Tinnitus And Deafness Of The Clinical Relevance Of The Preliminary Investigation

ObjectiveTo investigate the relationship between tinnitus and deafness,Provides the clinical material for the research of tinnitus.Methods1.Formulate the standard of the integration and elimination.The 470 patients of the first affiliated hospital of Guangzhou university of traditianal Chinese medicine were investigated in the out-patient clinic and in-patient department,carries on the essential ear department inspection to the selected proportion,according to the relevant survey form between tinnitus and deafness,inquired one by one patient further information,and completes the record.2.According to tinnitus and deafness relevant survey form and check result,and unifies patient's actual situation,will be selected the case to divide into the tinnitus group and deafness group.In deafness group, subdivides again for the corresponding disease group:The pus otopathy group(chronic suppurative tympanitis),the ear bulge ear shuts sickness group(secretive tympanitis),the storm deaf sickness group(burst characteristics deafness),the ear dizziness sickness group(the Money Egypt sickness),gradually the deaf sickness group(including unknown cause feeling sound nervous deaf and ostosclerosis).Carries on the determination to each group of tinnitus and deafness relevance.3.Statistical analysis:Each group of tinnitus and deafness appear alone with the coexisting proportion,in the tinnitus deafness coexisting situation,counts the proportion which the two have related,are not related and are possibly related.Result 1.In 265 example tinnitus patients,the hearing normal person 77 examples(account for 29.1%),this part of hearing normal tinnitus patients its tinnitus time surpasses 1 year to account for 50.6%(39/77), longest amounts to for 16 years.70.9%(188/265)the tinnitus patients has the varying degree the loss of hearing,but determines for the tinnitus and deafness has relevantly is only 72 examples(accounts for 27.1%),what possibly is related is 59 examples(accounts for 22.3%),what non-relevant is 57 examples(accounts for 21.5%).The tinnitus patient's age are most between 20～60 years old,accounts for 78.5%(208/265),but 60 year old of later instead gradually will reduce.2.In 205 example deafness patients,has not had the tinnitus to have 75 examples(to account for 37%),this part of patient's deafness time is shortest for 1 month,the longest for 40 years,the course accounts for 39%above 1 year(29/75).63%(130/205)of the patient has the tinnitus, what determines has relevantly for the tinnitus and deafness is 101 examples(accounts for 49%),what possibly is related is 3 examples (accounts for 1%),what non-relevant is 26 examples(accounts for 13%). Storm deaf sickness with the ear dizziness sickness group,the tinnitus and deafness has the relevant proportion to be high,respectively is 84% and 78%;The ear bulge ear shuts sickness,the pus otopathy and gradually in the deaf sickness group,the tinnitus and deafness have the relevant proportion to be low,respectively is 13%,5%,4%.Conclusion1.In take tinnitus as the first complaint patients,49.4%patients tinnitus and deafness possibly has the relevance,27.1%patients have the relevance explicitly,22.3%patients possibly have the relevance;50.6% patients tinnitus and deafness not obvious relevance,29.1%patients non-hearing drop,21.5%patients have the varying degree the loss of hearing,but the loss of hearing occurs spot and time and tinnitus not explicit relevance.2.In take deafness as the first complaint patients,50%patient tinnitus and deafness possibly has the relevance,49%patients have the relevance explicitly,1%patients possibly have the relevance;50% patients tinnitus and deafness not obvious relevance,37%patients do not have the tinnitus,13%patients have the tinnitus,but the tinnitus and deafness occurs spot and time not explicit relevance.3.In storm deaf sickness gets sick with the ear dizziness,the tinnitus and deafness are possibly related the proportion is high(reaches 85%),but in other type's deafness,the tinnitus and deafness are possibly related the proportion is very low(only 8%).