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【medical-news】多种因素使耳鸣无法忍受

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这个帖子发布于13年零199天前，其中的信息可能已发生改变或有所发展。
Tinnitus Intolerability Influenced by Several Factors

NEW YORK (Reuters Health) Dec 18 - The extent of tinnitus loudness and distress contribute to tinnitus severity, and several factors determine the extent of loudness and distress, such as vertigo, hyperacusis and coexisting hearing loss, German investigators report in the December issue of the Archives of Otolaryngology -- Head and Neck Surgery.

Co-authors Dr. Wolfgang Hiller, from the University of Mainz, and Dr. Gerhard Goebel, from Roseneck Center of Behavioral Medicine in Prien, conducted a cross-sectional study to evaluate how individual factors contribute to subjects' perception of loudness and annoyance.

They mailed surveys to 20,000 members of the German Tinnitus League. The 4995 individuals who participated were also evaluated for audiologic, medical, and psychological factors.

Tinnitus loudness was classified into grade I (weak) that indicates that tinnitus is audible only in silent environments; grade II (moderate) tinnitus audible in ordinary acoustic environments; or grade III (severe) tinnitus is louder than all external sounds. Roughly 8.2% of subjects reported loudness as grade I, 60% as grade II, and 32% as grade 3.

Degree of annoyance, measured with the mini-version of the Tinnitus Questionnaire, was categorized as mildly distressed (39%), moderately (24%), severely (24%), and most severely distressed (13%).

Subjects were also asked questions regarding tinnitus history, tinnitus-related otologic conditions, tinnitus etiology, and psychological complaints.

The strongest influences on tinnitus loudness and annoyance were hyperacusis and continuously present tinnitus, Drs. Heller and Goebel report.

Other factors that influenced loudness and annoyance were male gender, older age, "binaural and centrally perceived tinnitus, increase in tinnitus intensity since onset, sensitivity to loud external noise, and the coexistence of hearing loss and vertigo," the investigators add.

They note that etiology of the condition - conductive hearing loss, severe head injury, or neurologic disease - seemed to be particularly associated with both loudness and annoyance.

"Although it has been shown that personal distress due to tinnitus is to some degree dependent on primary psychological factors such as cognitive appraisal or differences in coping behavior, the role of physical, audiologic, and medical properties of tinnitus should not be underestimated," the investigators conclude.

They recommend that loudness and annoyance be considered when making treatment decisions.

http://www.medscape.com/viewarticle/549559
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本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。
2006-12-20 11:06
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Tinnitus Intolerability Influenced by Several Factors
多种因素使耳鸣无法忍受
NEW YORK (Reuters Health) Dec 18 - The extent of tinnitus loudness and distress contribute to tinnitus severity, and several factors determine the extent of loudness and distress, such as vertigo, hyperacusis and coexisting hearing loss, German investigators report in the December issue of the Archives of Otolaryngology -- Head and Neck Surgery.
纽约（路透社健康中心）12月18-德国研究者发表在耳鼻喉科学分册——头颈外科学12月刊上的文章提到：耳鸣响度和痛苦的程度决定了耳鸣的严重性，有很多因素决定了响度的大小和不适的感觉，比如说眩晕，听觉过敏还有并发的听觉下降。
Co-authors Dr. Wolfgang Hiller, from the University of Mainz, and Dr. Gerhard Goebel, from Roseneck Center of Behavioral Medicine in Prien, conducted a cross-sectional study to evaluate how individual factors contribute to subjects' perception of loudness and annoyance.
来自美因兹大学的Wolfgang Hiller博士，和来自Prien行为医学Roseneck中心的Gerhard Goebel博士一起领导这个有代表性的研究，为了评价多少种独立的因素影响到受试者对响度和噪声的知觉。
They mailed surveys to 20,000 members of the German Tinnitus League. The 4995 individuals who participated were also evaluated for audiologic, medical, and psychological factors.
他们给德国耳鸣联盟的20000名成员邮局调查问卷，评价了4995名受试者的听力学，医学，生理学因素。
Tinnitus loudness was classified into grade I (weak) that indicates that tinnitus is audible only in silent environments; grade II (moderate) tinnitus audible in ordinary acoustic environments; or grade III (severe) tinnitus is louder than all external sounds. Roughly 8.2% of subjects reported loudness as grade I, 60% as grade II, and 32% as grade 3.
耳鸣响度分为I级（弱的）表明耳鸣音只有在安静的环境下才能听到；II级（中等的）耳鸣音在正常环境中可以听到；III级（严重的）耳鸣音比任何外界的声音都大。大约有8.2%的受试者的耳鸣响度是I级，60%是II级，32%是III级。
Degree of annoyance, measured with the mini-version of the Tinnitus Questionnaire, was categorized as mildly distressed (39%), moderately (24%), severely (24%), and most severely distressed (13%).
噪声的程度，用小版本的耳鸣调查表来测量，分为轻度异常（39%），中度（24%），重度（24%），和极重度（13%）。
Subjects were also asked questions regarding tinnitus history, tinnitus-related otologic conditions, tinnitus etiology, and psychological complaints.
受试者还被问到关于耳鸣史，耳鸣相关的耳科学情况，耳鸣病因学，心理上的症状等问题。
The strongest influences on tinnitus loudness and annoyance were hyperacusis and continuously present tinnitus, Drs. Heller and Goebel report.
Drs. Heller and Goebel报道说：听觉过敏和耳鸣的持续存在对耳鸣的响度和噪声的影响最大。
Other factors that influenced loudness and annoyance were male gender, older age, "binaural and centrally perceived tinnitus, increase in tinnitus intensity since onset, sensitivity to loud external noise, and the coexistence of hearing loss and vertigo," the investigators add.
其他影响响度和噪声的因素还包括男性性别，老年人，调查者还补充道：“两耳和中央性耳鸣，增加了耳鸣的严重程度，对外界声音更加敏感，而且还可以伴随听力下降和眩晕。”
They note that etiology of the condition - conductive hearing loss, severe head injury, or neurologic disease - seemed to be particularly associated with both loudness and annoyance.
他们注意到病因立出现的情况——持续性的听力下降，严重的头部外伤，或者神经性疾病——这些看起来都部分性的和响度和噪声二者都相关。
"Although it has been shown that personal distress due to tinnitus is to some degree dependent on primary psychological factors such as cognitive appraisal or differences in coping behavior, the role of physical, audiologic, and medical properties of tinnitus should not be underestimated," the investigators conclude.
研究者的得出的结论是：“虽然已经证明因为耳鸣使个体感到不同程度的不适取决于最主要的心理因素包括认知评价，或者适应性行为的不同。有关耳鸣的物理学的，听力学的作用，和医学的性质不应该被轻视。”
They recommend that loudness and annoyance be considered when making treatment decisions.
他们提醒在采取治疗措施的时候应该考虑到响度和噪声。
http://www.medscape.com/viewarticle/549559
2006-12-20 16:19
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