[普通话耳鸣问卷评分变化与耳鸣治疗效果的一致性]。

C Diao, Q Wang, Y Zhao, Z L Meng
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引用次数: 0

摘要

目的验证普通话耳鸣问卷(MTQ)得分变化与耳鸣治疗效果之间的一致性。方法: 在耳鼻咽喉科就诊的耳鸣患者前瞻性纳入 2020 年 9 月至 2021 年 9 月在四川大学华西医院耳鼻咽喉头颈外科就诊的耳鸣患者。耳鸣严重程度通过医生评估、患者自评、MTQ和视觉模拟量表(VAS)进行评估。3至6个月后进行随访评估,以评价治疗后耳鸣的严重程度,并收集所接受的干预措施(药物/非药物)和患者对治疗结果(耳鸣治愈/改善/无变化/加剧)的临床自我报告。结果:共纳入 54 名耳鸣患者,年龄(43.5±12.7)岁,其中男性 16 名,女性 38 名。药物治疗组 38 例,非药物治疗组 16 例。基线临床数据差异无统计学意义(均P>0.05)。药物治疗组的原发性耳鸣比例高于非药物治疗组[97.4% (37/38) vs 75.0% (12/16),P=0.023]。初诊和复诊时的 MTQ 评分与医生评估、患者自评和 VAS 评分的相关系数分别为 0.679、0.483、0.606、0.774、0.779 和 0.756(均为 PP-7,布兰德-阿尔特曼分析的 95% 一致度范围为-1.534 至 1.534)。两组间的ΔVAS和ΔMTQ差异无统计学意义(P均>0.05)。结论MTQ 与医生的评估、患者的自我评估和 VAS 都有很好的相关性。MTQ 分数的变化与 VAS 分数的变化密切相关。此外,MTQ 分数的变化与耳鸣治疗效果一致。
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[The consistency between changes in Mandarin Tinnitus Questionnaire scores and tinnitus treatment outcomes].

Objective: To verify the consistency between changes in Mandarin Tinnitus Questionnaire (MTQ) scores and tinnitus treatment outcomes. Methods: Tinnitus patients attending the Department of Otorhinolaryngology-Head & Neck Surgery, West China Hospital of Sichuan University from September 2020 to September 2021were prospectively enrolled. The tinnitus severity was evaluated by the doctor's assessment, the patient's self-assessment, the MTQ, and the Visual Analogue Scale (VAS). Follow-up assessments were conducted 3 to 6 months later to evaluate the severity of tinnitus post-treatment, and information on the interventions received (pharmacologic/non-pharmacologic) and patients' self-reported clinical impressions of their treatment outcomes (tinnitus cured/improved/no change/exacerbated) was collected. Results: A total of 54 tinnitus patients aged (43.5±12.7) years were included, consisting of 16 males and 38 females. There were 38 cases in the medication group and 16 cases in the non-medication group. No statistically significant differences in baseline clinical data were observed (all P>0.05). The proportion of primary tinnitus in the medication group was higher than that in the non-medication group [97.4% (37/38) vs 75.0% (12/16), P=0.023]. The correlation coefficients of MTQ scores at the initial and follow-up visits with doctor's assessment, patient's self-assessment, and VAS scores were 0.679, 0.483, 0.606, 0.774, 0.779, and 0.756, respectively (all P<0.001). The ΔMTQ correlation coefficient with ΔVAS was 0.694 (P<0.001), with a mean difference of 3.704×10-7 and 95% limits of agreement ranging from -1.534 to 1.534 in Bland-Altman analysis. There were no statistically significant differences of ΔVAS and ΔMTQ between two groups (both P>0.05). Conclusions: MTQ correlates well with the doctor's assessment, the patient's self-assessment, and VAS. Changes in MTQ scores associate well with changes in VAS scores. Additionally, changes in MTQ scores are consistent with the effect of tinnitus treatment.

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来源期刊
Zhonghua yi xue za zhi
Zhonghua yi xue za zhi Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
400
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