A Prospective Study of the Effect of Tinnitus Sound Matching Degree on the Efficacy of Customized Sound Therapy in Patients with Chronic Tinnitus.

JinYu Wang, Juan Ding, Jing Song, Li Hu, Ning Cong, Zhao Han
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Abstract

Objectives: The aim of this study was to explore and compare the customized sound therapy effect between tinnitus sound matching and nonmatching patients in tinnitus customized sound therapy and therapy-related influencing factors.

Methods: This prospective study investigated a total of 100 patients with unilateral chronic tinnitus who received customized sound therapy. The participants were dichotomously divided into matching (group A) and nonmatching (group B) groups after 4 stages of tinnitus matching via the tinnitus assistant app (provided by Sound Ocean Company, SuZhou, China). Each group consists of 50 participants. Before and 6 months after the treatment, Hospital Anxiety and Depression Scale (HADS), tinnitus handicap inventory (THI), and tinnitus loudness Visual Analog Scale (VAS) were used to evaluate the customized sound therapy effect and explore other related influencing factors.

Results: (1) The HADS-A, HADS-D, THI, and VAS scores of 2 groups were both significantly decreased after treatment. (2) The HADS-A and THI scores improved markedly in group A than that in group B, which could be related to the hearing loss of the tinnitus side ear before treatment; the lighter the degree of hearing loss, the better the improvement. No statistically significant differences were detected in HADS-D and VAS scores between the 2 groups, and also, these were not related to the degree of hearing loss. The differences in age, gender, and tinnitus duration did not show any statistically significant effect on the improvement of the 2 groups.

Conclusions: Both tinnitus sound matching and nonmatching of the customized sound therapy brought a significant effect to tinnitus participants. Our study also suggests that THI and HADS-A scores of those with tinnitus matching participants improved markedly as compared to those of nonmatching participants, and the customized sound therapy effect is negatively correlated with the severity of hearing loss.

Abstract Image

耳鸣声音匹配度对慢性耳鸣患者定制声音治疗效果影响的前瞻性研究。
目的:本研究的目的是探讨和比较耳鸣声音匹配患者和耳鸣不匹配患者在耳鸣定制声音治疗中的效果及治疗相关影响因素。方法:本前瞻性研究调查了100例单侧慢性耳鸣患者,他们接受了定制的声音治疗。通过耳鸣助手应用程序(中国苏州声洋公司提供)对受试者进行4期耳鸣匹配后,将受试者分为匹配组(A组)和不匹配组(B组)。每组由50名参与者组成。治疗前和治疗后6个月采用医院焦虑抑郁量表(HADS)、耳鸣障碍量表(THI)、耳鸣响度视觉模拟量表(VAS)评价定制声音治疗效果并探讨其他相关影响因素。结果:(1)两组患者治疗后HADS-A、HADS-D、THI、VAS评分均显著降低。(2) A组患者HADS-A、THI评分较B组明显改善,可能与治疗前耳鸣侧耳听力损失有关;听力损失程度越轻,改善效果越好。两组患者的HADS-D评分和VAS评分差异无统计学意义,且与听力损失程度无关。年龄、性别、耳鸣持续时间的差异对两组患者的改善无统计学意义。结论:耳鸣声音匹配和不匹配的定制声音疗法对耳鸣患者都有显著的效果。我们的研究还表明,耳鸣匹配者的THI和HADS-A评分明显高于非匹配者,定制声音治疗效果与听力损失严重程度呈负相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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