中华耳科学杂志2016，Vol.14Issue(2)：140-144,5.DOI:10.3969/j.issn.1672-2922.2016.02.002
耳鸣观念的文艺复兴
Renaissance of Tinnitus management
赖仁淙 1马鑫2
作者信息
- 1. 台湾光田医院耳鼻喉科
- 2. 北京大学人民医院耳鼻喉科
- 折叠
摘要
Abstract
Tinnitus is the most common otological disorder and remains a clinical enigma. Auditory system, non-audi-tory systems, emotional systems and other tinnitus modulating systems all play a certain role in tinnitus. This article is a re-view of its possible pathogenesis and proposes a simplified clinical algorithm for the management of tinnitus patients: 1. Disturbances of the hearing system–is there stable, significant or fluctuant hearing loss;2. Disturbances of tinnitus modu-lating systems, including the eustachian tube system and sleep systems and migraine,sleep changes related to stress, meno-pause in the female and obstructive sleep apnea (OSA) in the male, eustachian disorders possibly related to silent chronic rh-inosinusitis or laryngopharyngeal reflux;3. Mix of 1 and 2;4. Potentially dangerous tinnitus;5. Idiopathic subjective tinni-tus. Managing tinnitus patients following this clinical algorithm may result in improved outcomes.关键词
耳鸣/临床类型/发病机制Key words
Tinnitus/Clinical pattern/Mechanism of tinnitus分类
医药卫生引用本文复制引用
赖仁淙,马鑫..耳鸣观念的文艺复兴[J].中华耳科学杂志,2016,14(2):140-144,5.
