目的:静脉搏动性耳鸣(PT)最近受到越来越多的关注。由于缺乏对静脉PT的心理物理和神经心理学维度的分析,本研究旨在定量和定性地调查听力测量之间的相关性,水声,以及PT患者的主观结局。
方法:55例静脉PT患者,有或没有乙状窦壁异常(SSWAs),分为SSWAs(n=30)和非SSWAs(n=25)组。评估听力和血液动力学评估。包括耳鸣障碍清单在内的问卷调查,医院焦虑和抑郁量表(HADS),和雅典失眠量表(AIS)被用来评估PT的心理影响。
结果:在55名受试者中,PT频率相关的纯音测听(PTA)与同病非PT频率相关的PTA之间存在显着差异(p<0.01),同侧颈静脉压迫PTA(p<0.01),和对比耳PTA(p<0.01)。与脉动指数和流速相反,双侧EOET和血流量差异有统计学意义(p<0.01)。在3种问卷类型中,HADS焦虑与AIS评分有很强的相关性(r=0.658,p<0.01)。PT的持续时间与主观结果无关,在听力测量中没有发现统计学意义,血液动力学,SSWAs与非SSWAs组之间的主观结果。
结论:(1)PT的持续时间与PTA的增加无关。(2)静脉PT是对血管血流声的感知,其中水声特性可以是高度独立的。(3)焦虑,抑郁症,睡眠障碍在PT患者中普遍存在。
OBJECTIVE: Venous pulsatile tinnitus (PT) has received increasing attention recently. As analyses of psychophysical and neuropsychological dimensions of venous PT are lacking, this study aimed to quantitatively and qualitatively investigate the correlation among audiometric, hydroacoustic, and subjective outcomes in patients with PT.
METHODS: Fifty-five venous PT patients, with or without sigmoid sinus wall anomalies (SSWAs), were subdivided into SSWAs (n = 30) and non-SSWAs (n = 25) groups. Audiometric and hemodynamic evaluations were assessed. Questionnaires including the Tinnitus Handicap Inventory, Hospital Anxiety and Depression Scale (HADS), and Athens Insomnia Scale (AIS) were deployed to evaluate the psychological impacts of PT.
RESULTS: Among 55 subjects, PT frequency-related pure-tone audiometry (PTA) was significantly different between ipsilesional non-PT frequency-related PTA (p < 0.01), ipsilateral jugular vein compression PTA (p < 0.01), and contralesional ear PTA (p < 0.01). In contrast with the pulsatility index and flow velocity, bilateral EOET and flow volume were significantly different (p < 0.01). Of the 3 questionnaire types, there was a strong correlation between HADS anxiety and AIS scores (r = 0.658, p < 0.01). The duration of PT was not correlated with subjective outcomes, and there was no statistical significance found among audiometric, hemodynamic, and subjective outcomes between SSWAs and non-SSWAs groups.
CONCLUSIONS: (1) The duration of PT was irrelevant to the increase of PTA. (2) Venous PT is the perception of vascular flow sound, in which hydroacoustic characteristics can be highly independent. (3) Anxiety, depression, and sleep disorders commonly prevail among PT patients.