中国听力语言康复科学杂志2025，Vol.23Issue(4)：360-366,393,8.DOI:10.3969/j.issn.1672-4933.2025.04.004
切迹掩蔽音乐治疗在主观性耳鸣首诊干预中的参数变化特征
Characteristics of Parameter Changes in the Initial Intervention with Tailor-made Notched-Masking Music Training in Subjective Tinnitus
摘要
Abstract
Objective To investigate the characteristics of changes in scale and behavioral measures following short-term initial intervention with Tailor-made Notched-Masking Music Training(TNMMT)in subjective tinnitus,providing clinical assessment for establishing efficacy evaluation criteria in the initial intervention of subjective tinnitus.Methods We analyzed data from 1,083 initial intervention subjective tinnitus patients(1,514 ears)enrolled in over 20 medical institutions in China between July 2023 and December 2024,including 764 cases(1,092 ears)of high-frequency(≥3,000 Hz)tinnitus.During the visit,physicians first collected detailed tinnitus histories and pre-treatment tinnitus scales.The tinnitus sound perceived by the patients was then matched to the output of the"Tinnitus Rehabilitation Therapy Device"by adjusting three parameters—pitch,loudness,and bandwidth.A personalized notched masking sound was then tailor-made to the patient based on the above parameters.Subsequently,patients underwent a 10-minute TNMMT session.Subjective scale data(including the Tinnitus Handicap Inventory,THI,and Visual Analog Scale,VAS)and behavioral measures(pitch,loudness,bandwidth,and Residual Inhibition,RI)were collected.Finally,pre-and post-treatment VAS scores(VAS for loudness,VAS_L and VAS for anxiety,VAS_A)were compared and combined with RI to determine the effectiveness of the treatment protocol with the matching parameters.Results Before treatment,the mean VAS_L and VAS_A scores were 4.5±1.8 and 3.9±2.0,respectively.After 10 minutes of treatment,the scores decreased significantly(P<0.001)to 3.3±1.8 and 2.9±1.8.Post-treatment,RI exceeded 2s in duration in 1,265 ears(83.6%)and 10s in 1,065 ears(70.3%).Patients reported complete tinnitus disappearance in 195 ears(12.9%)and significant reduction in 1,064 ears(70.3%).Among high-frequency tinnitus patients,complete tinnitus disappearance was reported in 124 ears(11.4%),and tinnitus reduction reported in 793 ears(72.6%).Conclusion The TNMMT protocol with matched parameters used in this study induced significant changes and correlation across tinnitus patients with varying frequencies,loudness levels,and severity.More than 58%of patients with subjective tinnitus showed"significantly effective"or"effective"efficacy and the duration of RI was greater than or equal to 40 seconds after the first intervention.This study provides reliable evidence for the clinical application of TNMMT,and lays a foundation for in-depth understanding of tinnitus intervention mechanism and optimization of intervention programs in the future.关键词
切迹掩蔽音乐/声治疗/主观性耳鸣/残余抑制/耳鸣量表Key words
The notched-masking music training(TNMMT)/Sound therapy/Subjective tinnitus/Residual inhibition/Tinnitus scale分类
医药卫生引用本文复制引用
宫琴,林智豪,陈欢,方宏宇,冀飞,侯志强..切迹掩蔽音乐治疗在主观性耳鸣首诊干预中的参数变化特征[J].中国听力语言康复科学杂志,2025,23(4):360-366,393,8.基金项目
"十四·五"国家重点研发计划"诊疗装备与生物医用材料"耳鸣评估诊断治疗设备的研发及产业化(2023YFC2416200) （2023YFC2416200）
