【摘要】 目的 探讨以自评方式填写中文版耳鸣残疾量表（the Chinese version of the tinnitus handicap inventory,THI-C）的可靠性及临床实用性。方法 对以耳鸣为第一主诉的180例患者分别采用患者自评及医评两种方式收集初诊THIC资料，并以自评方式收集复诊患者的THI-C资料，统计自评及医评THI-C完成率，比较两者得分差异，计算自评与医评的符合率及耗时差异。结果 初诊THI-C医评完成率为98.33%，自评完成率为43.89%，自评与医评符合率为16.38%，自评分（48.71±26.75）显著高于医评分（41.11±21.69,P<0.01），自评耗时（3.93±2.44分钟）明显低于医评耗时（7.67±1.81分钟，P<0.01）。复诊中，2诊至5诊THI-C完成率分别为49.4%、51.2%、43.5%、46.7%，平均耗时分别为3.44±1.76、2.97±1.62、2.88±1.48、2.42±1.44分钟。结论 以自评方式填写THI-C评估耳鸣严重程度可靠性较低，临床实用性有限。更多还原

【Abstract】 Objective This study investigated the reliability and clinical utility of the Chinese version of the Tinnitus Handicap Inventory(THI-C) in self-assessment. Methods Collecting initial THI-C data from 180 patients with tinnitus as their primary complaint using both patient self-assessment and clinician-assessment. Follow-up THI-C data were collected through selfassessment for returning patients. Completion rates, score differences between self-assessment and clinician-assessment, agreement rates, and time consumption differences were compared. Results It showed a clinician completion rate of 98.33% for initial THI-C assessments, while the self-assessment rate was 43.89%. The self-assessment score(48.71±26.75) was higher than the clinicianassessment score(41.11±21.69, P<0.01). The time taken for self-assessment(3.93±2.44 minutes) was significantly lower than that for clinician-assessment(7.67±1.81 minutes, P<0.01). During follow-up visits, the completion rates of THI-C for the 2nd to 5th visits were 49.4%, 51.2%, 43.5%, and 46.7%, respectively, with the average time taken were 3.44±1.76, 2.97±1.62, 2.88±1.48, and 2.42±1.44 minutes, respectively. Conclusion Self-assessment for evaluating the severity of tinnitus using the THI-C exhibits low reliability and limited clinical utility.更多还原