认知行为疗法在爆震性耳鸣治疗中的应用

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Abstract Objective To investigate the effect of cognitive behavioral therapy(CBT)on explosive tinnitus.Methods A total of 62 patients with explosive tinnitus admitted to the Department of Otolaryngology,No.984 Hospital of the People′s Liberation Army from January 2018 to June 2019 were selected as the subjects.They were divided into control group(n=32)and combined treatment group(n=30)by coin toss method.Patients in the control group were given conventional drug treatment,and patients in the combined treatment group were given drug combined CBT treatment.The course of treatment was 1 month.The tinnitus handicap inventory(THI)and anxiety self-assessment scale(SAS)were used to estimate the tinnitus severity and negative emotions before and 1 month after treatment.The THI and SAS scores were compared between the two groups,respectively.The THI and SAS scores of patients with tinnitus and anxiety in control group(n=6)and patients with tinnitus and anxiety in combined treatment group(n=9)were further compared.Results The THI and SAS scores after treatment in the two groups were lower than those before treatment,and the differences were statistically significant(P＜0.05).There were no significant differences in THI and SAS scores between the two groups before and after treatment(P＞0.05).The total effective rate of combined treatment group(83.33%)was higher than that of control group(31.25%),and the difference was statistically significant(P＜0.05).After treatment,the THI and SAS scores of tinnitus patients with anxiety in the two groups were lower than those before treatment,the differences were statistically significant(P＜0.05).After treatment,SAS and THI scores of patients with tinnitus and anxiety in the combined treatment group were lower than those in the control group,the differences were statistically significant(P＜0.05).Conclusion CBT can effectively improve the subjective symptoms of patients with explosive tinnitus with anxiety,reduce the impact of tinnitus on their lives and alleviate their negative emotions,which is worthy of active clinical promotion.

Key words： Explosive tinnitus Noise Cognitive behavior therapy

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	Articles by authors
	YANG Mei-yan
	QI Li-li
	LI Xu
	JIA Zong-xin
	ZHAO Xu-ping
	WANG Bing

Cite this article:

YANG Mei-yan,QI Li-li,LI Xu, et al. Application of cognitive behavioral therapy on explosive tinnitus[J]. 中国当代医药, 2021, 28(15): 30-33转37.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I15/30

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