CAJ | 학술논문

目的探讨以耳鸣为首发症状的患者用纯音电测听进行听力检查的必要性.方法对218例耳鸣患者的纯音电测听结果进行分析.结果 218例耳鸣患者中,共有123例听力不正常,95例听力正常的患者中,有50例除耳鸣外,无其他病因.结论听力正常的耳鸣患者中,如果未查出明确病因,需进一步行脑干电反应测听、耳声发射等听力检测及其他必要检查,以明确耳鸣的原因或听觉系统发生异常的部位,对耳鸣的早期诊断及治疗有重要意义,但纯音电测听应作为耳鸣患者首次就诊时的常规检查项目.
목적 탐토이이명위수발증상적환자용순음전측은진행은력검사적필요성.방법 대218례이명환자적순음전측은결과진행분석.결과 218례이명환자중,공유123례은력불정상,95례은력정상적환자중,유50례제이명외,무기타병인.결론 은력정상적이명환자중,여과미사출명학병인,수진일보행뇌간전반응측은、이성발사등은력검측급기타필요검사,이명학이명적원인혹은각계통발생이상적부위,대이명적조기진단급치료유중요의의,단순음전측은응작위이명환자수차취진시적상규검사항목.
Objective To investigate the necessity to test the hearing of patients whose initial symptom is tinnitus with pure tone audiometer. Methods To analyze the results of pure tone audiometer of 218 tinnitus patients.Results Among 218 cases of tinnitus patients,a total of 123 patients with abnormal hearing,among 95 cases of patients with normal hearing, except for 50 cases of tinnitus, no other cause of disease. Conclusion Among the normal hearing tinnitus patients, we should do further hearing test for them if they are not identified a clear cause of disease,such as auditory brainstem response,otoacoustic emission and other necessary checks to clear the reasons for tinnitus or the position of the unusual auditory system. It is important for early diagnosis and treatment of tinnitus. But the pure-tone audiometer should be a routine examination when tinnitus patients come for the first visit.