耳鸣咨询联合多元复合声治疗在慢性原发性耳鸣患者中的疗效评价

Effect of tinnitus consultation combined with multiple compound acoustic therapy on patients with chronic primary tinnitus

目的评价耳鸣咨询联合多元复合声治疗在慢性原发性耳鸣患者中的临床效果。方法 40例慢性原发性耳鸣患者采用耳鸣咨询+多元复合声治疗的联合疗法,在治疗前、治疗1个月后分别进行耳鸣咨询,在治疗前、治疗1个月及治疗半年后,采用耳鸣致残量表法(THI)及主观视觉耳鸣严重程度标尺评分法(VAS)进行治疗效果的评价。结果经THI和VAS评分统计显示,治疗1个月与治疗前、治疗6个月与治疗前以及治疗1个月与治疗6个月比较,差异均具有统计学意义(P均<0.05)。以THI评分降低20分以上为有效,耳鸣咨询联合多元复合声治疗1个月后,总有效率为27.5%,耳鸣咨询联合多元复合声治疗6个月后有效率为67.5%。费德曼曲线分型中,以重叠型和汇聚型居多,重叠型的治疗效果最佳。统计分析显示在治疗前与治疗6个月后,VAS评分和THI评分具有相关性(P<0.05)。结论耳鸣咨询联合多元复合声治疗在慢性耳鸣中具有广泛应用价值,未来能够作为治疗慢性主观性耳鸣的首选方法;治疗效果可以采用THI和VAS评分系统进行评价分析。

Objective To evaluate the effect of tinnitus consultation combined with multiple compound sound therapy in the treatment of chronic primary tinnitus.Methods 40 patients with chronic primary tinnitus included in this study received tinnitus consultation combined with multiple compound sound therapy. They were given tinnitus consultation before and one month after treatment. To evaluate the therapeutic effect, all the cases were asked to finish the Tinnitus Handicap Inventory(THI) and visual analogue scale(VAS) score at 3 time points, i.e. before treatment, 1 month and 6 months of treatment.Results Statistic analyses revealed significant differences in both THI and VAS scores between time points before treatment and one month of treatment, before treatment and 6 months of treatment, as well as one month and 6 months of treatment, respectively(all P<0.05). Taking "reduction of the THI score more than or equal to 20" as effectiveness, the effective rates were 27.5% and 67.5% at 1 month and 6 months of treatment. As for Feldman tinnitus masking curve, most of them were overlapping type and convergent type, and the former had the best effect. The statistical analysis showed that VAS score and THI score were correlated at the beginning and 6 months of treatment(P<0.05).Conclusions With extensive application value, tinnitus consultation combined multiple compound sound therapy may be a preferred method for the treatment of chronic subjective tinnitus. THI and VAS score system can be used to evaluate the therapeutic effect.