综合康复治疗对噪声聋患者心理健康的影响

目的观察康复干预对噪声聋患者心理、睡眠质量等方面的影响。方法从淄博市职业病防治院已确诊噪声聋患者中选取92名患者，对所有患者进行初步评定，包括纯音听阈测听、匹斯堡睡眠质量评定PSQI、症状自评量表（SCL-90）评定。将92例患者随机分为康复组和对照组各46例，全部患者均给予常规对症治疗。康复组每天进行耳区穴位按摩、音乐噪声掩蔽、放松训练、健康教育和转移注意力等康复治疗。结果治疗前2组纯音听阈测听、匹斯堡睡眠质量评定、SCL-90评分差异无统计学意义，康复治疗2个月后康复组心理（（SCL-90））及睡眠质量评分均较康复前有明显提高（P〈0．01）。康复组与对照组SCL-90评分别为143．7±6．76和165．2±6．72，差异有统计学意义（t=15．30，P〈0．01）；PSQI评分分别为6±2．56和9±3．49，差异亦有统计学意义（t=4．70，P〈0．01）。结论对噪声聋患者进行系统的康复治疗能明显改善心理感受，提高生活质量。

Effect of comprehensive rehabilitation on mental health among noise deafness patients

Objective ] To observe the effect of rehabilitation intervention on mental and sleep quality among noise deafness pa- tients. Methods ] 92 patients with diagnosis of noise deafness were selected from Zibo Prevention and Treatment Center for Occupa- tional Disease, a preliminary assessment of all patients were conducted, including pure tone threshold audiometry, Pittsburgh sleep quality evaluation and SCL-90. 92 patients were randomly divided into rehabihtation group and control group, 46 cases in each group. All the patients were given routine treatments. The rehabilitation group was given rehabilitation therapy, including ear acu- puncture point massage, music noise masking, relaxation training, health education and distracting attention. Results] Before treatment, the differences of scores of pure tone threshold audiometry, Pittsburgh sleep quality evaluation and SCL-90 in two groups were not statistically significant. After two weeks rehabilitation therapy, the scores of Pittsburgh sleep quality evaluation and SCL-90 in rehabilitation group increased significantly than before rehabilitation （ P 〈 0.05 ）. The scores of SCL-90 in rehabilitation group and control group were 143.7 ± 6.76 and 165.2 ±6.72, the difference was statistically significant （ t = 15.30, P 〈 0.01 ）. The scores of PSQI were 6 ± 2.56 and 9 ± 3.49, the difference was statistically significant （ t = 4.70, P 〈 0.01 ）. Conclusion ] The systemic rehabilitation therapy can obviously improve the mental feelings and life quality of noise deafness patients.