中国全科医学2012，Vol.15Issue(36)：4216-4217,4221,3.DOI:10.3969/j.issn.1007-9572.2012.12.093
双耳听力对称的急性耳鸣诊治分析
Diagnosis and Treatment of Acute Subjective Tinnitus with Symmetric Hearing of Both Ears
摘要
Abstract
Objective To investigate the diagnosis and treatment of acute subjective tinnitus with symmetric hearing of both ears. Methods 61 patients with acute subjective tinnitus were divided into various types by examinations of otoscope, audi-ology and Magnatic Resonance Imaging ( MRI) and the clinical outcomes were evaluated after four weeks following - up. Results ( 1 ) After four weeks treatment, for the type I patients, 14 cases were cured, 3 cases were significantly improved, 3 cases were improved and 2 cases were invalid in patients with eustachian tube dysfunction and the overall effective rate was 91% ( 20/ 22 ) . Among these 22 patients, the tinnitus of 3 patients was not obviously improved after two weeks treatment, and one case was treated by Vinpocetine plus ATP plus CoA and 2 cases were treated by Deanxit and Doxepin before the degree of tinnitus was improved from level three to level one. Among the patients with psychogenic tinnitus, 7 cases were cured, one case was significantly improved and one case was invalid. Among the patients with fatigability tinnitus, 9 cases were cured, one case was significantly improved and 2 cases were improved. Also among these patients, the tinnitus of 5 cases was not significantly improved after two weeks treatment and they were treated by Vinpocetine plus ATP plus CoA before the tinnitus disappeared four weeks later. Among patients with nervous tinnitus, 8 cases were cured, 2 cases were significantly improved and one case was invalid. Also among these patients, the tinnitus of 3 cases was improved from level three to level two after one week treatment, but another one week treatment did not further improve the tinnitus, so anti - allergic medicines and angiotonics were used before the tinnitus disappeared four weeks later. ( 2 ) For type II patients with idiopathic deafness, after four weeks treatment, 4 cases were cured, one case was significantly improved, one case was improved and one case was invalid. Conclusion Acute subjective tinnitus with symmetric hearing of both ears is closely related to eustachian tube function disorder and fatigue. Audiology assessment combined with medical history can effectively improve the efficacy of treatment.关键词
耳鸣/听力/诊断/治疗Key words
Tinnitus/ Hearing/ Diagnosis/ Therapy分类
医药卫生引用本文复制引用
张庆平,楼正才..双耳听力对称的急性耳鸣诊治分析[J].中国全科医学,2012,15(36):4216-4217,4221,3.基金项目
浙江省义乌市科技基金资助项目(2010-3-10) （2010-3-10）
