主观性耳鸣声治疗的机制和技术方法

宫琴; 陈欢; 郑颖芳

doi:10.3969/j.issn.1672-4933.2025.04.001

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主观性耳鸣声治疗的机制和技术方法

专家笔谈 | 更新时间：2025-07-15

- 主观性耳鸣声治疗的机制和技术方法
- Mechanisms and Technical Approaches to the Treatment of Subjective Tinnitus
- 中国听力语言康复科学杂志 2025年23卷第4期页码：337-347
- 作者机构：
  
  1.清华大学生物医学工程学院北京 100084
  2.无锡清耳话声科技有限公司无锡 214000
- 作者简介：
  
  [ "宫琴，清华大学、上海大学双聘博导。“十四·五”国家重点研发计划首席科学家。长期专注于听觉系统的检测、康复和认知工程研究。本科、博士毕业于清华大学，获双学士和博士学位，博士后就职于美国西北大学。以第一或通讯作者发表SCI、EI收录论文100余篇。主持完成20余项国家及省部级重点科研项目，申请及授权的发明专利和软著70余项，国际发明专利PCT 2份。以排名第一身份，获得国内外省部级以上科技发明奖20余项。入选江苏省双创人才、双创团队、太湖人才、滨湖团队、滨湖人才等人才计划。带领团队转化日内瓦国际发明奖（4金1银）创新产品5项，获得国家二类医疗器械注册证3项、创新医疗器械证书3项。" ]
- 基金信息：
  
  “十四·五”国家重点研发计划“诊疗装备与生物医用材料”耳鸣评估诊断治疗设备的研发及产业化(2023YFC2416200)
- DOI：10.3969/j.issn.1672-4933.2025.04.001
  中图分类号： R76.45
- 收稿日期：2025-06-10，
  
  纸质出版日期：2025-07-15
- 稿件说明：
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宫琴,陈欢,郑颖芳.主观性耳鸣声治疗的机制和技术方法[J].中国听力语言康复科学杂志,2025,23(04):337-347.

GONG Qin,CHEN Huan,ZHENG Ying-fang.Mechanisms and Technical Approaches to the Treatment of Subjective Tinnitus[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(04):337-347.
宫琴,陈欢,郑颖芳.主观性耳鸣声治疗的机制和技术方法[J].中国听力语言康复科学杂志,2025,23(04):337-347. DOI： 10.3969/j.issn.1672-4933.2025.04.001.

GONG Qin,CHEN Huan,ZHENG Ying-fang.Mechanisms and Technical Approaches to the Treatment of Subjective Tinnitus[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(04):337-347. DOI： 10.3969/j.issn.1672-4933.2025.04.001.

摘要

主观性耳鸣是病因复杂且具有高度异质性的耳科疑难病症。声疗法是一种通过实施特定频率与强度的外源性声刺激干预主观性耳鸣的感知和反应方法，主要包括掩蔽疗法、切迹音乐疗法、切迹掩蔽音乐疗法、耳鸣神经音乐疗法、海德堡神经音乐疗法、强直声治疗、抵消法和听力补偿法等多种方法。由于耳鸣机制复杂且患者主观差异，现有声治疗方法的机理和疗效需要深入探究。本文综述临床研究中常用声疗法的机理、治疗方法和疗效，比较不同声疗法的治疗周期和适用人群，探讨其局限性，并展望进一步研究方向。

Abstract

Subjective tinnitus is a complicated and highly heterogeneous otological condition with intricate etiology. Sound therapy is a method involving the application of exogenous acoustic stimuli at specific frequencies and intensities to modulate the perception and response to subjective tinnitus. It includes various approaches

such as

Masking Therapy

Tailor Made Notched Music Training (TMNMT)

Tailor-made Notch Masking Music Therapy(TNMMT)

Tinnitus Neuro Music Therapy(TNMT)

Heidelberg Model of Music Therapy(HMMT)

Tetanus Stimulation Therapy(TST)

Cancellation Therapy(CT) and Hearing Aid Compensation Therapy(HACT). Due to the complexity of tinnitus mechanisms and the significant variation among patients

the underlying mechanisms and therapeutic efficacy of existing sound therapies require further in-depth investigation. This review summarizes the mechanisms

methodologies

and clinical outcomes of commonly used sound therapies in clinical research

compares their treatment durations and target populations

discusses their limitations

and outlines future research directions.

关键词

Keywords

references

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