耳鸣认知压力对耳鸣严重程度的影响

The Influence of Cognitive Distress on the Degree of Tinnitus

目的分析耳鸣患者对耳鸣的不正确认识与耳鸣对生活质量影响之间的相关性。方法选择以耳鸣为第一主诉的192例患者为研究对象,年龄18~83岁,平均45±15.52岁;男99例,女93例,按年龄分为青年组(≤44岁)111例,中年组(45~59岁)42例,老年组(≥60岁)39例;男性患者耳鸣平均时间25.67±37.71月(0.20~216.00月),女性患者耳鸣平均时间27.12±45.42月(0.10~300.00月)。所有对象均填写普通话版耳鸣问卷量表(Mandarin tinnitus questionnaire,MTQ)和普通话版耳鸣残疾评估量表(Chinese Mandarin tinnitus handicap inventory,THI-CM),分析MTQ中认知压力(cognitive distress,CD)与耳鸣严重程度之间的相关性。结果 192例患者MTQ平均得分为36.95±20.06分(6.00~88.00分),其中认知压力(问题17、18、23、41、42)平均得分为2.36±2.55分,问题17、18、23、41、42平均分分别为:2.81、2.63、2.59、2.40、2.41。THI-CM平均分为23.89±20.06分(2.00~90.00分),CD和THI-CM的相关系数为0.64(P<0.01),男性和女性CD和THI-CM的相关系数分别为0.63和0.66(P<0.01);青年组、中年组和老年组CD和THI-CM的相关系数分别为0.02、0.07、0.38(P>0.01)。THI-CM评分为无残疾、轻度、中度和重度残疾组的CD和THI-CM的相关系数分别为0.30(P<0.01)、0.29(P>0.01)、-0.12(P>0.01)、0.23(P>0.01)。结论本组对象认知压力与耳鸣残疾严重程度之间有一定相关性,认知压力得分随着耳鸣严重程度的增加而增加;男性和女性均表现出相关性,但相关性不强;年龄和认知压力之间无相关性,但随着年龄增长,两者之间的相关系数增大,表明耳鸣患者的生活质量可能随着年龄增加,越容易受到对耳鸣不正确认知的影响。

Objective To study the correlation between cognitive distress and tinnitus related handicaps.Methods One hundred and ninety-two primary tinnitus subjects ninety-nine males and ninety-three females were included in this study.The average age was 45±15.52 years old.The average durations of tinnitus for male and female were 25.67±37.71 months and 27.12±45.42 months,respectively.The patients were asked to fill the Mandarin tinnitus questionnaire（MTQ）and Mandarin（Chinese）tinnitus handicap inventory（THI-CM）.The correlation between cognitive distress（CD）and tinnitus related handicap was studied.Results The average score of MTQ was 36.95±20.06.The average score of CD（Q17,18,23,41,and 42）was 2.61.The average score of question 17,18,23,41,and 42 of MTQ was 2.81,2.63,2.59,2.40,and 2.41,respectively.The average score of THICM was 23.89±20.06.The correlation between CD and THI-CM was 0.64（P〈0.01）;for male and female were0.63 and 0.66（P〈0.01）,respectively.The correlations between CD and THI-CM among young,middle and old age groups were 0.02,0.07 and 0.38（P〈0.01）,respectively.The correlations between CD and THI-CM among the nondisabled,mild,moderate and severe groups according to the scores of THI-CM were 0.30（P〈0.01）,0.29（P〈0.01）,-0.12（P〈0.01）,and 0.23（P〈0.01）,respectively.Conclusion No strong correlation was demonstrated between the CD and the THI-CM.The same results were shown for males and female.No correlation was demonstrated between ages and cognitive distress.Correlation coefficient of cognitive distress was increased with age.The tinnitus handicaps of patients might be vulnerable to cognitive distress with ageing.