Objective:To explore whether the Chinese version of the tinnitus functional index（TFI-CH） auditory subscale score can accurately reflect the impact of tinnitus on hearing. Method:TFI-CH were used to evaluate the severity of tinnitus in 72 adult patients with primary tinnitus. The hearing thershold were recorded by audiological examination. Result:There was significant difference in pure-tone average and the score of the TFI-CH and auditory subscale between patients with normal hearing and patients with hearing loss（P<0.01）. There was no significant correlation between TFI-CH auditory subscale score and age, gender, educational level and course of tinnitus（P>0.05）. A positive correlation was found between the pure-tone average and TFI-CH auditory subscale score（r=0.44, P<0.01）. There was linear correlation between the pure-tone average and the scores of TFI-CH and auditory subscale（P<0.01）. Conclusion:The score of the TFI-CH and its hearing subscale are affected by the hearing threshold of tinnitus patients, especially in tinnitus patients with hearing loss. Whether TFI-CH hearing subscale score can accurately reflect the influence of tinnitus on the hearing threshold of patients remains unclear, which needs to be considered in clinical application.
目的：探讨中文版耳鸣功能指数量表（TFI-CH）听觉亚表得分能否准确评估耳鸣对患者听声功能的影响，帮助临床医生更好地判读TFI-CH量表的结果。 方法：对72例以耳鸣为第一主诉的成人初诊患者使用TFI-CH量表进行耳鸣严重程度的评估，同时通过常规听力学检查以明确有无听力损失。 结果：听力正常组和听力下降组间的相对好耳平均听阈、TFI-CH量表总分及听觉亚表得分差异均有统计学意义（P<0.01）。TFI-CH听觉亚表得分与耳鸣患者的年龄、性别、教育程度、病程之间无明显相关性（P>0.05），与耳鸣患者的相对好耳平均听阈具有正相关性（r=0.44，P<0.01）；线性回归分析结果显示耳鸣患者的平均听阈与TFI-CH量表总分及听觉亚表得分具有线性相关性（P<0.01）。 结论：TFI-CH量表总分及听觉亚表得分均受到耳鸣患者本身听力的影响，尤其是伴有听力下降的耳鸣患者。TFI-CH听觉亚表得分能否准确反映耳鸣对患者听声功能的影响有待商榷，临床应用中需考虑这一情况。.
Keywords: hearing loss; the chinese version of the tinnitus functional index; tinnitus.
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