更年期女性慢性耳鸣治疗初探

A preliminary study of the treatment of chronic tinnitus in menopausal women

目的:探讨更年期相关耳鸣进行更年期治疗的疗效。方法:对更年期综合管理门诊确诊更年期综合征患者59例进行耳鸣及更年期问卷调查,并根据患者意愿,分为激素治疗组及未治疗组。对两组患者年龄,BMI,更年期KMI评分及耳鸣程度进行统计分析,对两组患者随访,对耳鸣疗效进行随访分析。结果:两组患者年龄,BMI,更年期KMI评分及耳鸣程度均无统计学差别,对两组患者随访3个月后发现,未治疗组耳鸣没有任何变化,更年期激素类药物治疗组9例患者中,5例耳鸣完全消失,4例耳鸣随访2个月没有变化。结论:更年期相关耳鸣是独立的耳鸣类型,排除其他耳鸣可能相关因素后,可以尝试进行更年期为主的综合治疗。

Objective：To explore the hormone treatment outcome of the menopause related tinnitus.Method：From April 2016 to October 2016,Fifty-nine patients who were diagnosed with menopausal syndrome in the menopause clinics of Beijing Shijitan Hospital were enrolled in our study,and questionnaire-based investigation about tinnitus and menopause was performed.According to the patients＇ intention,they were divided into treatment group and control group.Age,BMI,menopausal KMI scores,severity of tinnitus were statistically analyzed.After 3months follow up,the different therapeutic effects of tinnitus between two groups were analyzed.Result：There was no significant difference between two groups in age,BMI,menopausal KMI scores and severity of tinnitus.The tinnitus in untreated patients after 3months follow up showed no improvement,while 5cases had been cured in treatment group.Conclusion：Menopause related tinnitus was an independent type of tinnitus.Menopausal hormone therapy can be applied for treatment after excluding other tinnitus risk factors.