摘要
目的 探究首发急性神经性耳鸣患者听觉过敏的影响因素.方法 选取2023年6月～2024年5月我院耳鼻喉科收治的首发急性神经性耳鸣患者146例.采用一般资料调查表、中文版听觉过敏量表、广泛性焦虑障碍量表、抑郁筛查量表、匹兹堡睡眠质量指数量表对患者进行测评,分析影响患者听觉过敏的影响因素.结果 146例患者听觉过敏量表总分78.15±10.15分,处于中重度水平.单因素分析结果得出,年龄、耳鸣声频率、焦虑、抑郁、睡眠障碍与急性神经性耳鸣的听觉过敏有关(P＜0.05).多元线性logistic回归分析得出,年龄≥60岁、中高频耳鸣、伴有焦虑、抑郁、睡眠障碍是影响急性神经性耳鸣患者听觉过敏的危险因素(P＜0.05).结论 急性神经性耳鸣患者听觉过敏处于中重度水平,年龄、耳鸣频率、焦虑、抑郁、睡眠障碍是主要影响因素,临床治疗和护理中应充分考虑以上因素,制订个性化的干预方案.
Abstract
Objective To explore the influencing factors of hyperacusis in patients with first-episode acute nerves tinnitus.Methods 146 patients with first-episode acute neurological tinnitus who were admitted to the Department of Otolaryngology of our hospital from June 2023 to May 2024 were enrolled.The general information questionnaire,Chinese version of hyperacusis scale,generalized anxiety disorder scale,depression screening scale and Pittsburgh sleep quality index scale were used to investigate the influencing factors of hyperacusis.Results The total score of 146 patients on the Chinese version of the hyperacusis scale was 78.15±10.15.The univariate analysis showed that age,tinnitus frequency,anxiety,depression and sleep disturbance were associated with hyperacusis in patients with first-episode acute nerves tinnitus(P＜0.05).The multiple linear logistic regression analysis showed that age ≥60 years medium and high frequency tinnitus,anxiety,depression,and sleep disturbance were risk factors for hyperacusis in patients with first-episode acute neurological tinnitus(P＜0.05).Conclusions Hyperacusis in patients with first-episode acute neural tinnitus is at moderate to severe level,and age,tinnitus frequency,anxiety,depression,and sleep disorder are the main influencing factors.
维普
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