持续性特发性耳鸣严重程度的相关因素分析

目的 探讨导致持续性特发性耳鸣严重程度的相关因素。 方法 分析870例持续性特发性主观性耳鸣患者的一般资料、病史、听力学结果、耳鸣匹配实验、耳鸣残疾量表、匹兹堡睡眠质量指数量表和焦虑自评量表,应用多因素Logistic回归分析研究与患者耳鸣严重程度相关的因素。 结果 (1)性别(P<0.001)、年龄(P=0.010)、耳鸣主调声频率(P=0.005)、听力损失(P=0.037)、焦虑程度(P<0.001)、睡眠状况(P<0.001)在THI分级上差异有统计学意义(P<0.05);(2)病程(P=0.053)、侧别(P=0.437)、主调声响度(P=0.120)在THI分级上差异均无统计学意义(P>0.05)。 结论 女性患者特发性耳鸣的程度较男性更为严重;低频较高频更扰人;焦虑程度和睡眠状况是影响耳鸣严重程度的因素,而病程、侧别、耳鸣主调声响度不是影响患者特发性耳鸣严重程度的因素。

Analysis of factors related to the severity of persistent idiopathic tinnitus

Objective To analyze factors related to the severity of persistent idiopathic subjective tinnitus. Methods The general data, medical history, audiological results, tinnitus matching test results, tinnitus disability scale score, Pittsburgh Sleep Quality Index score, and self-rating anxiety scale score were analyzed in 870 patients with persistent idiopathic subjective tinnitus. The multivariate Logistic regression analysis was performed to elucidate factors related to the severity of tinnitus. Results (1)There were significant differences in sex(P<0.001), age(P=0.010), tinnitus frequency(P=0.005), hearing loss(P=0.037), anxiety degree(P<0.001)and sleep status(P<0.001)in THI classification. (2)There was no significant difference in course(P=0.053), side(P=0.437)and tone loudness(P=0.120)in THI classification. Conclusion The degree of idiopathic tinnitus in female patients is more serious than that in men; low frequency is more disturbing than high frequency; anxiety degree and sleep status are the factors affecting the severity of tinnitus, while the course of disease, lateral classification and tinnitus main tone loudness are not the factors affecting the severity of idiopathic tinnitus.