性聋伴耳鸣患者耳鸣主观分级具有个体差异,与耳鸣匹配共同评估更能反映出耳鸣对患者的影响。

Objective To evaluate the distribution and characteristics of tinnitus in idiopathic sudden sensorineural hearing loss(ISSHL) patients,the relationship with hearing loss,and to explore appropriate evaluating method of tinnitus to the ISSHL patients.Methods 56 patients(56 ears) were diagnosed as idiopathic sudden sensorineural hearing loss accompanied with tinnitus and the data were analyzed accordingly.Results ①The frequencies of tinnitus match focus in the hearing loss frequencies and tinnitus mostly matched was narrow band noise.The tinnitus loudness spread wildly.②The tinnitus subjective distress scales have no obvious correlation with the tinnitus types,loudness of tinnitus,or hearing loss.The tinnitus type match has no obvious relationship with hearing loss.Conclusion Every patient has different tolerance capacity to tinnitus,tinnitus match combine with subjective scale evaluation are more appropriate method.