Schneider J
S Afr Med J. 1976 Nov 6;50(47):1912-4.
This article sets out the issues involved in the consideration of noise-induced hearing damage. Exposure to noise can lead to a shift in the hearing threshold, resulting in loss of hearing. This shift may be either temporary or permanent. When it is permanent it is usually irreversible and not all persons can be helped by hearing aids. Permanent shifting of the hearing threshold may be caused by exposure to high sound levels. Ratios between lengths of exposure and frequency levels are given. The measurement of sound levels and assessment of acoustic hazards are presently related to non-fluctuating sounds. Music fluctuates too much to be measured in these terms. Means have now been worked out to correlate the pressure of fluctuating sound (like music) with that of nonfluctuating sound (like industrial noise) and thus to equate statistics governing noise as an acoustic hazard with the hazard constituted by music. Table I shows the ambient sound levels which should be considered as unsafe per number of hours' exposure. I plead for better acoustic design in environmental planning and stress that people exposed to loud noise or music should undergo hearing tests regularly as the main preventive measure.
本文阐述了在考虑噪声性听力损伤时所涉及的问题。接触噪声会导致听力阈值的变化,进而造成听力损失。这种变化可能是暂时的,也可能是永久性的。当是永久性变化时,通常是不可逆转的,而且并非所有人都能借助助听器得到帮助。听力阈值的永久性变化可能是由于接触高强度声音所致。文中给出了接触时长与频率水平之间的比率。目前,声级测量和声学危害评估与非波动声音相关。音乐波动太大,无法用这些术语进行测量。现在已经找到方法,将波动声音(如音乐)的压力与非波动声音(如工业噪声)的压力关联起来,从而使将噪声作为声学危害的统计数据与音乐构成的危害等同起来。表一显示了每暴露若干小时应被视为不安全的环境声级。我呼吁在环境规划中采用更好的声学设计,并强调接触高强度噪声或音乐的人应定期接受听力测试,这是主要的预防措施。