耳鸣响度、听力下降与耳鸣严重程度的关系研究

To analyse the impact of tinnitus loudness and hearing loss on the life of tinnitus patient

目的:研究耳鸣患者中,耳鸣匹配后耳鸣响度、耳鸣主调频率、听力损失、耳鸣主观响度分级与耳鸣严重程度的关系。方法:对154例耳鸣患者进行纯音测听及耳鸣匹配,并填写耳鸣分类调查表和耳鸣残疾量表(THI)。本研究使用THI来反映耳鸣严重程度,即耳鸣对患者生活影响的严重程度。最后统计分析耳鸣匹配后耳鸣响度、耳鸣主调频率、听力损失、耳鸣主观响度分级与耳鸣严重程度的关系。结果:①进行耳鸣匹配后,耳鸣主调的频率与听力损失的频率相接近;②患者的耳鸣响度与耳鸣严重程度之间差异无统计学意义;③不同听力损失级别的耳鸣患者,THI各级无统计学差异;④通过对THI亚组与耳鸣主观响度分级进行研究,发现THI亚组得分随着耳鸣主观响度分级的增加而增加。结论:通过THI可以反映,耳鸣匹配后耳鸣响度、听力损失对患者生活的影响并不明显,随着耳鸣主观响度分级的增加,耳鸣对患者影响的严重程度会越来越显著。这也帮助我们临床中,不能简单的依赖耳鸣响度、听力损失来评价耳鸣的治疗效果。同时耳鸣所致烦恼及耳鸣主观响度分级是反应耳鸣严重程度的不同指标,帮助我们在临床中更好的实现个性化治疗。

Objective：To analyse the impact of tinnitus loudness,tinnitus frequency,hearing loss,tinnitus subjective loudness on the life of tinnitus patient.Method：To inspect the 154 tinnitus patients with pure tone audiometry,tinnitus maching,tinnitus classification questionnaire and THI scale.This study applies THI scale to evaluate the impact of tinnitus on the life of tinnitus patient.Using statistical methods to analyse the relationship between tinnitus loudness,tinnitus frequency,hearing loss,tinnitus subjective loudness and the impact of tinnitus on the life of tinnitus patient.Result：①Tinnitus frequency is closed with the frequency of hearing loss.②There is no significant correlation between tinnitue loudness and the impact of tinnitus on the life of tinnitus patient.③There is no distinction between hearing loss and the THI scores.④The patient gets more scores in subgroup of THI with the increase of tinnitus subjective loudness classification.Conlusion：The impact of tinnitus loudness,hearing loss on the life of tinnitus patient is not very clearly,while the impact of tinnitus subjective loudness classification on the life of tinnitus patient is significant.In clinical,we can not evaluate the effect of the tinnitus treatment relying on tinnitus loudness and hearing loss simply.The finding provides us individual treatment to tinnitus patients.