生物与医学2015ncbi.nlm.nih.gov
耳鸣与颈部/头部肌肉紧张的关系
Tinnitus in relation to neck/head muscle tension
入门 · 约 30 分钟读完前置知识：耳鸣基本概念、头颈部解剖常识
导读
这篇论文探讨了耳鸣与头颈部肌肉紧张（躯体感觉系统）之间的关系，指出部分耳鸣可能源于颈部和下颌等部位的肌肉张力问题，而非单纯的听觉损伤。这意味着通过放松或治疗相关肌肉，某些患者的耳鸣可能得到缓解。
HN 关注点：HN 读者长期关注耳鸣这一常见且难治的问题，评论区大量亲历者分享了通过改善姿势、按摩下颌/颈部肌肉等方式缓解耳鸣的经历，与论文观点高度呼应。
HN 评论精选
这几条评论里：支持 1 补充 1 亲历 2
亲历耳鸣源于长期低头导致颈部和下颌肌肉紧张，通过重新学习姿势和放松下颌得以缓解
我三年前得了耳鸣，最终发现与不良姿势有关。盯着笔记本电脑屏幕15年，后来又加上手机，头总是低着，走路时头部也不平衡，再加上一段压力大的生活时期（年轻家庭）。有本书里有个好比喻：单手举着一个瓜，手臂伸直，然后手腕前弯保持几个小时——我们几分钟都撑不住。这就像头部前倾时脊柱和肌肉要做的功。我的紧张从颈部蔓延到下颌，下颌骨压迫耳部附近区域。我需要像小孩一样重新学会走路，让头部平衡在重心之上，能明显感到颈部紧张缓解；然后学会放松下颌，再调整工作习惯、多走路、少低头看手机。这需要时间。今天早上醒来耳鸣完全消失了。它有时会复发，但我知道该怎么办。
cmarschner查看英文原文
Got tinnitus about 3 years ago, eventually was able to link it to bad posture. I've been staring at laptop screens for 15 years, and now at cell phones in addition. My head was looking down most of the time, and then I realized it wasn't balanced even when normal walking through the streets. Add a challenging life period (young family) and voilà. i read a book about pain at some point that contained a good analogy: imagine holding a melon with one hand, arm upright. Now bend the hand forward, and try to hold this for several hours. Of course we wouldn't be able for more than a few minutes. The analogy of course being the melon as the head and the arm being the spine. It makes you realize how much muscle work is necessary to keep the head bent forward. In my case the tension went from my neck to the jaw, and the jawbone pressing on the region close to the ear. I first needed to relearn walking like a child, with the head being balanced on top of its center of gravity - one can feel a pretty remarkable effect of tension relief on the neck. Then relearn to keep the jaw relaxed. Then adjust work habits, spend more time walking, less staring down at phone screens. Takes a while. This morning I woke up with no tinnitus at all. It sometimes comes back, but then I know what to do. Some evidence here: http://de.slideshare.net/mobile/TinnitusResearch/somatosensory-tinnitus-from-past-to-now
亲历多位医生查不出病因，最终通过颅骶疗法放松下颌肌肉治愈了耳鸣
我患搏动性耳鸣近两年，睡觉要戴耳机放粉噪声掩盖。期间看了至少五位医生：全科、两位耳鼻喉科、听力专家、自然疗法医生，还做了核磁共振，没人能治好或告诉我病因。最后妻子建议我去做颅骶疗法（我非常怀疑，但当时愿意尝试任何方法）。治疗师发现我的下颌肌肉非常紧张，并设法让它们放松。接下来一周耳鸣逐渐减轻，至今一年多没有复发。我的耳鸣确实是由头颈部肌肉紧张引起的，并且被治愈了。
foxbarrington查看英文原文
Awesome to see this on here. I had pulsatile tinnitus for almost two years. I would wear soft headphones to bed so that I could listen to white noise (pink actually) to drown out the sound. During that time I saw at least five different doctors: general physician, two ENTs, hearing specialist, and a naturopathic physician (I might have even seen more that I'm not remembering). I even got MRIs. Nobody could fix it or tell me what was causing it. Eventually my wife suggested I get a craniosacral treatment from her yoga instructor -- she saw on the website that it could help with tinnitus. To say that I was dubious would be putting it very mildly. But, I was willing to try just about anything at that point. Long story short, craniosacral therapy is body work, and it's sort of like chiropracty. The practicioner noticed that my jaw muscles were very tight and did what she could to get them to release. Over the course of the next week, my tinnitus steadily decreased and has not been back. That was over a year ago. tl;dr: My specific case of tinnitus was definitely caused by head/neck muscle tension, and was cured. Hope others can find relief as well.
支持下颌受伤引发的耳鸣会随下颌和颈部动作变化，证实了肌肉因素的作用
我因自行车事故受伤后出现耳鸣，左下颌受伤，紧张蔓延到颈部和下背部。根据我张嘴、咬合或移动颈部的方式不同，噪声会增大。听力检查正常。幸运的是我大多时候注意不到它。唯一的持久影响是戴耳塞（比如坐飞机时）反而会让噪声更糟。
graeme查看英文原文
I've had tinnitus since a bike accident. Hurt my left jaw, and the tension spread through my neck and low back. Depending how I open my jaw, clench it, or move my neck, the noise will increase. Hearing is fine, been tested. Fortunately I mostly don't notice it. The only real permanent effect is that earplugs, for example on a flight, actually make noise worse.
补充提醒：所谓耳鸣有时其实是电子设备（充电器等）发出的高频噪声
读到这里很多人以为自己的耳鸣是正常现象，我的经历恰好相反：我长期以为自己有轻微耳鸣，经常听到高频啸叫声。结果拔掉房间里所有电源适配器后它就消失了——尤其是便宜的充电器，还有充电宝、笔记本电源等都会发出相当响的高频噪声！
iliis查看英文原文
Not sure if this helps anyone and slightly OT, but reading all these people noticing their Tinnitus and thinking it was normal I had somewhat the opposite experience: I thought I had (weak) Tinnitus for a long time as I often heard some high-frequency whistling. Turns out it was gone once I unplugged all power supply units in the room... Especially the cheaper mobile phone chargers but also things like battery packs or laptop chargers can create quite loud high-pitched noise! (Also, I once went to a doctor as a small child because I kept hearing this steady beat when trying to sleep. Well, when you hold a pillow to your ear, you can hear your own hearbeat...)
相关资源
从这篇论文所有 HN 讨论帖的全部评论里整理出来的链接。
历次讨论
- 2015Hacker News 讨论帖107 分 · 37 评
- 2016Hacker News 讨论帖161 分 · 61 评
同领域还值得读
CRISPR 在活体动物中消除 HIV-1 感染
CRISPR eliminates HIV-1 infection in live animals
报告利用 CRISPR/Cas9 基因编辑技术在活体动物中清除 HIV-1 感染：研究人员通过腺病毒载体递送特定的 Cas9 系统，从被感染细胞中切除嵌入的 HIV 病毒 DNA。
生物与医学2017 · 1,455 分 · 239 评入门 · 约 30 分钟编辑精选保护区飞行昆虫生物量27年下降75%
75% decline over 27 years in total flying insect biomass in protected areas
这篇发表于 PLOS ONE 的研究通过在德国保护区长达 27 年的昆虫生物量监测，发现飞行昆虫总量下降了约 75%。
生物与医学2017 · 901 分 · 432 评入门 · 约 45 分钟编辑精选为什么大多数已发表的研究发现是错的
Why Most Published Research Findings Are False (2005)
这篇 2005 年发表于 PLOS Medicine 的经典论文由 John Ioannidis 撰写，论证了在统计功效不足、研究偏倚和多重检验等因素下，大多数已发表的医学研究发…
生物与医学2022 · 388 分 · 351 评入门 · 约 60 分钟编辑精选人类免疫系统的物理接线图
A physical wiring diagram for the human immune system
这篇 Nature 论文系统绘制了人类免疫系统的“物理接线图”：通过大规模实验鉴定免疫细胞表面受体之间的相互作用（包括约 30 种此前未知的受体互作），并结合定量计算模型模拟免疫…
生物与医学2022 · 342 分 · 49 评专业 · 约 90 分钟编辑精选脂肪组织在减重后仍保留肥胖的表观遗传记忆
Adipose tissue retains an epigenetic memory of obesity after weight loss
这篇 Nature 论文研究了肥胖对脂肪组织的长期影响：即使减重成功，脂肪细胞仍保留着肥胖时期的表观遗传记忆，可能解释为什么减重后容易反弹。
生物与医学2025 · 263 分 · 327 评进阶 · 约 45 分钟编辑精选