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首页> 外文期刊>Otology and neurotology: official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology >Patients' subjective evaluations of quality of life related to disease-specific symptoms, sense of coherence, and treatment in Meniere's disease.
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Patients' subjective evaluations of quality of life related to disease-specific symptoms, sense of coherence, and treatment in Meniere's disease.

机译：患者对生活质量的主观评估与特定疾病的症状，连贯感和美尼尔病的治疗有关。

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OBJECTIVE: To evaluate the self-rated quality of life associated with vertigo, hearing loss, and tinnitus in Meniere's patients, and to identify potential relationships between these findings, treatment regimens, and sense of coherence in comparison to the classification of the American Academy of Otolaryngology-Head and Neck Surgery (AAO/HNS). STUDY DESIGN: Cross-sectional. SETTING: Tertiary referral hospital centers. PATIENTS: 112 patients with Meniere's disease, who had undergone endolymphatic sac surgery or intratympanic gentamicin injections, or were surgically untreated. MAIN OUTCOME MEASURE: Questionnaires concerning quality of life aspects and symptom-specific instruments: the Vertigo Symptom Scale (VSS), the Hearing Disability Handicap scale (HDHS), the Tinnitus Severity Questionnaire (TSQ), the AAO/HNS criteria for reporting results of treatment of Meniere's disease, and the Sense of Coherence Scale. RESULTS: A majority of the patients reported their quality of life in general as very good or good. There was no difference in general quality of life, present hearing loss, or tinnitus between the three treatment groups, but the gentamicin-treated patients had less vertigo than did the other groups. Sense of coherence showed a strong correlation to reported quality of life in all measurements. CONCLUSIONS: Even though the gentamicin-treated patients had less vertigo, no difference in overall quality of life was found between the surgically treated and untreated patients. The sense of coherence seems to be an important factor in the patient's experience of quality of life. Quality of life instruments can measure both specific symptoms and related aspects on quality of life and may give complementary information to the AAO/HNS classification in evaluating the treatment of patients with Meniere's disease.
机译：目的：评估美尼尔患者的与眩晕，听力损失和耳鸣有关的自我评估的生活质量，并与美国科学院的分类相比，确定这些发现，治疗方案和连贯感之间的潜在关系。耳鼻咽喉头颈外科（AAO / HNS）。研究设计：横截面。地点：三级转诊医院中心。患者：112名美尼尔氏病患者，他们接受了内淋巴囊手术或鼓膜内注射庆大霉素的治疗，或者未经手术治疗。主要观察指标：有关生活质量方面和症状特定手段的问卷：眩晕症状量表（VSS），听力障碍障碍量表（HDHS），耳鸣严重程度问卷（TSQ），AAO / HNS报告结果的标准美尼尔氏病的治疗方法和连贯感量表。结果：大多数患者报告其总体生活质量良好或良好。三个治疗组之间的总体生活质量，目前的听力丧失或耳鸣没有差异，但庆大霉素治疗组的患者眩晕感较其他组少。连贯感在所有测量中均与报告的生活质量密切相关。结论：即使用庆大霉素治疗的患者眩晕较少，但经手术治疗的患者和未经治疗的患者的总体生活质量无差异。连贯感似乎是患者体验生活质量的重要因素。生活质量仪器可以测量生活质量的特定症状和相关方面，并且可以在评估美尼尔病患者的治疗时为AAO / HNS分类提供补充信息。

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