[The peculiar features of the psychosomatic status in the patients presenting with the spondylogenic and cochleovestibular disorders]. / Osobennosti psikhosomaticheskogo statusa u bol'nykh s vertebrogennymi kokhleovestibuliarnymi narusheniiami.

The objective of the present study was to elucidate the peculiar features of the psychosomatic status in the patients with chronic vertebrogenic and cochleovestibular disorders The psychosomatic status was evaluated in 117 patients at the age from 21 to 65 years presenting with these conditions using the psychometric tests based on the STAI questionnaire (the state-trait anxiety inventory) adapted for the determination of the level of reactive and personal anxiety. It was shown that the vestibular disorders, tympanophonia, and hearing impairment have a negative influence on the psychogenic status of the patients suffering from cochleovestibulopathy. As many as 92.3% of the patients were characterized by the high or moderately high level of reactive and personal anxiety. The depressive conditions of various severity were diagnosed in 29.1% of the patients. The correction of postural muscular disbalance made it possible to achieve the well apparent reduction of the manifestations of reactive anxiety without prescription of the pharmacotherapeutic treatment and thereby to increase the effectiveness of the management of the patients presenting with the vertebrogenic and cochleovestibular disorders.

[The principles of differential diagnostics and combined treatment of tinnitus].

The authors emphasize the importance of the problem of differential diagnostics and combined treatment of tymanophonia with special reference to the widespread, multiple, and diverse causative factors behind this condition as well as the great variability of its clinical signs and symptoms, and difficulty of recoding tympanophonia. The relative significance of various methods in the system of combined treatment of tympanophonia is discussed. It is concluded that the choice of therapy of this condition including the rational combination of pharmacotherapy and non-medicamental modalities, such as classical acupuncture, should be made taking into consideration individual characteristics of the concrete patients.