Analysis of the Influencing Factors of Clinical Characteristics and Severity of Acute Tinnitus
10.3969/j.issn.1006-7299.2024.05.009
- VernacularTitle:急性耳鸣临床特征和严重程度的影响因素分析
- Author:
Linna HUI
1
,
2
;
Yongli SONG
;
Liu QI
;
Huarong YANG
;
Rui LI
;
Yangyang PAN
;
Dingjun ZHA
Author Information
1. 中国人民解放军空军军医大学西京医院耳鼻咽喉头颈外科(西安 710032)
2. 延安大学医学院
- Keywords:
Acute tinnitus;
Hyperacusis;
Anxiety;
Depression;
Sleep disorders
- From:
Journal of Audiology and Speech Pathology
2024;32(5):426-431
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical characteristics and related factors affecting the severity of acute tinnitus in patients.Methods A retrospective analysis was conducted on the data of 319 patients with acute tinni-tus.All patients had detailed case history,including basic patient information,tinnitus location,course of disease,acoustic characteristics of tinnitus,hearing loss,combined headache,dizziness,aural fallness,earache and other symptoms,as well as accompanying clinical diseases.All patients completed the tinnitus handicap inventory(THI),generalized anxiety disorder(GAD-7),patient health questionnaire(PHQ-9),pittsburgh sleep quality index(PSQI),hyperacusis questionnaire(HQ),type D personality scale-14(DS-14),etc.The mild tinnitus group was determined based on a THI score of ≤36.The moderate tinnitus group was determined based on a THI score of 38～56.The severe to extremely severe tinnitus group was determinded based on THI 56～100.THI grouping was used as the dependent variable and the above factors as independent variables.The correlation between each factor and the severity of acute tinnitus was analyzed using ordered multinomial logistic regression.Results Among 319 patients with acute tinnitus,158(49.5％)were in the mild tinnitus group,and 72(22.6％)were in the moderate tinnitus group,and 89(27.9％)were in severe to extremely severe tinnitus group.Ordered multinomial logistic re-gression analysis found that hyperacusis(OR=3.921),anxiety(OR=2.495),depression(OR=2.921),and D-type personality(OR=0.349)were associated with the severity of acute tinnitus(P＜0.05),with more serere tin-nitus in these patients.Conclusion Hyperacusis,anxiety,depression,and D-type personality may be factors that affect the severity of acute tinnitus,so high attention should be paid when treating patients with acute tinnitus.
