若耳鸣由暂时性因素(如耳部感染或短暂暴露于强噪音)引起,可能自愈。有时,耳鸣可能由于耳垢堵塞耳道引起。在这种情况下,清除耳垢可使耳鸣得到缓解。
慢性耳鸣则不太可能自行消失,但可进行有效控制。另有记录表明,部分慢性耳鸣患者在多年后症状自行缓解
(13)
。
目前尚无明确的治愈方法,但有各种治疗和策略可减轻耳鸣症状,包括
-
耳鸣咨询
-
认知行为疗法
-
助听器和人工耳蜗
-
耳鸣再训练疗法和声音疗法等治疗办法
-
神经调节(通过电或磁刺激神经系统)
-
压力管理
(5, 11, 12)
。
目前尚无药物被证明可有效治疗耳鸣。
控制耳鸣的有益策略主要通过转移注意力(如专注于工作或其他活动)及减少对耳鸣的情绪反应来实现。
为实现这些目标,认知行为疗法、声音疗法、助听器、耳鸣再训练疗法和压力管理技术可能会有帮助。
世卫组织衷心感谢"耳鸣研究倡议"在开发此页面时提供的技术支持。
参考文献
-
De Ridder D, Schlee W, Vanneste S, Londero A, Weisz N, Kleinjung T, et al. Tinnitus and tinnitus disorder: Theoretical and operational definitions (an international multidisciplinary proposal). Prog Brain Res. 2021;260:1-25.
-
Jarach CM, Lugo A, Scala M, van den Brandt PA, Cederroth CR, Odone A, et al. Global Prevalence and Incidence of Tinnitus: A Systematic Review and Meta-analysis. JAMA Neurol. 2022;79(9):888-900.
-
Baguley D, McFerran D, Hall D. Tinnitus. Lancet. 2013;382(9904):1600-7.
-
Langguth B, Kreuzer PM, Kleinjung T, De Ridder D. Tinnitus: causes and clinical management. Lancet Neurol. 2013;12(9):920-30.
-
Park KW, Kullar P, Malhotra C, Stankovic KM. Current and Emerging Therapies for Chronic Subjective Tinnitus. J Clin Med. 2023;12(20).
-
Goldstein E, Ho CX, Hanna R, Elinger C, Yaremchuk KL, Seidman MD, et al. Cost of care for subjective tinnitus in relation to patient satisfaction. Otolaryngol Head Neck Surg. 2015;152(3):518-23.
-
Stockdale D, McFerran D, Brazier P, Pritchard C, Kay T, Dowrick C, et al. An economic evaluation of the healthcare cost of tinnitus management in the UK. BMC health services research. 2017;17(1):577.
-
Treating and Curing Tinnitus Is Part of Our National Commitment to Veterans [Available from:
https://www.ata.org/treating-and-curing-tinnitus-is-part-of-our-national-commitment-to-veterans/
.
-
Maes IH, Cima RF, Vlaeyen JW, Anteunis LJ, Joore MA. Tinnitus: a cost study. Ear Hear. 2013;34(4):508-14.
-
Kreuzer PM, Vielsmeier V, Langguth B. Chronic tinnitus: an interdisciplinary challenge. Dtsch Arztebl Int. 2013;110(16):278-84.
-
Langguth B. Treatment of tinnitus. Current opinion in otolaryngology & head and neck surgery. 2015;23(5):361-8.
-
Langguth B, Kleinjung T, Schlee W, Vanneste S, De Ridder D. Tinnitus Guidelines and Their Evidence Base. J Clin Med. 2023;12(9).
-
Sanchez TG, Valim CCA, Schlee W. Long-lasting total remission of tinnitus: A systematic collection of cases. Prog Brain Res. 2021;260:269-82.
-
Patil JD, Alrashid MA, Eltabbakh A, Fredericks S. The association between stress, emotional states, and tinnitus: a mini-review. Frontiers in aging neuroscience. 2023;15:1131979.
-
Fuller T, Cima R, Langguth B, Mazurek B, Vlaeyen JW, Hoare DJ. Cognitive behavioural therapy for tinnitus. Cochrane Database Syst Rev. 2020;1:CD012614.
-
Schiele T, Boecking B, Nyamaa A, Psatha S, Schoisswohl S, Simoes JP, et al. Predictors of Tinnitus Symptom Relief With Hearing Aids in a European Multicenter Study. Ear Hear. 2025.
-
Wadhwa S, Jain S, Patil N. The Role of Diet and Lifestyle in the Tinnitus Management: A Comprehensive Review. Cureus. 2024;16(4):e59344.
-
Al-Swiahb J, Park SN. Characterization of tinnitus in different age groups: A retrospective review. Noise & health. 2016;18(83):214-9.
-
Biswas R, Lugo A, Genitsaridi E, Trpchevska N, Akeroyd MA, Cederroth CR, et al. Modifiable lifestyle-related risk factors for tinnitus in the general population: An overview of smoking, alcohol, body mass index and caffeine intake. Prog Brain Res. 2021;263:1-24.
-
Marcrum SC, Engelke M, Goedhart H, Langguth B, Schlee W, Vesala M, et al. The Influence of Diet on Tinnitus Severity: Results of a Large-Scale, Online Survey. Nutrients. 2022;14(24).