特发性耳鸣对睡眠影响的初步研究

摘要

目的 探讨特发性耳鸣对患者睡眠状态的影响.方法 研究对象为2013年1月～2016年5月在海军总医院耳科门诊以耳鸣为第一主诉就诊的148例患者,采用耳鸣严重程度问卷评估耳鸣程度,对自觉耳鸣对睡眠有影响的患者使用匹兹堡睡眠质量指数表判断睡眠质量,分析耳鸣对患者睡眠的影响状况.结果 96例患者(占68.9％)主诉耳鸣对其睡眠造成影响,最常见的睡眠困扰是耳鸣导致其入睡困难,睡眠质量与耳鸣严重程度具有显著正相关(r =0.863,P＜0.05).结论 睡眠困扰是耳鸣患者常见的主诉,睡眠困扰与自评耳鸣严重程度呈正相关,特发性耳鸣治疗要考虑改善睡眠.%Objective To explore the effect of idiopathic tinnitus on normal sleep.Methods The present study included 148 patients who reported idiopathic tinnitus more than one month.Each patient was assessed with the tinnitus evaluation questionnaire (TEQ).Those who reported tinnitus had effect on normal sleep were assessed with Pittsburgh sleep quality index (PSQI).The influence of idiopathic tinnitus on normal sleep was analyzed.Results Ninety-six subjective tinnitus patients (96/148,68.9％) reported sleep difficulties.The most common complain of sleep problems was difficulty in falling asleep.The presence of sleep disorders had correlation with the severity of tinnitus (r =0.863,P ＜ 0.05).Conclusions Sleep problems are common complaints of patients with idiopathic tinnitus.The disturbed sleep problems are linked to self-reported tinnitus severity scores.Therapy for idiopahtic tinnitus should in particular include sleep management.