摘要
目的评价认知行为疗法联合声治疗对慢性特发性耳鸣患者的治疗效果,分析影响疗效的因素。方法选取2018年6月到2020年6月在乐山市人民医院耳鼻咽喉头颈外科诊断为慢性特发性耳鸣并接受认知行为疗法联合声治疗的患者48例,分析患者治疗前后的耳鸣残疾评估量表(tinnitus handicap inventory,THI)和耳鸣严重程度评估量表(tinnitus evaluation questionnaire,TEQ)评分的差异,评估治疗效果,同时分析患者的年龄、性别、文化程度、耳鸣响度、耳鸣频率及听力损失程度是否为影响疗效的独立因素。结果治疗后48例患者中痊愈5例(10.42%),显效13例(27.08%),有效13例(27.08%),无效17例(35.42%),总有效率64.58%(31/48)。治疗前THI评分为46.96±9.05分,TEQ评分为13.77±2.36分,治疗后THI评分为30.38±14.82分,TEQ评分为9.69±4.20分,治疗前后的THI评分差异和TEQ评分差异均有统计学意义(均为P<0.05)。患者的年龄、性别、耳鸣响度、耳鸣频率及听力损失程度与疗效之间的Logistic回归分析无统计学意义(P>0.05),但患者的文化程度为影响疗效的独立因素(P<0.05)。结论认知行为疗法联合声治疗是治疗慢性特发性耳鸣的有效方法;患者的文化程度可能是影响治疗效果的独立因素,而年龄、性别、耳鸣响度、耳鸣频率及听力损失程度对治疗效果均无明显影响。
Objective To evaluate the effect of cognitive behavioral therapy combined with sound therapy on chronic idiopathic tinnitus and its influence factors. Methods A total of 48 patients suffering from chronic idiopathic tinnitus in the people’s hospital of Leshan from June 2018 to June 2020 received cognitive behavioral therapy and sound therapy. Tinnitus handicap inventory(THI) and tinnitus evaluation questionnaire(TEQ) were assessed pre-and post-treatment to evaluate the effect. At the same time, the age, gender, education level, tinnitus loudness, tinnitus frequency and the degree of hearing loss were analyzed as the independent factor. Results Among 48 patients, 5 cases were cured(10.42%), markedly effective in 13 cases(27.08%), effective in 13 cases(27.08%), invalid in 17 cases(35.42%), the total effective rate was 64.58%.The THI score was 46.96±9.05 before treatment and 30.38±14.82 after treatment. The TEQ score was 13.77±2.36 before and 9.69±4.20 after treatment. There were significant differences in THI and TEQ scores before and after treatment(P<0.05). The Logistic regression analysis showed that there was no significant difference in age, gender, loudness, frequency and degree of hearing loss(P>0.05), but there was significant difference in level of education(P<0.05). Conclusion Cognitive behavioral therapy combined with sound therapy is an effective treatment on chronic idiopathic tinnitus. The educational level of patients may be an independent factor affecting the treatment effect, while age, gender, loudness, frequency and degree of hearing loss have no significant effect on the treatment effect.
作者
陈炜
张莉
周林路
叶刚
Chen Wei;Zhang Li;Zhou Linlu;Ye Gang(Department of Otolaryngology,the Hearing Center of the People’s Hospital of Leshan,Sichuan Province,Leshan,614000,China)
出处
《听力学及言语疾病杂志》
CAS
CSCD
北大核心
2023年第1期22-25,共4页
Journal of Audiology and Speech Pathology
关键词
耳鸣
认知行为疗法
声治疗
疗效
Tinnitus
Cognitive behavioral therapy
Sound therapy
Effect
