耳鸣与焦虑情绪及睡眠障碍相关性的研究进展

耳鸣是耳部疾病中最常见的三大症状之一,在不同地区,有7%~35%的一般人群出现过耳鸣症状。焦虑情绪的出现会影响大脑识别有用信息的能力,从而使大脑向听觉神经系统发送不良信号导致听觉系统过敏甚至失认,睡眠的缺乏造成大脑中的代谢物无法清除并不断累积,增强了听觉系统的交感神经反应,这两种情况都可能导致并加重耳鸣的出现。笔者就耳鸣与焦虑情绪及睡眠障碍的相关性进行综述,研究结果提示,焦虑情绪和睡眠障碍与耳鸣密切相关,并且可能是耳鸣的重要影响因素。国内外有关耳鸣的多种评估方法较为成熟,可为临床上评估耳鸣的严重程度提供参考。

Research progress on the relationship between tinnitus and anxiety and sleep disorders

Tinnitus is one of the three most common symptoms in ear disease.In different regions,7% to 35% of the general population has tinnitus symptoms.Anxiety can affect the brain''s ability to recognize useful information,lead brain to send bad signals to the auditory system and cause hyperacusis or auditory agnosia.The lack of sleeping causes the accumulation and inability to clean metabolites in the brain and,and enhancing of hearing sympathetic responses,both of which can cause and aggravate the appearance of tinnitus.This article reviews the relationship between tinnitus and anxiety and sleep disorders.The results suggest that anxiety and sleep disorders are closely related to tinnitus and may be an important factor in tinnitus.A variety of assessment methods for tinnitus at home and abroad are relatively mature,which can provide a reference for clinical evaluation of the severity of tinnitus.