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噪声暴露工人的听力损失程度与耳鸣引起的不适程度之间的关联。

Association between hearing loss level and degree of discomfort introduced by tinnitus in workers exposed to noise.

作者信息

Dias Adriano, Cordeiro Ricardo

机构信息

PhD, Technical Coordinatora.

Associate Professor. Grupo de Apoio à Pesquisa/Faculdade de Medicina de Botucatu/UNESP.

出版信息

Braz J Otorhinolaryngol. 2008 Nov-Dec;74(6):876-883. doi: 10.1016/S1808-8694(15)30148-8.

Abstract

UNLABELLED

Hearing loss and tinnitus impact the lives of workers in every instance of their lives.

AIM

This paper aims to investigate the existence of a dose-response relationship between hearing loss and tinnitus by determining whether higher levels of hearing loss can be associated with increased tinnitus-related discomfort.

MATERIALS AND METHOD

This cross-sectional case study assessed 284 workers exposed to occupational noise through pure tone audiometry. Test results were categorized as defined by Merluzzi. Individuals complaining of tinnitus answered the adapted and validated Brazilian Portuguese version of the Tinnitus Handicap Inventory. A generalized linear model was adjusted for binomial data to test the interaction between these factors.

RESULTS

Over 60% of the ears analyzed had hearing loss, while more than 46% of them had tinnitus. Tinnitus prevalence and risk rates increased as pure tone audiometry results got worse. The association between both, considering all hearing loss degrees, was statistically significant.

CONCLUSION

The results point to a statistical association between hearing loss and tinnitus; the greater the hearing loss, the greater the discomfort introduced by tinnitus.

摘要

未标注

听力损失和耳鸣在工人生活的各个方面都对他们的生活产生影响。

目的

本文旨在通过确定更高程度的听力损失是否与耳鸣相关不适增加有关,来研究听力损失与耳鸣之间剂量反应关系的存在情况。

材料与方法

本横断面病例研究通过纯音听力测定法评估了284名接触职业噪声的工人。测试结果按照Merluzzi的定义进行分类。主诉耳鸣的个体回答了经改编和验证的巴西葡萄牙语版耳鸣障碍量表。针对二项数据调整了广义线性模型,以检验这些因素之间的相互作用。

结果

分析的耳朵中超过60%有听力损失,其中超过46%有耳鸣。随着纯音听力测定结果变差,耳鸣患病率和风险率增加。考虑所有听力损失程度时,两者之间的关联具有统计学意义。

结论

结果表明听力损失与耳鸣之间存在统计学关联;听力损失越大,耳鸣带来的不适就越大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfd/9445890/a6d38d3e860d/gr1.jpg

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