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暴露于和未暴露于职业噪声的人群中的听力损失

Hearing Loss in Persons Exposed and not Exposed to Occupational Noise.

作者信息

Kovalova Martina, Mrazkova Eva, Sachova Petra, Vojkovska Kristyna, Tomaskova Hana, Janoutova Jana, Janout Vladimir

机构信息

Department of Epidemiology and Public Health, University of Ostrava Faculty of Medicine, Ostrava, Czech Republic.

出版信息

J Int Adv Otol. 2016 Apr;12(1):49-54. doi: 10.5152/iao.2016.1770.

Abstract

OBJECTIVE

This study aimed to compare hearing loss in individuals at risk and those not at risk for occupational noise and to compare working loss by gender.

MATERIALS AND METHODS

The analysis used data from a current Czech Ministry of Health grant project called Epidemiological and Genetic Study of the Frequency of Hearing Loss (2011 to 2015; NT12246-5/2011). The analyzed sample comprised 4988 participants. Hearing was tested using pure-tone threshold audiometry, tympanometry, and measurement of the stapedius reflex.

RESULTS

Females at risk and those not at risk for occupational noise who were younger than 44 years and older than 75 years were found to have no statistically significant differences at any pure-tone threshold audiometry frequency. In females aged 45 to 74 years, statistically significant differences were found. In males, hearing loss was observed as early as 18 years of age. When comparing males and females at no risk for occupational noise, there were no statistically significant differences at any of the frequencies in those younger than 29 years. In females aged 30 years or older, statistically significant differences were observed at various frequencies in all age groups. When comparing males and females at risk for occupational noise, statistically significant differences were more frequent than in employees not exposed to noise.

CONCLUSION

Hearing loss in females does not significantly vary depending on occupational exposure. The opposite is true for males. However, the maximum differences in mean levels did not exceed 10 dB. It is therefore clear that noise is a preventable factor, and the use of personal protective equipment is warranted.

摘要

目的

本研究旨在比较有职业噪声暴露风险者和无职业噪声暴露风险者的听力损失情况,并按性别比较工作损失。

材料与方法

分析使用了来自捷克卫生部当前资助项目“听力损失频率的流行病学和遗传学研究”(2011年至2015年;NT12246 - 5/2011)的数据。分析样本包括4988名参与者。使用纯音阈值听力测定法、鼓室图和镫骨肌反射测量来测试听力。

结果

发现年龄小于44岁和大于75岁的有职业噪声暴露风险和无职业噪声暴露风险的女性,在任何纯音阈值听力测定频率上均无统计学显著差异。在45至74岁的女性中,发现了统计学显著差异。在男性中,早在18岁时就观察到听力损失。在无职业噪声暴露风险的男性和女性中比较时,29岁以下者在任何频率上均无统计学显著差异。在30岁及以上的女性中,在所有年龄组的不同频率上均观察到统计学显著差异。在有职业噪声暴露风险的男性和女性中比较时,统计学显著差异比未接触噪声的员工更常见。

结论

女性的听力损失不会因职业暴露而有显著差异。男性则相反。然而,平均水平的最大差异不超过10分贝。因此很明显,噪声是一个可预防的因素,使用个人防护设备是有必要的。

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