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对一组14至15岁的青少年进行听力及大声播放音乐暴露情况测试,并在他们17至18岁时再次进行测试。

Hearing and loud music exposure in a group of adolescents at the ages of 14-15 and retested at 17-18.

作者信息

Biassoni Ester C, Serra Mario R, Hinalaf María, Abraham Mónica, Pavlik Marta, Villalobo Jorge Pérez, Curet Carlos, Joekes Silvia, Yacci María R, Righetti Andrea

机构信息

Centre for Research and Transfer in Acoustics (CINTRA), Unit Associated of CONICET, National Technological University (UTN), Cordoba Regional Faculty, Cordoba, Argentina.

出版信息

Noise Health. 2014 Sep-Oct;16(72):331-41. doi: 10.4103/1463-1741.140515.

Abstract

Young people expose themselves to potentially damaging loud sounds while leisure activities and noise induced hearing loss is diagnosed in increasing number of adolescents. Hearing and music exposure in a group of adolescents of a technical high school was assessed at the ages of: 14-15 (test) and 17-18 (retest). The aims of the current study were: (1) To compare the auditory function between test and retest; (2) to compare the musical exposure levels during recreational activities in test and retest; (3) to compare the auditory function with the musical exposure along time in a subgroup of adolescents. The participants in the test were 172 male; in the retest, this number was reduced to 59. At the test and retest the conventional and extended high frequency audiometry, transient evoked otoacoustic emissions (TEOAEs) and recreational habits questionnaire were performed. In the test, hearing threshold levels (HTLs) were classified as: Normal (Group 1), slightly shifted (Group 2), and significantly shifted (Group 3); the Musical General Exposure (MGE), categorized in: Low, moderate, high, and very high exposure. The results revealed a significant difference (P < 0.0001) between test and retest in the HTL and global amplitude of TEOAEs in Group 1, showing an increase of the HTL and a decrease TEOAEs amplitude. A subgroup of adolescents, with normal hearing and low exposure to music in the test, showed an increase of the HTL according with the categories of MGE in the retest. To implement educational programs for assessing hearing function, ear vulnerability and to promote hearing health, would be advisable.

摘要

年轻人在休闲活动中接触到可能具有损害性的高分贝声音,并且越来越多的青少年被诊断出患有噪声性听力损失。对一所技术高中的一组青少年在14 - 15岁(测试)和17 - 18岁(复测)时的听力和音乐接触情况进行了评估。本研究的目的是:(1)比较测试和复测时的听觉功能;(2)比较测试和复测时娱乐活动中的音乐接触水平;(3)在一组青少年亚组中比较听觉功能与随时间变化的音乐接触情况。测试中的参与者有172名男性;复测时,这个数字减少到了59名。在测试和复测时,进行了常规和扩展高频听力测定、瞬态诱发耳声发射(TEOAEs)以及娱乐习惯问卷调查。在测试中,听力阈值水平(HTLs)被分类为:正常(第1组)、轻度偏移(第2组)和显著偏移(第3组);音乐总体接触(MGE)分为:低、中、高和非常高接触。结果显示,第1组在测试和复测时的HTL和TEOAEs的总体振幅存在显著差异(P < 0.0001),表现为HTL升高和TEOAEs振幅降低。在测试中听力正常且音乐接触低的一组青少年亚组,在复测时HTL随着MGE类别增加。实施评估听力功能、耳部易损性以及促进听力健康的教育项目是可取的。

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