本文選題：耳鳴 + 聲音治療��； 參考：《天津醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的：探討聲音治療慢性耳鳴的臨床效果,為慢性耳鳴個(gè)體化治療提供新的方案。 方法：對(duì)232例慢性耳鳴患者進(jìn)行聲音治療。所有受試者于治療前,治療3、6、12個(gè)月后完成耳鳴評(píng)價(jià)量表、耳鳴煩躁級(jí)量化表。依據(jù)耳鳴評(píng)價(jià)量表和耳鳴煩躁級(jí)量化表評(píng)分進(jìn)行效果評(píng)定,療效分為痊愈、顯效、有效、無(wú)效。按照佛德曼曲線類型,將聲音治療結(jié)果分為Ⅰ、Ⅱ、Ⅲ、Ⅳ、Ⅴ型。根據(jù)殘余抑制試驗(yàn)結(jié)果,分成A組(完全陽(yáng)性),B組(部分陽(yáng)性),C組(陰性或反彈)。所有數(shù)據(jù)均在SPSS17.0統(tǒng)計(jì)軟件包上進(jìn)行統(tǒng)計(jì)分析。 結(jié)果：將耳鳴嚴(yán)重程度2級(jí)及以下的患者量化為輕度,治療前為54例(23.28%,54/232),治療3個(gè)月為122例(52.59%,122/232),治療6個(gè)月為172例(74.14%,172/232),治療12個(gè)月為196例(84.48%,196/232)。3級(jí)及以上患者量化為重度,治療前為178例(76.72%,178/232),治療3個(gè)月為110例(47.41%,110/232),治療6個(gè)月為60例(25.86%,60/232),治療12個(gè)月為36例(15.52%,36/232)。治療前和治療3個(gè)月后輕度和重度患者的構(gòu)成比差異具有統(tǒng)計(jì)學(xué)意義(χ2=42.33,P0.01)。治療6個(gè)月和治療3個(gè)月輕度和重度患者的構(gòu)成比差異具有統(tǒng)計(jì)學(xué)意義(χ2=23.21,P0.01)。治療12個(gè)月和治療6個(gè)月輕度和重度患者的構(gòu)成比差異具有統(tǒng)計(jì)學(xué)意義(χ2=7.57,P0.01)。聲音治療前后佛德曼曲線各組間有效率無(wú)統(tǒng)計(jì)學(xué)差異(P0.05)。按殘余抑制試驗(yàn)結(jié)果分組,聲音治療3、6、12月后結(jié)果顯示：A、B、C組有效率比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。 結(jié)論：聲音治療慢性耳鳴療效明顯,聲音治療6個(gè)月后,耳鳴癥狀具有顯著意義的改善,治療12個(gè)月后,療效持續(xù)改善且穩(wěn)定。聲音治療適用于佛德曼曲線各型患者及殘余試驗(yàn)陰性患者,且療效明顯。為慢性耳鳴提供個(gè)體化標(biāo)準(zhǔn)化治療方案。為慢性耳鳴患者提供經(jīng)濟(jì)、便利的治療方案。
[Abstract]:Objective : To study the clinical effect of sound therapy on chronic tinnitus , and to provide a new solution for the individualized treatment of chronic tinnitus .

Methods : 232 patients with chronic tinnitus were treated with sound therapy . All the subjects were treated before and after treatment for 3 , 6 and 12 months . The results were divided into group A ( complete positive ) , group B ( partial positive ) and C group ( negative or rebound ) . All the data were analyzed by SPSS 17.0 statistical package .

Results : The patients with severe tinnitus severity grade 2 and below were quantified as mild , 54 cases ( 23.28 % , 54 / 232 ) were treated before treatment , 122 cases ( 52.59 % , 122 / 232 ) were treated for 3 months , 172 cases ( 84.48 % , 196 / 232 ) were treated for 6 months , 110 cases were treated before treatment ( 76.72 % , 178 / 232 ) , 60 cases were treated for 6 months ( 25.86 % , 60 / 232 ) , and 36 cases were treated for 12 months ( 15.52 % , 36 / 232 ) . The composition of mild and severe patients before and after treatment was statistically significant ( 蠂2 = 42.33 , P0.01 ) . The composition ratio of patients with mild and severe cases for 6 months and 3 months was statistically significant ( 蠂2 = 23.21 , P0.01 ) . The composition ratio of patients with mild and severe cases for 12 months and 6 months was statistically significant ( 蠂2 = 7.57 , P0.01 ) . There was no statistical difference between the two groups before and after sound therapy ( P0.05 ) . According to the results of residual inhibition test , the results showed that there was no significant difference between the groups A , B and C after 3 , 6 and 12 months ( P0.05 ) .

Conclusion : The effect of sound therapy on chronic tinnitus is obvious . After 6 months of sound treatment , the symptoms of tinnitus have significant improvement . After 12 months of treatment , the curative effect is continuously improved and stable . Sound therapy is suitable for patients with various types and residual test negative patients , and has obvious curative effect . It provides individualized standardized treatment plan for patients with chronic tinnitus .
【學(xué)位授予單位】：天津醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R764.45

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