听力正常者耳鸣严重程度影响因素初步分析

Preliminary analysis of factors influencing the severity of tinnitus with normal hearing

王香香;熊海霞;张培丽;朱玉华;刁明芳

1:华南理工大学医学院

2:解放军总医院第六医学中心耳鼻咽喉头颈外科医学部耳内镜外科

摘要
目的 分析影响听力正常者耳鸣严重程度的相关因素,为听力正常的耳鸣患者诊疗提供临床依据。方法 纳入2019年11月至2020年5月在解放军总医院第六医学中心耳鼻喉科门诊以耳鸣为第一主诉且听力正常的初诊患者150例,通过耳鸣障碍量表(THI)评估患者耳鸣严重程度,匹兹堡睡眠质量指数量表(PSQI)和焦虑抑郁量表(HADS)分别评估患者睡眠质量和焦虑抑郁情况。采用Pearson方法、Logistic多因素回归分析耳鸣严重程度与患者的性别、年龄、病程、耳鸣侧别、耳鸣主调频率、耳鸣主调响度、睡眠质量及焦虑抑郁之间的相关性。结果 Pearson相关性分析提示睡眠质量(r=0.667,P<0.001)、焦虑状态(r=0.603,P<0.001)和抑郁状态(r=0.593,P<0.001)与耳鸣THI分级有相关性,睡眠质量较差,焦虑抑郁得分较高的患者,其耳鸣程度较重;Logistic多因素回归分析结果显示只有睡眠质量对THI分级有显著影响(P<0.001)。结论 睡眠质量可能与听力正常耳鸣患者耳鸣严重程度有关,在这类患者的临床诊治中要重点关注其睡眠状态。
关键词
耳鸣;听力正常;严重程度;相关因素
基金项目(Foundation):
全军医学科技青年培育计划项目(17QNP019);; 首都卫生发展科研专项(首发2022-2-5072);; 海南省自然科学基金(820QN381)
作者
王香香;熊海霞;张培丽;朱玉华;刁明芳
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