慢性耳鸣的临床特点及严重程度影响因素分析

Analysis of Clinical Characteristics and Influencing Factors of Severity of Chronic Tinnitus

张域开;宋勇莉;齐柳;徐卓;查定军;邱建华;

1:中国人民解放军空军军医大学第一附属医院耳鼻咽喉头颈外科

摘要
目的 分析慢性耳鸣的临床特点及严重程度的影响因素。方法 回顾性分析1 452例慢性耳鸣患者的临床资料,所有患者均进行详细的病史询问、纯音测听和耳鸣心理声学评估,填写耳鸣障碍量表(tinnitus handicap inventory, THI)、焦虑自评量表(self-rating anxiety scale, SAS)或广泛性焦虑障碍量表(generalized anxiety disorder-7,GAD-7),抑郁自评量表(self-rating depression scale, SDS)或抑郁筛查量表(patient health questionnaire-9,PHQ-9)、匹兹堡睡眠质量指数量表(pittsburgh sleep quality index, PSQI)和听觉过敏问卷等。分析耳鸣患者的临床特点,并以THI评分≥38分为中-重度耳鸣组,THI评分≤36分为轻度耳鸣组,以THI分组为应变量,上述各因素为自变量,采用Logistic回归分析探究各因素与耳鸣严重程度的相关性。结果 1 452例慢性耳鸣患者中,轻度耳鸣625例(43.04%),中-重度耳鸣827例(56.96%),平均年龄43.59±12.64岁;耳鸣平均病程4.08±5.03年;双侧耳鸣880例(60.61%);持续性耳鸣944例(65%);Logistic回归分析示:焦虑(OR=3.01)、听觉过敏(OR=2.95)、睡眠障碍(OR=2.05)、抑郁(OR=1.58)、耳闷(OR=1.57)和耳鸣持续特点(OR=1.43)与耳鸣的严重程度相关。结论 焦虑、听觉过敏、睡眠障碍、抑郁、耳闷和持续性耳鸣可能是慢性耳鸣严重程度的影响因素。
关键词
慢性耳鸣;严重程度;相关因素
基金项目(Foundation):
陕西省科技重点项目资助(2021LCZX-15)
作者
张域开;宋勇莉;齐柳;徐卓;查定军;邱建华;
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