首页|精细化声治疗联合认知行为疗法治疗主观性耳鸣的疗效及影响因素分析

精细化声治疗联合认知行为疗法治疗主观性耳鸣的疗效及影响因素分析

Outcomes of Refined Sound Therapy in Combination with Cognitive Behavioural Therapy in the Treatment of Subjective Tinnitus and Influencing Factors

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目的 探讨影响精细化声治疗联合认知行为疗法治疗主观性耳鸣的疗效及相关影响因素.方法 选择2020年7月至2022年2月在陆军军医大学第二附属医院耳鼻咽喉科就诊的主观性耳鸣患者48例,所有患者采用精细化声治疗联合认知行为疗法治疗.评估所有患者治疗前后疗效和一般影响因素.结果 治疗后,所有患者耳鸣残疾评估量表、焦虑自评量表、汉密尔顿焦虑量表、视觉模拟量表评分及耳鸣响度值均低于治疗前,差异有统计学意义(P<0.05).年龄、病程、耳鸣频率分布、耳鸣残疾度、焦虑和抑郁均不是影响精细化声治疗联合认知行为疗法治疗主观性耳鸣的影响因素,耳鸣响度和听力损失程度是独立的影响因素.结论 精细化声治疗联合认知行为疗法治疗不仅可以改善主观性耳鸣的症状,还可以改善焦虑和抑郁,耳鸣响度和听力损失程度是影响其疗效的独立因素.
Objective To report outcomes of the refined sound therapy in combination with cognitive behavioural therapy to treat tinnitus and related influencing factors.Methods Outcomes and potential influencing factors in 48 cas-es of subjective tinnitus treated with refined sound therapy in combination with cognitive behavioural therapy from July 2020 to February 2022 in the Department of Otolaryngology,Second Affiliated Hospital of the Army Military Medical University were assessed.Results The THI,SDS,HAMA and VAS scores,as well as tinnitus loudness,changed signifi-cantly compared to before treatment(P<0.05).Age,course of disease,tinnitus frequency distribution,tinnitus disability,anxiety and depression were not factors influencing outcomes,whereas tinnitus loudness and degree of hearing loss were independent influencing factors.Conclusion The combination of refined sound therapy and cognitive behavioral therapy can improve not only symptoms in subjective tinnitus,but also anxiety and depression.Tinnitus loudness and de-gree of hearing loss are independent factors affecting the efficacy.

refined sound therapycognitive behavioural therapyefficacyinfluence factors

季迪、余林、周雪琴、阳俊杰、王刘倩、邓安春

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陆军军医大学第二附属医院新桥医院耳鼻咽喉科(重庆 400037)

重庆医科大学附属第一医院耳鼻咽喉科

精细化声治疗 认知行为疗法 疗效 影响因素

重庆市2020年科卫联合医学科研项目重庆市2022年自然科学基金面上项目

2020MSXM117CSTB2022NSCQ-MSX0178

2024

中华耳科学杂志
解放军总医院耳鼻咽喉科研究所

中华耳科学杂志

CSTPCD北大核心
影响因子:0.954
ISSN:1672-2922
年,卷(期):2024.22(4)