重复经颅磁刺激对耳鸣患者听觉处理功能的影响

Effects of Repetitive Transcranial Magnetic Stimulation on Auditory Processing in Tinnitus Patients

鲍黄蕾;肖永涛;罗琼;

1:浙江中医药大学医学技术与信息工程学院听力系

2:浙江中医药大学耳聋康复研究所

3:上海交通大学附属第六人民医院耳鼻咽喉头颈外科

摘要
目的探讨不同刺激频率的重复经颅磁刺激(repetitive transcranial magnetic stimulation, rTMS)对主观性耳鸣患者听觉处理功能的影响。方法 10例主观性耳鸣患者随机分为低频组和高频组进行rTMS治疗,每组5例,低频组采用1 Hz刺激频率,高频组采用10 Hz刺激频率,每天1次,每周5天,连续2周。所有患者治疗前、治疗5天、10天后均进行基本听力学评估、耳鸣评估、噪声下言语测试、噪声间隙检测、双耳数字分听测试,分析结果。结果低频组rTMS治疗5天后耳鸣致残量表(THI)评分、噪声间隙检测阈值、白噪声和Babble声下言语识别率较治疗前显著改善,治疗10天后耳鸣致残量表、视觉模拟量表评分、噪声间隙检测阈值、白噪声和Babble声下言语识别率均较治疗前显著改善;高频组rTMS治疗5天后耳鸣致残量表评分、白噪声下言语识别率较治疗前显著改善,治疗10天后耳鸣致残量表评分、视觉模拟量表评分、噪声间隙检测阈值、白噪声下言语识别率均显著改善。两组间同时间点比较,仅治疗10天后,低频组Babble声下言语识别率显著高于高频组。结论不同刺激频率的rTMS治疗对主观性耳鸣患者的听觉处理功能都有一定程度的改善。
关键词
重复经颅磁刺激;耳鸣;听觉处理功能
基金项目(Foundation):
浙江省一流学科建设项目(浙政办函[2016]6号)
作者
鲍黄蕾;肖永涛;罗琼;
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