临床常见病与耳鸣发病相关性的调查分析
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2015年北京市优秀人才资助(青年骨干)项目(编号:2014000021469G263);北京市鼻病重点实验室开放课题(编号:2014BBYJ01);北京市中医管理局中医药科技课题(编号:JJ2013-26);北京同仁医院院内基金项目(编号:2014-YJJ-GGL-037);北京市中西医结合耳鼻咽喉科研究所中西医结合治疗耳鼻咽喉疾病基础与临床应用研究项目;北京市中医管理局北京中医药科技课题(编号:JJ2016-49)


Investigation and Analysis of the Correlation between Clinical Common Diseases and Tinnitus
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    摘要:

    目的:探讨与耳鸣发病相关的危险因素,为耳鸣的病因及发病机制提供临床依据,并指导耳鸣的防治。方法:运用调查问卷方法,对103例耳鸣患者的基本情况和基础疾病以及耳鸣严重程度视觉模拟评分(VAS)进行调查,记录出现基础疾病的种类及例数和VAS值,并对相关内容进行统计分析。结果:1)103例耳鸣患者中,伴有疾病最多的前3名是颈椎病52例,高血脂34例和高血压31例,其余疾病出现例数均在10例以下。未伴有颈椎病、高血脂、高血压而有其他基础疾病的患者11例。未伴有任何已知疾病的耳鸣患者11例。2)在伴有颈椎病、高血脂、高血压的耳鸣患者中,单独伴有颈椎病20例,高血脂6例,高血压4例;同时伴有颈椎病和高血脂2例,同时伴有颈椎病和高血压2例,高血脂和高血压3例;同时伴有3种疾病3例。3)颈椎病和耳鸣发病相关(P<0.05),高血脂、高血压和耳鸣发病不相关(P>0.05),伴有疾病种类越多,耳鸣不一定越严重(P>0.05)。结论:颈椎病是耳鸣最相关因素之一,而高血脂、高血压与耳鸣的相关性尚需进一步研究。

    Abstract:

    To explore the risk factors associated with tinnitus, provide clinical basis for the etiology and pathogenesis of tinnitus, and guide the prevention and treatment of tinnitus. Methods:Using the questionnaire method to investigate the basic situation, basic diseases and the severity of tinnitus visual simulation score (VAS) of 103 patients with tinnitus, recording the types of basic diseases, the number of cases and vas values to analyze the related contents statistically. Results:1) In 103 cases of the tinnitus patients, the top three accompanied diseases were 52 cases of cervical spondylosis, 34 cases of hyperlipidemia and 31 cases of hypertension, and the occurrence of the rest were under 10 cases. Patients with other underlying diseases rather than cervical spondylosis, hyperlipidemia and hypertension were 11 cases. Without any known disease but tinnitus, there were only 11 cases. 2) In tinnitus patients with cervical spondylosis, hyperlipidemia and hypertension, those were only accompanied by cervical spondylosis were 20 cases, hyperlipidemia 6 cases, and hypertension 4 cases; while 2 cases were accompanied by cervical vertebra disease and hyperlipidemia, 3 cases hyperlipidemia and hypertension, cervical spondylosis, hyperlipidemia and hypertension 3 cases; 3) The related disease of tinnitus was cervical spondylosis (P<0.05). Hyperlipidemia and hypertension were not related to tinnitus (P>0.05). And it was not considered that the more the types of accompanied diseases were, the more serious the degree of tinnitus were(P>0.05). Conclusion:Cervical spondylosis is one of the most relevant factors of tinnitus, and the correlation between high blood lipids, hypertension and tinnitus needs further study.

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刘岱,冀美琦,田珊珊,解秸萍,张亚力,李春华,高艳,唐汉文,陈陆泉.临床常见病与耳鸣发病相关性的调查分析[J].世界中医药,2017,(04).

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  • 收稿日期:2016-11-29
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  • 在线发布日期: 2017-05-02
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