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演奏不同乐器的音乐家耳鸣及其他听觉症状的发生率

Occurrence of tinnitus and other auditory symptoms among musicians playing different instruments.

作者信息

Lüders Débora, Gonçalves Cláudia Giglio de Oliveira, Lacerda Adriana Bender Moreira de, Silva Luciana Santos Gerosino da, Marques Jair Mendes, Sperotto Valana Nicole

机构信息

Departament of Audiology and Communication Disorders, Tuiuti University of Paraná. Curitiba, PR, Brazil.

出版信息

Int Tinnitus J. 2016 Jul 22;20(1):48-53. doi: 10.5935/0946-5448.20160009.

DOI:10.5935/0946-5448.20160009
PMID:27488994
Abstract

INTRODUCTION

Tinnitus is one of the most reported auditory symptoms among musicians and can negatively influence their ability to work, sometimes even more severely than hearing loss.

OBJECTIVES

To analyze the occurrence of tinnitus and other auditory symptoms in musicians who play different instruments.

METHODS

One hundred musicians participated by answering a questionnaire on instrument played, practice time with the instrument, occurrence of tinnitus, hearing difficulties, and intolerance to loud sounds. The symptoms were analyzed in relation to gender, musical instrument, and time of experience using statistical tests such as the Chi-squared test and Difference in Proportions test at a significance level of 0.05 as well as finding the Prevalence Ratio.

RESULTS

Tinnitus was the most frequent symptom among musicians, especially among those who play amplified instruments. There was an association between tinnitus and hearing difficulty, and between instrument experience time and intolerance to loud sounds. The proportion of musicians with occasional tinnitus was high among those with less than 15 years of musical practice, and 4.53 times more prevalent in those with more than 15 years of experience.

CONCLUSION

The presence of auditory symptoms, especially tinnitus, among musicians reinforces the need for implementation of hearing conservation programs for this profession.

摘要

引言

耳鸣是音乐家报告最多的听觉症状之一,会对他们的工作能力产生负面影响,有时甚至比听力损失的影响更严重。

目的

分析演奏不同乐器的音乐家耳鸣及其他听觉症状的发生情况。

方法

100名音乐家参与了一项问卷调查,内容包括所演奏的乐器、使用该乐器的练习时间、耳鸣的发生情况、听力困难以及对大声响的不耐受情况。使用卡方检验和比例差异检验等统计方法,在显著性水平为0.05的情况下,对症状与性别、乐器和经验时长进行分析,并计算患病率比。

结果

耳鸣是音乐家中最常见的症状,尤其是在演奏扩音乐器的人中。耳鸣与听力困难之间以及乐器经验时长与对大声响的不耐受之间存在关联。在音乐练习少于15年的人中,偶尔出现耳鸣的音乐家比例较高,而在经验超过15年的人中,患病率是前者的4.53倍。

结论

音乐家中听觉症状尤其是耳鸣的存在,凸显了为该职业实施听力保护计划的必要性。

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