耳鸣患者108例临床特征及中医治疗.docVIP

耳鸣患者108例临床特征及中医治疗 目的：探索耳鸣的发病规律及临床特征，以提高临 床诊断与治疗水平。方法：对住院及门诊就诊的108例以主 观耳鸣为主诉的患者进行听力学调查和测试，对结果进行分 析。向所有患者发放统一调查问卷，由专人针对问卷内容对 患者进行询问并记录，使用丹麦AC240型纯音听力计进行常 规125?8000kHz纯音听阈检查，耳鸣强度匹配使用同一台 纯音听力计，耳鸣匹配采用感觉级。用活血化瘀的方法忧于 传统补肾方法。结果：①发病年龄以51?60岁最多见，41? 50岁次之；②不同性别及其不同耳鸣频率强度的发病构成比 无统计学差异（P0. 05）,不同职业者发病构成比无统计学 差异（P〉0. 05）;③单耳发病明显高于双耳（P0. 05），多 数合并听力下降；④突聋组的耳鸣频率低于听力正常组（P 0. 05）；⑤急性病程3个月的患者多于慢性病程者；6. 71% 的耳鸣患者合并有全身性疾病。结论：不明原因的主观性耳 鸣，有一定的发病规律及临床特征，用中医治疗有一定疗效。 关键词耳鸣中医活血化瘀 AbstractObjective：Explore tinnitus pathogenesis regularity and clinical characteristics, in order to improve the level of clinical diagnosis and treatment. Methods：For hospitalization and outpatient service of 108 cases with subjective tinnitus patients complained to the investigation and test of cochlear analysis results.All patients to extend by questionnaire,the unity of content in questionnaire inquiry and records,use Danish AC240 type pure routine use of 125?8000kHz tinnitus intensity,pure total use the same pure matched by listening,tinnitus matching feeling. Using the method of traditional invigorate kidney sick. Results：1 age to 51?60 years old,41?50 most teenagers,2 different gender and different frequency strength of tinnitus constitute no statistically significant ( P than 0. 05,different profession disease than was not statistically significant ( P form 0. 05,3 single ear disease is obviously higher than ears P 0.05 , most mergers hearing loss,Four of the tinnitus frequencies below normal hearing group, P 0. 05,5 the acute course 3 months of patients with chronic course more,6. 71% of tinnitus patients with systemic disease. Conclusion：Unexplained subjectivity tinnitus,have certain pathogenesis regularity and clinical characteristics,treatment with have certain curative effect. Key Wordstinnitus,TCM 耳鸣的致病因素繁多，发病机制不明，治疗上至今尚无 令人满意的疗效［1］。为探索耳鸣的发病规律及临床特征， 本研究对本院住院及门诊就诊的10 8例以主观耳鸣为主诉的 患者进行听力学调查和测试，对结果进行分析。 资料与方法 2006年1月?2008年1月就诊于本院耳鼻喉科男50例， 女58例；年龄14?80岁。全部患者均符合本课题主观性耳 鸣的定义：在无外界相应声源刺激情况下耳内有响声的一种 主观感觉。