CAJ | 학술논문

目的：初步探讨伴乙肝的耳鸣患者的心理声学特征，为此类人群制订更为个性化的耳鸣治疗方案提供临床依据。方法使用听尼特TM1000A耳鸣综合诊断治疗仪对35例伴乙肝的耳鸣患者进行纯音测听和耳鸣心理声学测试，对结果进行统计分析。结果35例患者中，听力正常组12例，听力损失组23例；耳鸣音调匹配失败5耳；耳鸣音调匹配类型以纯音为主(占68.6%)；耳鸣频率以高频居多(占70.0%)；耳鸣响度不大，以10 dB SL以内为主（占80.0%）；耳鸣佛德曼曲线在听力正常组与听力损失组均以汇聚型最多；残余抑制试验阳性率听力损失组（占70.0%）高于听力正常组（占50.0%）。结论伴乙肝的耳鸣患者，听力损失人数居多；汇聚型佛德曼曲线且伴听力下降的患者残余抑制试验阳性率最高，耳鸣更易被掩蔽。
목적：초보탐토반을간적이명환자적심리성학특정，위차류인군제정경위개성화적이명치료방안제공림상의거。방법사용은니특TM1000A이명종합진단치료의대35례반을간적이명환자진행순음측은화이명심리성학측시，대결과진행통계분석。결과35례환자중，은력정상조12례，은력손실조23례；이명음조필배실패5이；이명음조필배류형이순음위주(점68.6%)；이명빈솔이고빈거다(점70.0%)；이명향도불대，이10 dB SL이내위주（점80.0%）；이명불덕만곡선재은력정상조여은력손실조균이회취형최다；잔여억제시험양성솔은력손실조（점70.0%）고우은력정상조（점50.0%）。결론반을간적이명환자，은력손실인수거다；회취형불덕만곡선차반은력하강적환자잔여억제시험양성솔최고，이명경역피엄폐。
Objective To explore the psychoacoustic characteristics of tinnitus patients with hepatitis B virus and to provide clinical evidences for the development of individualized tinnitus therapy. Methods Thirty-five tinnitus patients with hepatitis B virus received the pure-tone audiometry and tinnitus psychoacoustic assessment using a patented digital system, 1000A TinniTestTM. Results The 35 patients were divided into normal-hearing group(12 patients) and hearing-impaired group(23 patients). 5 patients failed in the tinnitus pitch-matching test. The pitch-matching type was mainly pure tone(68.6%). Tinnitus was present mostly in the high-frequency range(70.0%). The tinnitus loudness was usually lower than 10 dB SL(80.0%). The convergent Feldmann curve was mostly seen in both normal-hearing group and in hearing-impaired group. The positive rate of residual inhibition test for hearing-impaired group(70.0%)was higher than that for normal-hearing group(50.0%). Conclusion A large proportion of tinnitus patients with hepatitis B virus suffer from hearing loss. The positive rate of residual inhibition test is highest in patients with convergent Feldmann curve and hearing loss, and the tinnitus is more likely to be masked for these patients.