目的：探讨声刺激联合认知行为治疗对慢性耳鸣的初步探讨。方法:本研究将49例慢性耳鸣患者随机分为干预组和对照组，均行声音刺激1个月。干预组患者同时接受持续1个月的个体化的认知行为治疗，对照组患者不接受个体化认知行为治疗治疗。所有患者在治疗前和治疗后30天均需填写问卷(包括耳鸣残疾评估量表（THI）、匹兹堡睡眠质量指数（PSQI），及焦虑自评量表（SAS）)。结果:共49例患者完成临床试验。治疗1个月后观察到:对照组治疗后THI、SAS、PSQI的平均值分别下降15.58、15.46、4.96，干预组治疗后THI、SAS、PSQI的平均值分别下降40.52、41.76、7.72。治疗30 天后记录THI (p<0.05)、PSQI (p<0.05)和SAS (p<0.05)差异有统计学意义。干预组干预后三种得分均明显低于对照组。结论:声音刺激和认知行为治疗可以预测治疗效果，声音刺激联合认知行为治疗的治疗效果优于单独的声音刺激。性别、年龄和听力障碍是耳鸣最相关的危险因素。
Objective:To investigate the therapeutic effectiveness of sound stimulation combined with cognitive behavior therapy (CBT) on chronic tinnitus.Methods:The present research was astudy on 49 patients with chronic tinnitus who were randomly divided into intervention and control groups, and all of whom underwent sound stimulation for one month. The patients in intervention group also received personalized CBT that lasted for one month, while the patients from control group did not receive such treatment. Additionally, all patients were required to fill out the questionnaires (including THI, PSQI, SAS) before treatment and 30 days posttreatment. Results: In total, 49 cases completed the trial. The following results were observed after one month of treatment: the mean values of THI, SAS and PSQI after treatment decreased by 15.58, 15.46 and 4.96 in the control group, and 40.52, 41.76 and 7.72 in the intervention group, respectively. Thirty days posttreatment the results showed significant differences in THI (p<0.05), PSQI (p<0.05) and SAS (p<0.05). The three types of scores after intervention w4ere significantly smaller in the intervention group compared to the control group. Conclusion: Sound stimulation and CBT can predict the effectiveness of the therapy, given that the therapeutic effect of sound stimulation combined with CBT provide better results compared to sound stimulation alone. Gender, age and the hearing impairment resulted as the most relevant risk factors for tinnitus.