Loth D, Avan P, Menguy C, Teyssou M
Service central de biophysique et de médecine nucléaire, PAM neurosensoriel, hôpital Lariboisière.
Bull Acad Natl Med. 1992 Nov;176(8):1245-52; discussion 1252-3.
The recent availability of portable high-performance digital disc-players in addition to cassette players, and with an increased dynamical range, has enhanced the risk to hearing for their users. The present study aimed at attempting to evaluate this hazard. After selection of a digital player, 12 normally-hearing voluntary subjects were exposed to listening to two records (classical music and hard-rock) at an acoustic level complying with safety regulations. Their temporary threshold shifts (TTS) were determined at 4 and 6 kHz just after exposure. The 0.5 kHz auditory thresholds were also measured as a control. At 4 and 6 kHz, the average value of TTS was 5 dB (standard deviation 3.1 to 5.9 dB). There was no statistically significant difference neither between the TTS at 4 and 6 kHz (p > > 0.05), not between TTS for the two types of music. A voluntary subject, suffering from a mild high-frequency hearing loss, was also tested. His TTSs were higher than average and may have corresponded to slower recovery (may be non monotonous). Therefore special caution should be recommended in such cases. The measurements have pointed out that very high acoustic levels could be reached (125 to 127 dBA) with a Leq (1 hour) od 110 dBAi.e. much higher than tolerable levels. Thus there is a serious risk to hearing, possibly increased by high level transients. Moreover, better headphones are likely to provoke TTS also above 8 kHz, which might be evaluated by high-frequency audiometry.(ABSTRACT TRUNCATED AT 250 WORDS)
除了盒式磁带播放机外,近期便携式高性能数字光盘播放机的出现,且其动态范围有所增加,这加大了用户听力受损的风险。本研究旨在试图评估这种危害。挑选出一台数字播放机后,12名听力正常的志愿者在符合安全规定的声级下聆听两张唱片(古典音乐和硬摇滚)。在暴露后立即测定他们在4千赫和6千赫处的暂时阈移(TTS)。还测量了0.5千赫处的听觉阈值作为对照。在4千赫和6千赫处,TTS的平均值为5分贝(标准差为3.1至5.9分贝)。4千赫和6千赫处的TTS之间(p >> 0.05)以及两种音乐的TTS之间均无统计学上的显著差异。还对一名患有轻度高频听力损失的志愿者进行了测试。他的TTS高于平均水平,可能恢复较慢(可能是非单调的)。因此,在这种情况下应特别谨慎。测量结果指出,在等效连续A声级(1小时)为110分贝A的情况下,可能会达到非常高的声级(125至127分贝A),即远高于可耐受水平。因此存在严重的听力风险,高水平的瞬态信号可能会加剧这种风险。此外,更好的耳机可能会在8千赫以上引发TTS,这可以通过高频听力测定来评估。(摘要截短至250字)