耳鸣掩蔽治疗结合心理治疗的疗效观察

The Therapeutic Efficacy of Tinnitus Masking Therapy Combined with Psychotherapy

目的通过比较单纯耳鸣掩蔽治疗与耳鸣掩蔽治疗结合心理治疗的疗效，探讨耳鸣掩蔽治疗结合心理治疗的临床意义。方法对158例耳鸣患者先进行耳鸣晌度匹配后行掩蔽治疗，其中79例患者辅以心理治疗，比较单纯掩蔽治疗组与掩蔽治疗结合心理治疗组耳鸣残疾度量化表（tinnitus handicapinventory，THI）疗效评分。结果治疗后单纯掩蔽治疗组（79例）THI得分42．8±23．1，耳鸣治疗结合心理治疗组（79例）THI得分28．3±22．5；两组THI评分结果差异有统计学意义（P=0．019）。结论耳鸣掩蔽治疗结合心理治疗较单纯耳鸣掩蔽治疗可以获得更好的临床效果。

Objective To compare the therapeutic effects of the tinnitus masking therapy and the combined therapy（tinnitus masking therapy and psychotherapy） and to explore the clinical significance of the combined therapy. Methods After loudness matching, 158 tinnitus patients underwent the masking therapy and 79 of them also received psychotherapy. The THI scores of the masking therapy group and the combined therapy group were compared and statistically analyzed. Results After the treatment,the THI scores of the masking therapy group （79 cases） and the combined therapy group（79 cases） were 42.8±23.1 and 28.3±22.5 respectively. There was a significant difference in the THI scores between the two groups（P=0.019）. Conclusion The tinnitus masking therapy combined with psychotherapy can achieve better clinical outcome.