摘要
目的分析影响原发性耳鸣预后的相关因素。方法收集239例经过临床干预的原发性耳鸣患者的相关资料,以耳鸣评价量表(tinnitus evaluation questionnaire,TEQ)为疗效评价工具,疗效分析指标为痊愈率、改善率和无效率。应用logistic回归分析性别、年龄、病程、疗程、初诊耳鸣严重程度、有无听力下降、声敏感、全身疾病以及耳鸣心理声学特征、生活方式等与耳鸣预后的关系。结果 (1)性别、年龄、病程、有无声敏感、全身疾病、耳鸣心理声学特征等因素与耳鸣的预后无明显相关性。(2)生活方式、有无听力下降、初诊耳鸣严重程度等3个因素与耳鸣痊愈率存在相关性,OR值分别为44.023、4.237、2.985;与耳鸣改善率相关的只有生活方式及初诊耳鸣严重程度两个因素,OR值分别为23.726、3.658,是否伴随听力下降与耳鸣改善率无关。(3)疗程越长,痊愈率与改善率越高。结论对原发性耳鸣的预后具有影响的因素主要有生活方式、疗程、耳鸣严重程度及是否伴听力下降等4个方面,其中,生活方式是最重要的影响因素,坚持健康生活方式的时间越长,耳鸣的预后越好。
Objective To investigate the prognostic factors of primary tinnitus. Methods Data of 239 patients with primary tinnitus after a period of clinical intervention were collected. The Tinnitus Evaluation Questionnaire （TEQ） was used as the therapeutic evaluation tool, and the efficacy analysis index was the recovery rate and the improvement rate and ineffecticrate. Logistic regression analysis was applied to the relationship between gender, age, course of the disease, duration of treatment, initial diagnosis of tinnitus severity, hearing loss, acoustic hypersensitivity, systemic disease, tinnitus psychoacoustics characteristics, lifestyle and prognosis of tinnitus. Results The gender, age, duration, acoustic hypersensitivity, systemic disease, tinnitus psychoacoustics were not significantly associated with the prognosis of tinnitus. Three factors, including lifestyle, hearing loss, and the severity of tinnitus, were correlated with the recovery rate of tinnitus and their OR values were 44.023,4.237 and 2.985. However, only the lifestyle and severity of tinnitus were related to the improvement rate of tinnitus. The OR values were 23.726 and 3.658 respectively. Whether it is accompanied by hearing loss has nothing to do with tinnitus improvement rate.The longer the treatment,the higher the cure rate and improvement rate. Conclusion Among the four factors affecting the prognosis of primary tinnitus, including lifestyle, treatment duration, tinnitus severity, and hearing loss, lifestyle is the most important one. The longer one sticks to a healthy lifestyle, the better the prognosis of tinnitus will become.
作者
卢兢哲
刘蓬
钟萍
郑芸
陈艳芳
丁然然
郑剑龙
LU Jing-zhe;LIU Peng;ZHONG Ping;ZHENG Yun;CHEN Yan-fang;DING Ran-ran;ZHENG Jian-long
出处
《中国听力语言康复科学杂志》
2018年第6期416-420,共5页
Chinese Scientific Journal of Hearing and Speech Rehabilitation
基金
四川省卫计委普及应用项目"耳鸣评估量表的临床价值及应用研究"(18PJ075)
关键词
原发性耳鸣
预后
耳鸣评价量表
生活方式
Primary Tinnitus
Prognosis
Tinnitus Evaluation Questionnaire
Lifestyle
