影响慢性主观性耳鸣严重程度的相关因素分析

The Correlation Factors of the Severity of Chronic Subjective Tinnitus

齐思涵;秦兆冰;陈秀兰;李素娟;张帆;刘林;

1:郑州大学第一附属医院耳科

摘要

目的分析相关因素对慢性主观性耳鸣严重程度的影响。方法对120例以耳鸣为第一主诉的慢性主观性耳鸣患者进行详细的病史采集、耳鼻喉科专科检查、纯音听阈测试及耳鸣匹配检查,并填写耳鸣残疾量表(tinnitus handicap inventory,THI)及焦虑自评量表(self-rating anxiety scale,SAS),应用多因素有序logistic回归分析性别、年龄、病程、听力损失程度、耳鸣频率、耳鸣响度、睡眠状况、有无听觉过敏及焦虑程度与耳鸣严重程度的关系。结果①性别、年龄、病程、听力损失程度、耳鸣频率、耳鸣响度与耳鸣严重程度无明显相关性;②睡眠状况、有无听觉过敏及焦虑程度与耳鸣严重程度存在相关性,睡眠障碍、听觉过敏、轻、中、重度焦虑的OR值分别为2.373、2.408、2.688、13.777及58.032。结论睡眠状况、有无听觉过敏及焦虑程度是影响耳鸣严重程度的主要因素,治疗时应采用心理干预、声治疗、药物治疗相结合的综合治疗方法。

关键词

慢性主观性耳鸣;严重程度;相关因素;耳鸣残疾量表

基金项目(Foundation):

作者

齐思涵;秦兆冰;陈秀兰;李素娟;张帆;刘林;

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慢性主观性耳鸣严重程度相关因素耳鸣残疾量表

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齐思涵秦兆冰陈秀兰李素娟张帆刘林