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CN203915230U - A kind of electroacoustic stimulator for the treatment of tinnitus - Google Patents

A kind of electroacoustic stimulator for the treatment of tinnitus Download PDF

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CN203915230U
CN203915230U CN201420311215.0U CN201420311215U CN203915230U CN 203915230 U CN203915230 U CN 203915230U CN 201420311215 U CN201420311215 U CN 201420311215U CN 203915230 U CN203915230 U CN 203915230U
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pure tone
computer
stimulation device
tinnitus
electric pulse
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梅志刚
何静
马文翰
蒋斌
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China Three Gorges University CTGU
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Abstract

本实用新型涉及一种治疗耳鸣的电声刺激器,它包括计算机、与计算机连接的电针刺激装置和纯音刺激装置,其特征在于:所述计算机储存有治疗耳鸣的电脉冲参数,可根据患者所选择的模式产生不同波形的电脉冲,并通过电针刺激装置输出电刺激;所述的计算机还能随机生成频率在0~20KHZ范围内的纯音,并能通过上述纯音刺激装置随机无序播放。本新型的有益之处是将传统的耳针刺激仪和音乐播放器功能集于一体,具有操作简单,输出精确可控,简单灵巧,便于携带,可以随时随地治疗等特点,具有更理想的耳鸣治疗作用。

The utility model relates to an electroacoustic stimulator for treating tinnitus, which comprises a computer, an electroacupuncture stimulation device connected with the computer and a pure tone stimulation device. The selected mode generates electrical pulses of different waveforms, and outputs electrical stimulation through the electroacupuncture stimulation device; the computer can also randomly generate pure tones with a frequency in the range of 0 to 20KHZ , and can randomly and disorderly generate them through the pure tone stimulation device. play. The benefit of this new model is that it integrates the functions of the traditional auricular acupuncture stimulator and music player, and has the characteristics of simple operation, precise and controllable output, simple and smart, easy to carry, and can be treated anytime and anywhere, and has a more ideal tinnitus Therapeutic effect.

Description

一种治疗耳鸣的电声刺激器An electroacoustic stimulator for treating tinnitus

技术领域 technical field

本实用新型涉及一种治疗耳鸣的电声刺激器,属于电子医疗仪器领域。 The utility model relates to an electroacoustic stimulator for treating tinnitus, which belongs to the field of electronic medical instruments.

背景技术 Background technique

耳鸣是耳科迫切需要解决的问题。目前尚无美国国家食品药品管理局(FDA)认可的有效药物或方法。近年来有研究表明迷走神经刺激配合声音疗法对缓解耳鸣症状有一定疗效,然而其具体机制尚不明确。众所周知,当迷走神经接受刺激时,会使杏仁核分泌去甲肾上腺素增多,促使杏仁核加强在该特定时间内的情绪记忆。迷走神经刺激术配合声音刺激疗法,正是利用这一特点来治疗耳鸣。目前为国内外学者所公认机制是,在刺激耳鸣患者迷走神经的同时,给予声信号(耳鸣所产生噪音频率在16khz左右,所以我们所给予患者的声信号是除开16khz这一频率的其他0~20khz频率范围内的纯音),使得患者听觉皮层增强对所接受声信号的感知,如此,通过反复不断给予患者迷走神经刺激配合声信号刺激,耳鸣患者的听皮层神经元将重塑即其对感知其他频率(16khz以外)的神经元将扩展而对耳鸣声感知的神经元则会减少,从而使大脑“忽略”耳鸣声。2011年Engineer团队通过在大鼠左侧颈部的迷走神经干上埋葬螺旋形电极刺激迷走神经,同时给予不同的声信号刺激大鼠,成功地抑制了耳鸣大鼠大脑皮层的反常活跃,使听皮层的神经元活动回归到正常水平。目前,国外也已有在患者左侧迷走神经干上埋藏电极,同时给予特定声刺激治疗耳鸣的案例。但是,上述治疗方式不仅患者有创伤,且价格非常高昂,普通病人难以接受,临床推广困难。另一方面,临床解剖关系表明,迷走神经纤维末梢在耳甲的分布很广,在耳甲腔分布达到45%,耳甲艇更是达到100%,使得经皮的迷走神经刺激配合声音掩蔽治疗耳鸣成为可能。 Tinnitus is an urgent problem in otology. Currently, there is no effective drug or method approved by the U.S. Food and Drug Administration (FDA). In recent years, studies have shown that vagus nerve stimulation combined with sound therapy has a certain effect on relieving tinnitus symptoms, but the specific mechanism is still unclear. It is well known that when the vagus nerve is stimulated, it increases the secretion of norepinephrine from the amygdala, prompting the amygdala to strengthen the emotional memory at that specific time. Vagus nerve stimulation combined with sound stimulation therapy uses this feature to treat tinnitus. At present, the mechanism recognized by scholars at home and abroad is to stimulate the vagus nerve of tinnitus patients while giving acoustic signals (the frequency of noise generated by tinnitus is about 16khz, so the acoustic signals we give to patients are 0~20khz except for the frequency of 16khz. Pure tones in the frequency range), so that the patient's auditory cortex enhances the perception of the received acoustic signal, so that by repeatedly giving the patient vagus nerve stimulation with acoustic signal stimulation, the neurons of the auditory cortex of the tinnitus patient will reshape, that is, their ability to perceive other frequencies Neurons (beyond 16khz) will expand and neurons that perceive tinnitus will decrease, causing the brain to "ignore" the tinnitus. In 2011, the Engineer team stimulated the vagus nerve by burying a spiral electrode on the vagus nerve trunk in the left neck of the rat, and at the same time gave different acoustic signals to stimulate the rat, successfully inhibiting the abnormal activity of the cerebral cortex of the rat with tinnitus, and making the auditory cortex Neuronal activity returns to normal levels. At present, there are also cases in foreign countries where electrodes are buried on the left vagus nerve trunk of patients, and specific sound stimulation is given at the same time to treat tinnitus. However, the above-mentioned treatment methods are not only traumatic for patients, but also very expensive, which is difficult for ordinary patients to accept and difficult for clinical promotion. On the other hand, the clinical anatomical relationship shows that the distribution of vagus nerve fiber endings in the concha is very wide, reaching 45% in the concha cavity and 100% in the concha cavity, making percutaneous vagus nerve stimulation combined with sound masking to treat tinnitus possible.

中医学认为耳与经络以及脏腑功能有着密切的联系,《灵枢??邪气脏腑病形篇》云:“十二经脉,三百六十五络,其气血皆上于面而走空窍,其精阳气上走于目而为睛,其别气走于耳而为听。”《卫生宝鉴》指出 “五脏六腑,十二经脉皆有络于耳者。” 临床经验显示,耳与手少阳三焦经以及足少阳胆经联系最为密切。耳针或耳压疗法作为针灸的一个分支,较多的临床观察表明,耳周的穴位刺激具有较好地改善耳鸣,如针刺听宫穴,或内耳、肾、外耳、皮质下、神门、肾上腺、心等耳穴对神经性耳鸣疗效肯定,究其机制可能与中医益肾通阳,疏肝利胆,调畅气机有关。 Traditional Chinese medicine believes that the ears are closely related to the functions of the meridians and viscera. "Lingshu? Evil Qi Viscera Disease Form" says: "Twelve meridians, three hundred and sixty-five collaterals, the qi and blood are all on the face and go through the orifices. , its essence and yang qi go up to the eyes to become the eyes, and its other qi goes to the ears to be heard." "Health Treasure Book" pointed out that "the internal organs and six internal organs, and the twelve meridians all have collaterals in the ears." Clinical experience shows that ear It is most closely connected with the Sanjiao Meridian of Hand Shaoyang and the Gallbladder Meridian of Foot Shaoyang. Auricular acupuncture or auricular pressure therapy is a branch of acupuncture. Many clinical observations have shown that stimulation of acupoints around the ears can improve tinnitus, such as acupuncture at Tinggong acupoint, or inner ear, kidney, outer ear, subcortex, and Shenmen. Auricular points such as , adrenal gland, and heart have a positive effect on nervous tinnitus, and the mechanism may be related to the fact that Chinese medicine can benefit the kidney and unblock yang, soothe the liver and gallbladder, and regulate the flow of qi.

中医通过穴位刺激治疗耳鸣无疑与上述通过迷走神经术引发中枢可塑性变化不谋而合。但是目前市场上所售的传统耳针仪只有单纯的耳针电刺激或单纯的声音掩蔽器,尚无声电复合刺激器。所以我们提出了经耳部耳穴电针刺激加声音刺激疗法治疗耳鸣的复合疗法,即在传统的耳针仪基础上加入纯音播放装置,以满足患者的需求。 The treatment of tinnitus by acupuncture point stimulation in traditional Chinese medicine undoubtedly coincides with the above-mentioned plastic changes in the central nervous system induced by vagus nerve surgery. However, the traditional auricular acupuncture instruments currently on the market only have simple auricular acupuncture electrical stimulation or simple sound maskers, and there is no sound-electric compound stimulator. Therefore, we propose a combination therapy of electroacupuncture at auricular points plus sound stimulation for tinnitus, that is, a pure tone playback device is added to the traditional ear acupuncture instrument to meet the needs of patients.

发明内容 Contents of the invention

本实用新型提供一种集耳针和纯音播放器于一体的耳鸣治疗装置,该实用新型使其输出端能在给予病人耳部迷走神经分支电针刺激的同时给予声刺激,从而达到治疗耳鸣的效果。 The utility model provides a tinnitus treatment device which integrates ear acupuncture and a pure tone player. The utility model enables the output terminal to give sound stimulation to the patient's ear vagus nerve branch electroacupuncture at the same time, so as to achieve the effect of treating tinnitus. .

一种治疗耳鸣的电声刺激器,它包括计算机、与计算机连接的电针刺激装置和纯音刺激装置,其特征在于:所述计算机储存有治疗耳鸣的电脉冲参数,可根据患者所选择的模式产生不同波形的电脉冲,并通过电针刺激装置输出电刺激;所述的计算机还能随机生成频率在0~20KHZ范围内的纯音,并能通过上述纯音刺激装置随机无序播放,所述的电针刺激装置包括与计算机连接且能输出和调节电针频率的电脉冲生成装置,与电脉冲生成装置连接且能输出电脉冲的耳部电极;所述的纯音刺激装置包括与计算机连接的纯音播放器、与播放器连接且输出和放大声源的功率放大器、与用功率放大器连接且能播放纯音的听力学耳机;所述的电针刺激装置和纯音刺激装置两者一体化设置,其包括机身和耳塞结构,所述的机身上表面设置有液晶显示屏、电源开关、定时选择键、复位键、模式选择键、频率选择键、纯音播放键、纯音音量键、输出强度调节键和耳塞插孔;所述的耳塞结构包括纯音播放端口、金属电极丝和输出导线,耳塞插孔与输出导线连接。 An electroacoustic stimulator for treating tinnitus, which includes a computer, an electric acupuncture stimulation device connected to the computer, and a pure tone stimulation device, characterized in that: the computer stores electric pulse parameters for treating tinnitus, which can be adjusted according to the mode selected by the patient. Generate electrical pulses of different waveforms, and output electrical stimulation through the electroacupuncture stimulation device; the computer can also randomly generate pure tones with a frequency in the range of 0 to 20KHZ , and can play them randomly and disorderly through the pure tone stimulation device. The electro-acupuncture stimulation device includes an electric pulse generating device connected with a computer and capable of outputting and adjusting the frequency of electric needles, and an ear electrode connected with the electric pulse generating device and capable of outputting electric pulses; the pure tone stimulating device includes a computer-connected A pure tone player, a power amplifier connected to the player to output and amplify the sound source, and an audiology earphone connected with the power amplifier and capable of playing pure tone; the electroacupuncture stimulation device and the pure tone stimulation device are integrated, and Including the body and earplug structure, the upper surface of the body is provided with a liquid crystal display, a power switch, a timing selection key, a reset key, a mode selection key, a frequency selection key, a pure tone playback key, a pure tone volume key, and an output intensity adjustment key and an earplug jack; the earplug structure includes a pure tone playback port, a metal electrode wire and an output wire, and the earplug jack is connected to the output wire.

本实用新型有如下有益效果: The utility model has the following beneficial effects:

本新型的有益之处是将传统的耳针刺激仪和音乐播放器功能集于一体,具有操作简单,输出精确可控,简单灵巧,便于携带,可以随时随地治疗等特点,具有更理想的耳鸣治疗作用。 The benefit of this new model is that it integrates the functions of the traditional auricular acupuncture stimulator and music player, and has the characteristics of simple operation, precise and controllable output, simple and smart, easy to carry, and can be treated anytime and anywhere, and has a more ideal tinnitus Therapeutic effect.

附图说明 Description of drawings

下面结合附图和实施例对本实用新型作进一步说明。 Below in conjunction with accompanying drawing and embodiment the utility model is further described.

图1是本实用新型的原理框图; Fig. 1 is a block diagram of the utility model;

图2是本实用新型的机身的结构示意图; Fig. 2 is the structural representation of the fuselage of the present utility model;

图3是本实用新型的耳塞结构的结构示意图。 Fig. 3 is a structural schematic diagram of the earplug structure of the present invention.

具体实施方式 Detailed ways

下面结合附图对本实用新型的实施方式做进一步的说明。 Embodiments of the present utility model will be further described below in conjunction with the accompanying drawings.

参见图1-3,一种治疗耳鸣的电声刺激器,它包括计算机、与计算机连接的电针刺激装置和纯音刺激装置,其特征在于:所述计算机储存有治疗耳鸣的电脉冲参数,可根据患者所选择的模式产生不同波形的电脉冲,并通过电针刺激装置输出电刺激;所述的计算机还能随机生成频率在0~20KHZ范围内的纯音,并能通过上述纯音刺激装置随机无序播放。具体的功能实现可以通过编写专门的软件来储存并工作,具体的软件可以根据需要进行编写,其对本领域技术人员来说是现有技术,本新型要保护的是硬件及实现的功能,具体的软件不属于本新型要保护的范围。所述的电针刺激装置包括与计算机连接且能输出和调节电针频率的电脉冲生成装置,与电脉冲生成装置连接且能输出电脉冲的耳部电极;所述的纯音刺激装置包括与计算机连接的纯音播放器、与播放器连接且输出和放大声源的功率放大器、与用功率放大器连接且能播放纯音的听力学耳机;所述的电针刺激装置和纯音刺激装置两者一体化设置,其包括机身和耳塞结构,所述的机身上表面设置有液晶显示屏1、电源开关2、定时选择键3、复位键4、模式选择键5、频率选择键6、纯音播放键7、纯音音量键8、输出强度调节键9和耳塞插孔10;所述的耳塞结构包括纯音播放端口11、金属电极丝 12和输出导线13,耳塞插孔与输出导线连接。 Referring to Figures 1-3, an electroacoustic stimulator for treating tinnitus, which includes a computer, an electroacupuncture stimulation device connected to the computer and a pure tone stimulation device, is characterized in that: the computer stores electric pulse parameters for treating tinnitus, and can Generate electrical pulses of different waveforms according to the mode selected by the patient, and output electrical stimulation through the electroacupuncture stimulation device; the computer can also randomly generate pure tones with a frequency in the range of 0 to 20KHZ , and can randomly generate them through the pure tone stimulation device. Shuffle. The realization of specific functions can be stored and worked by writing special software. The specific software can be written according to the needs. It is the prior art for those skilled in the art. What this new model should protect is the hardware and the functions realized. The specific Software does not belong to the scope of protection of this model. The electro-acupuncture stimulation device includes an electric pulse generating device connected to a computer and capable of outputting and adjusting the frequency of electroacupuncture, and an ear electrode connected with the electric pulse generating device and capable of outputting electric pulses; the pure tone stimulating device includes a The connected pure tone player, the power amplifier connected with the player and outputting and amplifying the sound source, the audiology earphone connected with the power amplifier and capable of playing pure tone; the electric acupuncture stimulation device and the pure tone stimulation device are integrated , which includes a body and an earplug structure, the upper surface of the body is provided with a liquid crystal display 1, a power switch 2, a timing selection key 3, a reset key 4, a mode selection key 5, a frequency selection key 6, and a pure tone playback key 7 , pure tone volume key 8, output intensity adjustment key 9 and earplug jack 10; Described earplug structure comprises pure tone playback port 11, metal electrode wire 12 and output wire 13, and earplug jack is connected with output wire.

这样在给予患者耳部迷走神经电刺激的同时给予声刺激,逆转中枢可塑性,以达到治疗耳鸣的作用。患者具体操作过程如下:如附图2所示,按电源开关键2开机,通过定时选择键3可设定治疗时间,通过模式选择键5可以选择电脉冲的模式,当选择A模式时将生成频率1~120HZ可调连续波,当选择模式B时将生成频率1~120HZ随机波,此时可通过频率选择键6设定一个固定值的电脉冲强度,范围为0.5mA-1 mA。按纯音播放键[7]将会随机无序播放频率在0~20KHZ范围内的纯音(除开频率在16KHZ左右的纯音),同时输出强度调节键9可以调节电脉冲的强度和纯音音量键8可以纯音的响度,以满足不同耳鸣患者的需要。当患者设定好自己所需电脉冲及纯音响度等参数时,如附图3所示,声信号和电脉冲将会通过输出导线13传到耳塞,纯音播放端口11将输出纯音,同时包绕纯音输出端口的是一层金属电极丝12,该金属电极丝将传导电脉冲给予患者耳部迷走神经电刺激。 In this way, acoustic stimulation is given at the same time as electrical stimulation of the ear vagus nerve to reverse central plasticity, so as to achieve the effect of treating tinnitus. The specific operation process of the patient is as follows: as shown in the accompanying drawing 2, press the power switch key 2 to turn on the machine, the treatment time can be set by the timing selection key 3, and the electric pulse mode can be selected by the mode selection key 5, when mode A is selected, it will generate Frequency 1-120H Z adjustable continuous wave, when mode B is selected, frequency 1-120H Z random wave will be generated, at this time, a fixed value of electric pulse intensity can be set by frequency selection key 6, the range is 0.5mA-1 mA . Press the pure tone play key [7] to randomly play pure tones with a frequency in the range of 0 to 20KHZ (except for pure tones with a frequency around 16KHZ ), and at the same time the output intensity adjustment key 9 can adjust the intensity of the electric pulse and the pure tone volume key 8. The loudness of pure tone can be adjusted to meet the needs of different tinnitus patients. When the patient has set the parameters such as electric pulse and pure sound level required by himself, as shown in Figure 3, the acoustic signal and electric pulse will be transmitted to the earplugs through the output wire 13, and the pure tone playback port 11 will output pure tone, including Surrounding the pure tone output port is a layer of metal electrode wire 12, which conducts electrical pulses to give electrical stimulation to the patient's ear vagus nerve.

Claims (1)

1. an electroacoustic stimulator for the treatment of tinnitus, electroacupuncture stimulation device and pure tone stimulating apparatus that it comprises computer, is connected with computer, it is characterized in that: described computer stored has the electric pulse parameter for the treatment of tinnitus, can be according to the electric pulse of the selected mode producing different wave of patient, and by electroacupuncture stimulation device output electricity irritation; Described computer at random generated frequency at 0~20KH zpure tone in scope, and can be by the random shuffle of above-mentioned pure tone stimulating apparatus, described electroacupuncture stimulation device comprises the electric pulse generating apparatus that is connected with computer and can exports and regulate acusector frequency, is connected and ear's electrode that can output electric pulse with electric pulse generating apparatus; Described pure tone stimulating apparatus comprises the pure tone player that is connected with computer, is connected with player and exports with the power amplifier that amplifies sound source, is connected and can plays audiology's earphone of pure tone with power amplifier; Described electroacupuncture stimulation device and pure tone stimulating apparatus integrated setting, it comprises fuselage and ear phone structure, and described fuselage upper surface is provided with LCDs (1), on and off switch (2), timing options button (3), reset key (4), mode selecting key (5), frequency options button (6), pure tone play button (7), pure tone volume key (8), output intensity adjusting key (9) and earphone jack (10); Described ear phone structure comprises pure tone broadcasting port (11), metal electric polar filament (12) and output lead (13), and earphone jack is connected with output lead.
CN201420311215.0U 2014-06-11 2014-06-11 A kind of electroacoustic stimulator for the treatment of tinnitus Expired - Fee Related CN203915230U (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104055625A (en) * 2014-06-11 2014-09-24 三峡大学 Electroacoustic stimulator for treating tinnitus
CN107041810A (en) * 2017-03-30 2017-08-15 中山大学孙逸仙纪念医院 A kind of tinnitus treatment system and therapeutic equipment stimulated based on pure tone
CN109820646A (en) * 2019-01-23 2019-05-31 三峡大学 An electroacoustic stimulator for treating tinnitus
US11235156B2 (en) 2019-09-11 2022-02-01 Bose Corporation Wearable audio device with vagus nerve stimulation
US11241574B2 (en) 2019-09-11 2022-02-08 Bose Corporation Systems and methods for providing and coordinating vagus nerve stimulation with audio therapy

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104055625A (en) * 2014-06-11 2014-09-24 三峡大学 Electroacoustic stimulator for treating tinnitus
CN107041810A (en) * 2017-03-30 2017-08-15 中山大学孙逸仙纪念医院 A kind of tinnitus treatment system and therapeutic equipment stimulated based on pure tone
CN109820646A (en) * 2019-01-23 2019-05-31 三峡大学 An electroacoustic stimulator for treating tinnitus
US11235156B2 (en) 2019-09-11 2022-02-01 Bose Corporation Wearable audio device with vagus nerve stimulation
US11241574B2 (en) 2019-09-11 2022-02-08 Bose Corporation Systems and methods for providing and coordinating vagus nerve stimulation with audio therapy

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