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根据噪声暴露情况的民航飞行员听力测定概况

Audiometric profile of civilian pilots according to noise exposure.

作者信息

Falcão Taiana Pacheco, Luiz Ronir Raggio, Schütz Gabriel Eduardo, Mello Márcia Gomide da Silva, Câmara Volney de Magalhães

出版信息

Rev Saude Publica. 2014 Oct;48(5):790-6. doi: 10.1590/s0034-8910.2014048005256.

Abstract

OBJECTIVE

To evaluate the audiometric profile of civilian pilots according to the noise exposure level.

METHODS

This observational cross-sectional study evaluated 3,130 male civilian pilots aged between 17 and 59 years. These pilots were subjected to audiometric examinations for obtaining or revalidating the functional capacity certificate in 2011. The degree of hearing loss was classified as normal, suspected noise-induced hearing loss, and no suspected hearing loss with other associated complications. Pure-tone air-conduction audiometry was performed using supra-aural headphones and acoustic stimulus of the pure-tone type, containing tone thresholds of frequencies between 250 Hz and 6,000 Hz. The independent variables were professional categories, length of service, hours of flight, and right or left ear. The dependent variable was pilots with suspected noise-induced hearing loss. The noise exposure level was considered low/medium or high, and the latter involved periods > 5,000 flight hours and > 10 years of flight service.

RESULTS

A total of 29.3% pilots had suspected noise-induced hearing loss, which was bilateral in 12.8% and predominant in the left ear (23.7%). The number of pilots with suspected hearing loss increased as the noise exposure level increased.

CONCLUSIONS

Hearing loss in civilian pilots may be associated with noise exposure during the period of service and hours of flight.

摘要

目的

根据噪声暴露水平评估民航飞行员的听力状况。

方法

这项观察性横断面研究评估了3130名年龄在17至59岁之间的男性民航飞行员。这些飞行员在2011年接受听力检查以获取或重新获得功能能力证书。听力损失程度分为正常、疑似噪声性听力损失以及无疑似听力损失但伴有其他相关并发症。使用 supra-aural 耳机和纯音类型的声学刺激进行纯音气导听力测定,纯音频率阈值范围为250Hz至6000Hz。自变量为专业类别、服务年限、飞行小时数以及右耳或左耳。因变量为疑似噪声性听力损失的飞行员。噪声暴露水平分为低/中或高,后者指飞行小时数>5000小时且飞行服务年限>10年。

结果

共有29.3%的飞行员疑似有噪声性听力损失,其中双侧听力损失占12.8%,且左耳为主(23.7%)。疑似听力损失的飞行员数量随着噪声暴露水平的增加而增加。

结论

民航飞行员的听力损失可能与服役期间的噪声暴露和飞行小时数有关。

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