听觉过敏患者临床特征初步分析

A Pilot Study on the Clinical Characteristics of Hyperacusis Patients

辛鑫;卢伟;孙淑萍;

1:郑州大学第一附属医院耳科

摘要

目的探讨听觉过敏患者的临床特征及听觉过敏对患者的影响。方法通过结构性访谈的形式,对32例听觉过敏患者进行病史问卷调查及焦虑自评量表调查,并进行纯音听阈及响度不适阈(loudness discomfort level,LDL)测试,分析听觉过敏的临床特征及相关因素之间的关系。结果 32例听觉过敏患者中,以3140岁(9例)及4140岁(9例)及4150岁(11例)最多见,28例(87.50%)伴耳鸣,14例(43.75%)伴头痛。常见敏感声音有小孩哭声、尖叫声、闹市交通噪声。听力正常(22例)、听力下降(10例)患者左、右耳的平均LDL分别为74.25±1.71、72.75±1.56和75.12±2.21、71±20±1.24差异无统计学意义(P>0.05)。LDL分级与受听觉过敏困扰程度无明显相关性(r=0.014,P>0.05);焦虑自评量表得分随着受听觉过敏困扰程度的增加而增加。结论听觉过敏是个体生理和心理共同作用的一种临床症状,受听觉过敏困扰程度越严重越易有焦虑症状,其治疗关键在于纠正不良心理及行为问题。

关键词

听觉过敏;焦虑;问卷调查;响度不适阈

基金项目(Foundation):

作者

辛鑫;卢伟;孙淑萍;

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