- 期刊
耳鳴及耳鳴活動治療的新進展－美國愛荷華大學耳鳴及聽覺敏感中心簡介
Current Concepts in Tinnitus and Tinnitus Activities Treatment- Introduction of the Department of Otolaryngology at the University of Iowa Hospitals and Clinics
摘要
耳鳴是一種臨床上常見的症狀，其引起的可能原因很多包括：聽損、老化、頭部外傷、藥物等。耳鳴的機轉目前尚未確定，但一般認為是腦部的可塑性(Brain plasticity) 針對聽覺系統的損傷所產生的反應。耳鳴會影響患者的許多層面包括：和他人溝通的能力、專注力情緒、睡眠等。耳鳴的盛行率隨著年齡增加而增加，因此隨著臺灣步入高齡化社會這個問題更值得我們重視。目前臨床上沒有藥物可以有效地根除耳鳴，治療方面，以行為治療(Behavioral therapies)和適時輔以的聲音治療(Sound therapy) 為目前較有效的治療方式。美國愛荷華大學耳鳴及聽覺敏感中心所發展的耳鳴活動治療(Tinnitus activities Treatment) 就是這種治療方式。和行為認知療法(Cognitive-Behavioral Therapy) 比較耳鳴活動治療較適合耳鼻喉科醫師和聽力師在臨床上使用。
並列摘要
Tinnitus is commonly seen in otolaryngologic practice. A number of health conditions can cause tinnitus including hearing loss, aging, head injury, and medications. The mechanisms of tinnitus are still undetermined but the changes that have occurred as a result of neural plasticity expression in brain which responses to the impairment of auditory system may be the cause of some tinnitus. Tinnitus influences health in many aspects: communication, concentration, sleep, emotion, and so on. The prevalence of tinnitus increases with age and this health problem deserves more attentions because Taiwan has already become an aged society. Currently, no medications can treat tinnitus effectively, and behavioral therapy and sound therapy are more effective than other therapies. Tinnitus Activities Treatment, developed by Department of Otolaryngology- The University of Iowa, is a treatment which combines counseling and partial masking sound therapy. Compared with cognitive behavioral therapy, Tinnitus Activities Treatment is more suitable for the practice of otolaryngologist or audiologist.