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对声组合疗法的初步反应:从回顾性分析中吸取的教训

Seung-Ho Shin¹, Sung Wan Byun, Ho Yun Lee

¹Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine, Seoul, Korea.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology

|October 19, 2023

概括

在大多数患者中,指导性咨询显著减少了耳声的影响. 虽然听力助听器和神经调节等其他疗法的影响有限,但咨询仍然是 tinnitus 管理的主要治疗方法.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
听力学听力学是指听力学.
神经科学是一个神经科学.

背景情况:

耳,一个常见的听觉感知,显著影响生活质量.
针对耳的最佳治疗策略正在不断研究中.
一般耳诊所寻求有效的,可组合的治疗方法来治疗耳.

研究的目的:

用组合疗法评估声症状最初的减少.
在临床环境中建立对耳的最佳治疗策略.

主要方法:

追溯队列研究涉及151名患有主观耳的患者.
使用组合疗法,包括咨询,助听器,药物和神经调节.
在基线和1个月随访时使用Tinnitus Handicap Inventory (THI) 评估耳的严重程度.

主要成果:

31.8%的参与者在THI分数中取得了显著的改善 (≥20分).
指令咨询表明,THI分数在统计学上显著下降.
助听器和神经调节不是 tinnitus 改善的显著预后因素.

结论:

基于神经生理学模型的指导咨询是大多数耳患者最有效的初始治疗方法.
一些患者可能会受益于辅助疗法,如助听器,药物或神经调节,以及咨询.

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