Психоакустические показатели состояния слуха у больных болезнью меньера в период между приступами
Аннотация
Цель исследования явилось анализ результатов психофизиологических методов
исследования слуха у больных болезнью Меньера в период между приступами. Основную группу составили 191 больных двухсторонней болезнью Меньера (БМ) в возрасте от 31 до 67 лет (средний возраст 48,8±0,7 лет). Лиц женского пола было 127 (66,5%), мужского – 64 (33,5%), их соотношение составило 1,5:1. Продолжительность заболевания варьировала в широких пределах – от 10 дней до 15 лет. Контрольную группу составили 30 здоровых лиц. Состояние органа слуха оценивали в период между приступами БМ. Были использованы психофизиологические методы исследования — акуметрия, тональная пороговая аудиометрия в обычном диапазоне частот, определение чувствительности к малым (коротким) приращениям интенсивности (SISI-тест). У всех больных имело место наряду нарушением слуха постоянный шум в ушах. Шум в ушах у 64,4% больных имел многотональный характер, 36% был ведущей,51% — одной из основных жалобой больных БМ. Поражение слуха проявлялась нарушением по типу звуковосприятия с преимущественным поражением ее периферического отдела. У 80,1%
больных установлена тугоухость второй и третей степени. В 81,7% случаях установлено наличие ФУНГ.
Purpose of the study of to analysis of the results of psychophysiological methods for studying hearing in patients with Meniere’s disease in the period between attacks. The main group consisted of 191 patients with bilateral Meniere’s disease (BM)aged 31 to 67 years (mean age 48,8 ± 0,7 years). There were 127 females (66,5%), males — 64 (33,5%), their ratio was 1,5: 1. The duration of the disease varied widely — from 10 days to 15 years. The control group consisted of 30 healthy individuals. The state of the organ of hearing was assessed in the period between the attacks of BM. Psychophysiological research methods were used — acumetry, tonal threshold audiometry in the usual frequency range, determination of sensitivity to small (short) intensity increments (SISI test). In all patients, along with hearing impairment, constant tinnitus took place. Tinnitus in 64,4% of patients had a multi-tone character, 36% was leading, 51% was one of the main complaints of BM patients. Hearing impairment was manifested as a disorder of the type of sound perception with a predominant lesion of its peripheral section. In 80,1% of patients, hearing loss of the second and third degree was established. FUNG was found in 81,7% of cases.
Purpose of the study of to analysis of the results of psychophysiological methods for studying hearing in patients with Meniere’s disease in the period between attacks. The main group consisted of 191 patients with bilateral Meniere’s disease (BM)aged 31 to 67 years (mean age 48,8 ± 0,7 years). There were 127 females (66,5%), males — 64 (33,5%), their ratio was 1,5: 1. The duration of the disease varied widely — from 10 days to 15 years. The control group consisted of 30 healthy individuals. The state of the organ of hearing was assessed in the period between the attacks of BM. Psychophysiological research methods were used — acumetry, tonal threshold audiometry in the usual frequency range, determination of sensitivity to small (short) intensity increments (SISI test). In all patients, along with hearing impairment, constant tinnitus took place. Tinnitus in 64,4% of patients had a multi-tone character, 36% was leading, 51% was one of the main complaints of BM patients. Hearing impairment was manifested as a disorder of the type of sound perception with a predominant lesion of its peripheral section. In 80,1% of patients, hearing loss of the second and third degree was established. FUNG was found in 81,7% of cases.