{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T14:18:42Z","timestamp":1786371522870,"version":"build-2736575974"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Tinnitus hat in Deutschland eine Lebenszeitpr\u00e4valenz von 25%. Eine h\u00e4ufige Komorbidit\u00e4t bei einem chronischen Verlauf sind Schlafst\u00f6rungen. Die Ziele dieser Studie waren es, Schlafst\u00f6rungen zu detektieren und m\u00f6gliche Zusammenh\u00e4nge mit Tinnitusparametern aufzuzeigen.<\/jats:p><jats:p>Es wurden 50 Patienten mit chronischem Tinnitus rekrutiert. Die Patienten hatten eine Audiometrie, eine n\u00e4chtliche Polysomnografie und f\u00fcllten standardisierte Frageb\u00f6gen zum Tinnitus- und Schlafverhalten aus.<\/jats:p><jats:p>Daten lagen bei 30 M\u00e4nnern und 9 Frauen (Alter 50,2\u00b111 J, BMI 28,8\u00b14,4kg\/m\u00b2) vor. Der Median der Tinnitusdauer lag bei 36 (9; 120) Monaten, der Schweregrad bei 2,00 (1,00; 3,00). Der Mittelwert des Tinnitus-Fragebogens (TF) war 43,6\u00b117,1, der Epworth-Sleepiness-Score (ESS) betrug 8,41\u00b14,27, der Pittsburgh-Schlafqualit\u00e4tsindex (PSQI) ergab 9,21\u00b14,32 und die Screening-Skala zum chronischen Stress (SSCS) lag bei 58,13\u00b19,58.<\/jats:p><jats:p>Somnologische Diagnosen waren 18 Insomnien, 4 RLS und 11 OSA. Der Schweregrad des Tinnitus, der Gesamtscore im PSQI und das K\u00f6rpergewicht waren bei Patienten mit somnologischer Komorbidit\u00e4t h\u00f6her als bei Schlafgesunden. Je schlechter die Schlafqualit\u00e4t, desto h\u00f6her der Tinnitusschweregrad (p=0,038) und desto st\u00f6render wurde der Tinnitus (p=0,03) bewertet. Patienten mit subjektiv sehr st\u00f6rendem Tinnitus bewerteten den chronischem Stress-Score h\u00f6her. Die Tinnitusdauer war mit dem OSA-Schweregrad korreliert (p=0,026)<\/jats:p><jats:p>Mehr als 2 Drittel aller Tinnituspatienten zeigten eine schlafmedizinische Komorbidit\u00e4t. Ein somnologisches Screening erscheint daher bei einem erh\u00f6hten Tinnitusschweregrad sinnvoll. Ob eine CPAP-Therapie bei der Reduktion von Tinnitussymptomen hilfreich ist, konnte nicht abschlie\u00dfend gekl\u00e4rt werden, verdient aber weitere Aufmerksamkeit.<\/jats:p>","DOI":"10.1055\/a-2105-1145","type":"journal-article","created":{"date-parts":[[2023,7,20]],"date-time":"2023-07-20T22:44:04Z","timestamp":1689893044000},"page":"47-52","source":"Crossref","is-referenced-by-count":3,"title":["Schlafst\u00f6rungen bei Patienten mit chronischem Tinnitus"],"prefix":"10.1055","volume":"103","author":[{"given":"Julia","family":"Hildebrandt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin\/Schlafmedizin, Philipps-Universit\u00e4t Marburg, Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Koehler","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin\/Schlafmedizin, Philipps-Universit\u00e4t Marburg, Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina","family":"Conradt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin\/Schlafmedizin, Philipps-Universit\u00e4t Marburg, Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4680-3282","authenticated-orcid":false,"given":"Olaf","family":"Hildebrandt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin\/Schlafmedizin, Philipps-Universit\u00e4t Marburg, Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Werner","family":"Cassel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin\/Schlafmedizin, Philipps-Universit\u00e4t Marburg, Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikail Aykut","family":"Degerli","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin\/Schlafmedizin, Philipps-Universit\u00e4t Marburg, Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Viniol","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin\/Schlafmedizin, Philipps-Universit\u00e4t Marburg, Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,7,20]]},"reference":[{"key":"ref1","first-page":"261","article-title":"Tinnitus in der Bundesrepublik Deutschland \u2013 eine repr\u00e4sentative epidemiologische Studie","volume":"7","author":"M Pilgramm","year":"1999","journal-title":"HNO aktuell"},{"key":"ref2","first-page":"90","volume-title":"Tinnitus-Fragebogen (TF). 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