Yildirim Ilhami, Kilinc Metin, Okur Erdogan, Inanc Tolun Fatma, Kiliç M Akif, Kurutas Ergul Belge, Ekerbiçer Hasan Cetin
Department of Otorhinolaryngology, Medical Faculty, Kahramanmaras Sutcuimam University, Hastane cad., Kahramanmaras, Turkey.
Ind Health. 2007 Dec;45(6):743-9. doi: 10.2486/indhealth.45.743.
The aim of this study was to investigate the effects of noise on hearing, lipid peroxidation and antioxidant enzymes in textile workers. Thirty textile workers exposed to high noise 105 dB (A) in a textile factory, and 30 healthy male volunteers in our hospital as a control group were included in the study. In both groups, following audiometric tests, blood samples were obtained. In these blood samples, Malonydialdehyte (MDA), Superoxide dismutase (SOD) and Catalase (CAT) levels were investigated. Statistical analysis was performed by using SPSS version 11.0 (SPSS Inc., Chicago 1L) software program. Mean pure tone audiometric thresholds in workers were significantly higher than in control subjects at frequencies 2,000, 4,000 and 6,000 Hz (p<0.05). Hearing losses were more evident at high frequencies (4-6 kHz) than at low frequencies in worker group. (p<0.05). It was observed that textile workers with longer employment duration had poorer hearing threshoulds and the hearing loss had started on those who had worked for 5-8 yr. While MDA levels were significantly higher in workers than controls (p<0.001), CAT activity was significantly lower (p<0.005). Also, SOD activity was lower in workers but difference was not statistically significant. We observed a significant change in hearing threshold of the textile workers compared with that of the control group. Increase in MDA level and decreases in CAT and SOD activities in textile workers, support the opinion that the noise causes the oxidative stress. The fact that noise both causes hearing loss and increases oxidative stress suggests that there may be a relationship between the oxidative stress and hearing loss. But, further studies are needed in order to verify this opinion.
本研究旨在调查噪声对纺织工人听力、脂质过氧化及抗氧化酶的影响。研究纳入了一家纺织厂中30名暴露于105 dB(A)高强度噪声环境的纺织工人,以及我院30名健康男性志愿者作为对照组。两组均进行听力测试后采集血样,检测血样中丙二醛(MDA)、超氧化物歧化酶(SOD)和过氧化氢酶(CAT)的水平。采用SPSS 11.0版软件程序(SPSS公司,芝加哥,伊利诺伊州)进行统计分析。工人组在2000 Hz、4000 Hz和6000 Hz频率处的平均纯音听力阈值显著高于对照组(p<0.05)。工人组高频(4 - 6 kHz)听力损失比低频更明显(p<0.05)。观察到工作年限较长的纺织工人听力阈值更差,听力损失始于工作5 - 8年的工人。工人组的MDA水平显著高于对照组(p<0.001),而CAT活性显著低于对照组(p<0.005)。此外,工人组的SOD活性较低,但差异无统计学意义。与对照组相比,我们观察到纺织工人的听力阈值有显著变化。纺织工人MDA水平升高以及CAT和SOD活性降低,支持噪声导致氧化应激这一观点。噪声既导致听力损失又增加氧化应激这一事实表明,氧化应激与听力损失之间可能存在关联。但是,需要进一步研究以证实这一观点。