新医学2024,Vol.55Issue(2) :143-148.DOI:10.3969/j.issn.0253-9802.2024.02.013

耳蜗神经交替声束治疗联合基于互联网的认知行为治疗对慢性特发性耳鸣的疗效研究

Study of the efficacy of cochleural alternating acoustic beam therapy combined with internet-based cognitive behavioral therapy for chronic idiopathic tinnitus

刘春丽 张圣林 齐智伟 袁玉洁 曹静 张洁 黄跃雁 张淑君
新医学2024,Vol.55Issue(2) :143-148.DOI:10.3969/j.issn.0253-9802.2024.02.013

耳蜗神经交替声束治疗联合基于互联网的认知行为治疗对慢性特发性耳鸣的疗效研究

Study of the efficacy of cochleural alternating acoustic beam therapy combined with internet-based cognitive behavioral therapy for chronic idiopathic tinnitus

刘春丽 1张圣林 1齐智伟 1袁玉洁 1曹静 1张洁 1黄跃雁 1张淑君1
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作者信息

  • 1. 067000 承德,承德医学院附属医院耳鼻喉科
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摘要

目的 评估运用耳蜗神经交替声束治疗(CeAABT)联合基于互联网的认知行为疗法(iCBT)对慢性特发性耳鸣的有效性.方法 选取诊断为慢性特发性耳鸣的患者 112 例随机分为 2 组,iCBT(56 例)采取iCBT治疗,CeAABT联合iCBT组(56 例)在iCBT的基础上给予CeAABT,连续治疗 12 周,观察 2 组治疗前后耳鸣残疾量表(THI)、视觉模拟量表(VAS)和耳鸣响度评分的变化情况.结果 治疗后,2 组患者的THI、VAS、耳鸣响度评分都出现了明显的降低,与同组治疗前比较差异均有统计学意义(P均<0.05),且CeAABT联合iCBT组THI评分(35.34±7.51)分、VAS评分(3.38±1.34)分、耳鸣响度评分(34.53±5.77)分比iCBT组[(40.13±10.95)(3.91±1.38)(39.39±6.92)分]更低,2 组比较差异均有统计学意义(P均<0.05).结论 CeAABT联合iCBT可以有效地降低患者的耳鸣响度和由耳鸣带来的负面情绪,能提高慢性耳鸣患者的生活质量,是一种简便安全的耳鸣治疗方法,值得进一步研究和推广.

Abstract

Objective To evaluate the effectiveness and feasibility of the cochleural alternating acoustic beam therapy(CeAABT)combined with internet-based cognitive behavioral therapy(iCBT)for chronic idiopathic tinnitus.Methods One hundred and twelve patients who were diagnosed with chronic idiopathic tinnitus were selected and randomly divided into two groups(both n = 65).In the control group,iCBT was adopted and CeAABT combined with iCBT were given in the observation group for consecutive 12 weeks.The changes of the Tinnitus Handicap Inventory(THI),the Visual Analogue Scale(VAS)and tinnitus loudness before and after treatment were compared between two groups.Results After corresponding treatment,THI,VAS and tinnitus loudness were significantly reduced in two groups(all P<0.05).The THI score(35.34±7.51),VAS score(3.38±1.34)and tinnitus loudness(34.53±5.77)in the CeAABT combined with iCBT group were significantly lower than those in the control group(40.13±10.95,3.91±1.38 and 39.39±6.92),and the differences were statistically significant(all P<0.05).Conclusions CeAABT combined with iCBT can effectively reduce the tinnitus loudness and mitigate negative emotions caused by tinnitus.Besides,it can also improve the quality of life of patients with chronic tinnitus.It is a simple and safe treatment for tinnitus,which is worthy of further research and promotion.

关键词

耳蜗神经交替声束治疗/基于互联网的认知行为疗法/慢性特发性耳鸣/疗效

Key words

Cochleural alternating acoustic beam therapy/Internet-based cognitive behavioral therapy/Chronic idiopathic tinnitus/Efficacy

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基金项目

河北省重点研发计划项目(20377751D)

出版年

2024
新医学
中山大学

新医学

CSTPCD
影响因子:0.8
ISSN:0253-9802
参考文献量21
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