人工耳蜗植入患者耳鸣和失眠症状的研究

The Study of Tinnitus and Insomnia in Cochlear Implant Patients

目的探究成人感音神经性耳聋患者行人工耳蜗植入后耳鸣和失眠症状的变化及其相关性。方法选择89例于安徽医科大学第一附属医院耳鼻咽喉头颈外科行人工耳蜗植入的成人患者作为研究对象,分别于术前和术后6个月接受耳鸣残疾量表(tinnitus handicap inventory,THI)和失眠严重程度量表(insomnia severity index,ISI)调查,研究人工耳蜗植入后耳鸣和失眠的变化,并探究耳鸣和失眠的相关性。结果人工耳蜗植入术后6个月时,THI评分(t=11.908,P<0.05)、ISI评分(Z=-6.290,P<0.05)较术前均显著降低;耳鸣和失眠的严重程度在人工耳蜗植入术前和术后均呈正相关(r术前=0.85,P<0.05;r术后=0.80,P<0.05);人工耳蜗植入术后耳鸣与失眠的变化呈正相关(r=0.79,P<0.05)。结论人工耳蜗植入能够减轻成人感音神经性耳聋患者的耳鸣和失眠症状,植入人群的耳鸣与失眠程度呈正相关,失眠的改善可能与耳鸣的减轻有关。

Objective To investigate the changes and correlation of tinnitus and insomnia in adult sensorineural deafness patients after cochlear implantation.Methods A total of 89 adult patients who underwent cochlear implantation in our department were selected as the research subjects.All the patients were investigated by Tinnitus Handicap Inventory(THI)and Insomnia Severity Index(ISI)before and after surgery,to study the changes of tinnitus and insomnia after cochlear implantation and analyze the correlation between the two symptoms.Results THI score(t=11.908,P<0.05)and ISI score(Z=-6.290,P<0.05)at 6 months after cochlear implantation were significantly lower than those before surgery.There was a positive correlation between the severity of tinnitus and insomnia before and after cochlear implantation(rpreoperative=0.85,P<0.05;rpostoperative=0.80,P<0.05);There was also a positive correlation between the changes of tinnitus and the changes of insomnia after cochlear implantation(r=0.79,P<0.05).Conclusion Cochlear implantation can alleviate tinnitus and insomnia symptoms in adult sensorineural deafness patients,and the degree of tinnitus in the implanted population is positively correlated with the degree of insomnia,and the improvement of insomnia may be related to the alleviation of tinnitus.