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目的:探讨耳鸣康复治疗仪治疗不同病程主观性耳鸣患者的疗效。方法:收集2012年7月~2016年1月在我院耳鼻喉科治疗并符合纳入标准的主观性耳鸣患者128例,根据病程分为急性期、亚急性期、慢性期,将不同病程的患者按随机原则分别分为观察组(药物治疗+耳鸣掩蔽治疗)及对照组(药物治疗),观察组除药物治疗外,还采用耳鸣康复治疗仪对患者进行掩蔽治疗,治疗周期为14天,每天1次,每次30分钟。所有患者治疗前及治疗14天后,分别行耳鸣残疾度化量表评分,评价耳鸣康复治疗仪对不同病程主观性耳鸣患者的疗效。结果:观察组急性期、亚急性期和慢性期耳鸣患者治疗后THI评分明显低于治疗前;对照组急性期、亚急性期耳鸣患者治疗后THI评分明显低于治疗前,但慢性期耳鸣耳鸣治疗前后THI评分比较无明显差异,治疗后TH1评分观察组明显低于对照组。观察组慢性期耳鸣患者有效率明显高于对照组。结论:耳鸣治疗仪掩蔽疗法对慢性主观性耳鸣患者有效。耳鸣治疗仪掩蔽疗法在运用激素联合神经营养及改善内耳微循环的药物治疗基础上,并未使急性期或亚急性期耳鸣患者的疗效进一步显著提高。
Objective: To investigate the effect of tinnitus rehabilitation therapy on subjective tinnitus patients with different course of disease. Methods: A total of 128 subjective tinnitus patients who were treated in otolaryngology department from July 2012 to January 2016 in our hospital were enrolled. According to the course of the disease, they were divided into acute, subacute, and chronic phases, and patients with different course of disease Randomly divided into observation group (drug therapy + tinnitus masking treatment) and control group (drug treatment), the observation group in addition to drug treatment, the patient was also treated with tinnitus rehabilitation masking treatment, the treatment cycle of 14 days, every day 1 time, 30 minutes each time. All patients before treatment and after 14 days of treatment, respectively, tinnitus disability score scale to evaluate tinnitus rehabilitation therapy device for different duration subjective tinnitus patients. Results: The THI scores of acute, subacute and chronic tinnitus patients in observation group after treatment were significantly lower than those before treatment. In the control group, the THI score of patients with tinnitus after subacute phase was significantly lower than that before treatment, but the tinnitus and tinnitus Before and after treatment THI score no significant difference, after treatment, TH1 score was significantly lower than the control group observation group. The observation group of patients with chronic tinnitus efficiency was significantly higher than the control group. Conclusion: Tinnitus therapeutic masking is effective for patients with chronic subjective tinnitus. Tinnitus therapeutic masking therapy in the use of hormonal neuromuscular nutrition and improve the microcirculation of the inner ear on the basis of the drug did not make acute or subacute tinnitus patients further significantly improved the efficacy.