Objective: To clarify the long-term characteristics of tinnitus following treatment of sudden deafness and its long-term physical and mental effects on patients. Methods: A retrospective analysis was performed on 88 patients (46 males and 42 females; Age from 11 to 89 years) with sudden deafness treated in Department of Otoscope Surgery of Peoples's Libration Army General Hospital in Beijing from April 2020 to January 2021, and the occurrence of tinnitus and treatment effect of all patients were analyzed. Follow-up was conducted for patients with residual tinnitus after treatment for more than 1 year by the investigation and filling in the survey information collection form, Tinnitus Evaluation Questionnaire (TEQ) and Tinnitus Handicap Inventory (THI). Descriptive statistics and SPSS 22.0 software were used for statistical data analysis. Results: In this study, 93.2% (82/88) of patients with sudden deafness were accompanied by tinnitus at the onset, and the proportion of long-term tinnitus after treatment was 90.2% (74/82). After 1 year of treatment for sudden deafness, the improvement of tinnitus was significant in low-frequency sudden deafness compared with those of high-frequency, flat and total deafness sudden deafness (χ2 value was 6.801, 4.568 and 4.038, all P<0.05). In patients with residual tinnitus, 9 (12.2%) patients felt minimal loudness or even no loudness, 34 (46.0%) patients felt slight loudness, 28 (37.8%) patients felt tinnitus was relatively loud, and 3 (4.1%) patients felt tinnitus was loud or noisy. Nine (12.2%) patients's sleep was often affected, 41 (55.4%) patients's sleep was sometimes affected, 9 (12.2%) patients's sleep was rarely affected, 15 (20.3%) patients's sleep was almost not affected. Twenty-eight (37.8%) patients basically completely adapted to tinnitus and 46 (62.2%) patients did not completely adapted to residual tinnitus. Eight (10.8%) patients had no impact on life, 39 (52.7%) patients had slight impact, 22 (29.7%) patients had moderate impact, and the other 5 (6.8%) patients had greater impact. According to tinnitus evaluation questionnaire(TEQ), there were 12 cases (16.2%) of grade Ⅰ, 26 cases (35.1%) of grade Ⅱ, 28 cases (37.8%) of grade Ⅲ, 7 cases (9.5%) of grade Ⅳ and 1 case (1.4%) of grade Ⅴ. According to tinnitus handicap inventory(THI), tinnitus disability was classified into grade Ⅰ, 22 cases (29.7%), grade Ⅱ, 14 cases (18.9%), Grade Ⅲ, 27 cases (36.5%) and grade Ⅳ, 11 cases (14.9%). Conclusion: The rate of residual tinnitus following treatment of sudden deafness is high. Some of the patients can completely adapt residual tinnitus after one year, but some of them will be affected when sleep, work and study. Residual tinnitus can lead to tinnitus disability in different degrees.
目的： 明确突发性聋（突聋）治疗后长期遗留耳鸣的特征及对患者远期的身心影响。 方法： 回顾性分析2020年4月至2021年1月于北京解放军总医院耳鼻咽喉头颈外科医学部耳内镜外科治疗的突聋患者 88例的临床资料，其中男46例，女42例；年龄11~89岁。分析患者耳鸣发生率及治疗效果，针对治疗后遗留耳鸣患者随访1年以上，通过对突聋治疗后遗留难治性耳鸣患者进行调查和随访，填写调查信息采集表、耳鸣评价量表（Tinnitus Evaluation Scale，TEQ）和耳鸣致残量表（Tinnitus Handicap Inventory，THI）。采用描述性分析方法，以SPSS 22.0 软件对数据进行分析。 结果： 93.2%（82/88）突聋患者伴耳鸣，治疗后遗留耳鸣患者占90.2%（74/82）。突聋治疗后1年，低频聋伴耳鸣与高频、平坦、全聋伴耳鸣患者相比改善最显著，差异有统计学意义（χ2值分别为6.801、4.568、4.038，P值均<0.05）。遗留耳鸣患者中9例（12.2%）感觉响度极小甚至感觉不到；34例（46.0%）感觉响度轻微；28例（37.8%）感觉耳鸣较响；3例（4.1%）感觉耳鸣很响，有吵闹感。遗留耳鸣患者中9例（12.2%）经常影响睡眠；41例（55.4%）有时影响睡眠；9例（12.2%）很少影响睡眠；15例（20.3%）几乎不影响睡眠。遗留耳鸣患者中28例（37.8%）基本完全适应耳鸣；46例（62.2%）未完全适应耳鸣。遗留耳鸣患者中8例（10.8%）对生活无影响；39例（52.7%）有轻微影响；22例（29.7%）有中度影响；5例（6.8%）具有较大以上影响。遗留耳鸣患者中TEQⅠ级 12例（16.2%），Ⅱ级 26例（35.1%），Ⅲ级 28例（37.8%），Ⅳ级7例（9.5%），Ⅴ级 1例（1.4%）。THI一级 22例（29.7%），二级14例（18.9%）），三级27例（36.5%），四级11例（14.9%）。 结论： 突聋治疗后遗留耳鸣率高。突聋治疗后遗留耳鸣患者1年后部分可完全适应，部分影响睡眠、工作和学习，可导致不同程度的耳鸣致残。.