耳鸣临床常用检查方法的评价

Evaluate the commonly used clinical examination methods for patients with tinnitus

目的评价耳鸣患者目前临床常用的检查方法(纯音测听、声导抗、听性脑干反应及鼻咽、鼻窦,中耳、内听道,头颅CT或MRI)的诊断价值。方法对20例耳鸣患者和20例无耳鸣正常对照组进行纯音测听、声导抗、听性脑干反应及鼻咽、鼻窦,中耳、内听道,头颅CT或MRI检查,对两组检查结果数据应用SPSS 12.0统计软件进行统计学处理和分析。结果耳鸣组听性脑干反应检查结果与对照组比较,差异有显著性(P<0.05);其它检查结果两组间比较,差异均无统计学意义。结论听性脑干反应对耳鸣诊断有一定价值,但仍需要寻求对耳鸣具有确切诊断意义的客观检查方法,提高耳鸣的临床诊治水平。

Objective Evaluate the commonly used clinical examination methods （pure tone audiometer, acoustic immittance measurement, auditory brainstem response, and CT or MRI of the middle ear, nasopharynx, inner ear acoustic meatus, and cranium） for patients with tinnitus at present.Methods Compare the results of pure tone audiometer, acoustic immittance measurement, auditory brainstem response, and CT or MRI of the middle ear, nasopharynx, inner ear acoustic meatus, and cranium in both arms （20 patients in tinnitus arm and control arm respectively）. SPSS12.0 was used for data analysis. Results There was significant difference （P〈0.05） between tinnitus arm and control arm in auditory brainstem response.No significant difference was found in other examinations.Conclusion Auditory brainstem response has some diagnostic value for tinnitus patients, specific objective methods are really needed and urgent for clinical practice.