Assessing audiological, pathophysiological and psychological variables in tinnitus patients with or without hearing loss
Assessing audiological, pathophysiological and psychological variables in tinnitus patients with or without hearing loss
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DOI：
10.1007/s00405-010-1302-3
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发表时间：
2010-11-01
影响因子：
2.6
通讯作者：
Martinciglio, Gioacchino
中科院分区：
文献类型：
--
作者：
Martines, Francesco;Bentivegna, Daniela;Martinciglio, Gioacchino
本研究的目的是探讨听力正常者和听力损失患者耳鸣的特点。该研究考虑了2006-2008年期间被转诊到巴勒莫大学听力科的耳鸣患者，年龄从21岁到83岁不等。考虑以下参数：年龄、性别、听阈、耳鸣偏侧性、耳鸣持续时间、耳鸣测量值和耳鸣引起的主观干扰。样本分为听力正常组（G1）115例和听力损失组（G2）197例。特别是对于G2，与女性相比，男性占主导地位（P = 0.011）;耳鸣的最高百分比在61-70岁和> 70岁之间，G2的显著差异表明听力状态和老年人是主要的耳鸣相关因素（P < 0.0001）。听力损害以感音神经性听力损失（SNHL）为主，且局限于高频，72.1%的SNHL患者有高音耳鸣，88.4%的高频SNHL患者有高音耳鸣（P < 0.0001）。在主观不适方面，G1组中灾难性类别最具代表性，两组之间存在显著差异;耳鸣强度水平与耳鸣烦恼之间没有相关性，证实耳鸣不适可能是由一定程度的心理困扰引起的，如焦虑、抑郁、易怒和恐惧。
The aim of this work is to study the characteristics of tinnitus both in normal hearing subjects and in patients with hearing loss. The study considered tinnitus sufferers, ranging from 21 to 83 years of age, who were referred to the Audiology Section of Palermo University in the years 2006-2008. The following parameters were considered: age, sex, hearing threshold, tinnitus laterality, tinnitus duration, tinnitus measurements and subjective disturbance caused by tinnitus. The sample was divided into Group1 (G1), 115 subjects with normal hearing, and Group2 (G2), 197 subjects with hearing loss. Especially for G2, there was a predominance of males compared to females (P = 0.011); the highest percentage of tinnitus resulted in the decades 61-70 and > 70 with a significant difference for G2 demonstrating that the hearing status and the elderly represent the principal tinnitus-related factors (P < 0.0001). The hearing impairment resulted in most cases of sensorineural hearing loss (SNHL) type and was limited to the high frequencies; the 72.1% of the patients with SNHL had a high-pitched tinnitus, while the 88.4% of the patients with a high-frequency SNHL had a high-pitched tinnitus (P < 0.0001). As to the subjective discomfort, the catastrophic category was the most representative among G1 with a significant difference between the two groups; no correlation was found between the level of tinnitus intensity and the tinnitus annoyance confirming the possibility that tinnitus discomfort is elicited by a certain degree of psychological distress as anxiety, depression, irritability and phobias.