听力正常耳鸣患者治疗前后诱发性耳声发射的临床研究.docVIP

听力正常耳鸣患者治疗前后诱发性耳声发射的临床研究 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：听力正常耳鸣患者治疗前后诱发性耳声发射的临床研究 1 1 资料与方法 3 11 一般资料 3 12 检测方法 3 13 治疗方法 4 14 耳鸣疗效判断[1] 4 3 讨论 4 文2：听力正常耳鸣患者的诱发性耳声发射 6 1 资料与方法 7 3 讨论 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 11 正文 听力正常耳鸣患者治疗前后诱发性耳声发射的临床研究 文1：听力正常耳鸣患者治疗前后诱发性耳声发射的临床研究 【ABSTRACT】 Objective：To investigate the relatiohip between tinnitus and early harmness of outer hair cell in cochlear, and recovered situation of outer hair cell in cochlear that was treated (being cured and evidently effective) in tinnitus patients with normal hearing was studied as ： 40 cases (66 ea altogether) of normal hearing with tinnitus, were tested by evoked otoacoustic emissio(TEOAE and DPOAE). Treat the patients with tinnitus. The sick ea that were cured and showed evident effectiveness, but didnt pass TEOAE or DPOAE before treatment were checked again. Results：①Before treatment, for TEOAE: 28 ea passed, 38 ea did not pass; DPOAE: 34 ea passed, 32 ea did not pass. ②After treatment, TEOAE: 15 ea that did not pass before treatment were cured and showed evident effectiveness, check TEOAE again,3 ea passed; DPOAE: 13 ea that did not pass before treatment were cured and showed evident effectiveness, check DPOAE again, 4 ea passed. Conclusion：Some patients of normal hearing with tinnitus have had early harmness of outer hair cell in cochlear, and are not easily recovered. 【KEY WORDS】 Tinnitus; Evoked otoacoustic emissio; Treatment 耳声发射是耳蜗的生理功能，主要反映外毛细胞的功能状态，是产于耳蜗，经听骨链、鼓膜释放入外耳道的音频能量，目前研究较多的是畸变产物耳声发射（DPOAE）、瞬态耳声发射（TEOAE）。耳鸣是在无外界声刺激或电刺激时，人体产生的耳内或脑内声音感觉，是耳鼻咽喉科的常见病症，发生率为17%，给患者可带来极大痛苦。以往报道较多的是听力正常耳鸣患者畸变产物耳声发射（DPOAE）、瞬态耳声发射（TEOAE ）的通过率，对未通过的患耳经治疗基本痊愈和显效的患耳复查DPOAE、TEOAE未见报道，我们对40例（66耳）纯音听力正常的耳鸣患者， 行诱发性耳声发射检查：瞬态耳声发射（TEOAE）和畸变产物耳声发射（DPOAE）检查，并对耳鸣患者给予相应治疗，对基本痊愈和显效的病耳治疗前DPOAE或 TEOAE未通过的复查DPOAE或TEOAE，研究耳蜗毛细胞恢复情况。 1 资料与方法 11 一般资料 40例（66耳）患者中，男18例，女22例；年龄17~46岁，平均29岁，病史5d~3年； 均无耳闷、耳聋、眩晕等伴随症状，耳镜检查外耳道及鼓膜均正常； 纯音测听各频率听阈均≤25dBHL，鼓室图均为A型，双耳同侧及对侧声反射正常。 12 检测方法 纯音测