中山大学学报（医学科学版）2018，Vol.39Issue(3)：356-362,7.
复合声治疗对不同类型听阈正常耳鸣患者的疗效观察
Tailor-made Complex Sound Alleviates both Residual-Inhibition Positive and Negative Tinnitus Patients with Normal Hearing Audiogram
摘要
Abstract
[Objective] To evaluate the efficacy of sound therapy and provide a kind of treatment for tinnitus patients with normal audiogram.[Methods] From the database of the Audiometric Center of the First Affiliated Hospital,Sun Yat-sen University,we identified 46 outpatients with normal hearing thresholds in the conventional pure-tone audiometry suffering subjective tinnitus over 3 months.The clinical information were collected with respect of age,gender,tinnitus severity,pitch,laterality and duration,comorbid symptoms.All the patients received the tinnitus test,including loudness and frequency of the tinnitus and residual inhibition,Tinnitus Handicap Inventory (THI) and Visual Analogue Scale (VAS) scores pre-and post-complex sound therapy.The complex sound were remixed with natural sounds and music materials,while the masking frequency of natural sounds is consistent with the tinnitus frequency of patients and the main frequency of music materials covers the tinnitus frequency.[Results] 32 of the 46 patients showed residual inhibition (RI) positive.The average THI score before treatment was 33.38±16.23 and the VAS score was 4.38±1.62.The THI score decreased to 21.75±11.67 and the VAS score was 2.97±1.06 after sound therapy.The rest 14 patients were residual inhibition (RI) negative.The THI score were 29.86±20.15 and 23.43±16.29 pre-and post-complex sound therapy,while the VAS score were 3.93±1.69 and 3.36±1.2.The THI and VAS scores were significantly decreased after the treatment in both RI positive and negative patients.The RI positive group showed better results than RI negative group.[Conclusions] Both RI positive and negative tinnitus with normal audiometry shown adaptation with complex sound therapy,RI positive patients acquired more benefits from tailor-made complex sound therapy.关键词
复合声治疗/耳鸣/后效抑制Key words
complex sound therapy/tinnitus/residual inhibition分类
医药卫生引用本文复制引用
李昌武,熊观霞,王仙仁,姜鸿彦..复合声治疗对不同类型听阈正常耳鸣患者的疗效观察[J].中山大学学报（医学科学版）,2018,39(3):356-362,7.基金项目
国家自然科学基金青年项目(81200748) （81200748）
