Lang Gregory T, Harrigan Michael J
Department of Family and Clinical Medicine, Eisenhower Army Medical Center, 300 Hospital Road, Fort Gordon, GA 30905, USA.
Mil Med. 2012 Nov;177(11):1431-7. doi: 10.7205/milmed-d-11-00409.
Helicopter pilots are exposed to noise at work and are at risk of developing hearing loss in excess of that which naturally results from aging. We investigated whether Lynx pilots demonstrated changes to hearing thresholds that differed from Apache pilots.
Survey responses were combined with audiometric data from a retrospective cohort of 59 Lynx and 87 Apache pilots. Subjects' audiograms were analyzed for air conduction thresholds with age correction performed in accordance with ISO 7029. Annual changes in low frequencies (0.5-2 kHz) and high frequencies (3-6 kHz) were calculated. Subjects were categorized for time in service and flying hours.
Hearing was better than predicted at nearly all frequencies in both ears for Lynx and Apache pilots. There were no differences in hearing between groups of pilots. Significant differences in hearing threshold changes existed for pilots with 20 or more years of service compared to those in other categories.
The results suggest that the circumaural earmuffs currently incorporated into the flying helmet mitigate the risk of noise-induced hearing loss in these pilots.
直升机飞行员在工作中暴露于噪音环境,面临听力损失风险,且这种听力损失超过自然衰老导致的程度。我们调查了“山猫”直升机飞行员与“阿帕奇”直升机飞行员的听力阈值变化是否存在差异。
将调查回复与来自59名“山猫”直升机飞行员和87名“阿帕奇”直升机飞行员的回顾性队列的听力测定数据相结合。根据ISO 7029对受试者的听力图进行气导阈值分析,并进行年龄校正。计算低频(0.5 - 2千赫)和高频(3 - 6千赫)的年度变化。根据服役时间和飞行小时数对受试者进行分类。
“山猫”直升机飞行员和“阿帕奇”直升机飞行员双耳在几乎所有频率的听力均优于预期。两组飞行员的听力无差异。与其他类别相比,服役20年或更长时间的飞行员在听力阈值变化方面存在显著差异。
结果表明,目前飞行头盔中配备的环绕式耳罩可降低这些飞行员因噪音导致听力损失的风险。