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职业音乐家的噪声性听力损失

Noise-Induced hearing loss among professional musicians.

作者信息

Pouryaghoub Gholamreza, Mehrdad Ramin, Pourhosein Saeed

机构信息

Center for Research on Occupational Diseases (CROD), Tehran University of Medical Sciences (TUMS).

出版信息

J Occup Health. 2017 Jan 24;59(1):33-37. doi: 10.1539/joh.16-0217-OA. Epub 2016 Nov 16.

Abstract

OBJECTIVES

After presbycusis, noise exposure is considered the second cause of sensorineural hearing loss. Due to exposure to high-intensity sounds, musicians may be at risk of noise-induced hearing loss (NIHL). Given the importance of good hearing in music career, this study aimed to investigate the frequency of hearing loss and use of protective measures among Iranian musicians.

METHODS

In this cross-sectional study, 125 musicians, including 21 women (16.8%) and 104 men (83.2%), with at least five years of work experience were recruited. All participants underwent clinical and audiometric examinations. Demographic data, complaints about hearing loss, and information about the use of protective devices were collected through interviews.

RESULTS

Audiometric notch in either one or both ears and bilateral hearing loss were present in respectively 42.4% and 19.2% of the participants. The history of tinnitus after performance and ear pain during performance was reported by 64 (51%) and 35 (28%) individuals, respectively. Less than 2% of the participants used hearing protection devices.

CONCLUSIONS

Long-term exposure to loud sounds puts musicians at risk of hearing loss. However, due to their inadequate knowledge, most musicians never use protective devices to prevent damage to their auditory system.

摘要

目的

在老年性耳聋之后,噪声暴露被认为是感音神经性听力损失的第二大原因。由于暴露于高强度声音,音乐家可能有噪声性听力损失(NIHL)的风险。鉴于良好听力在音乐事业中的重要性,本研究旨在调查伊朗音乐家听力损失的发生率以及保护措施的使用情况。

方法

在这项横断面研究中,招募了125名音乐家,包括21名女性(16.8%)和104名男性(83.2%),他们至少有五年的工作经验。所有参与者都接受了临床和听力检查。通过访谈收集人口统计学数据、听力损失主诉以及保护装置使用情况的信息。

结果

分别有42.4%和19.2%的参与者单耳或双耳出现听力测听切迹以及双侧听力损失。分别有64名(51%)和35名(28%)个体报告演出后有耳鸣史以及演出期间有耳痛。不到2%的参与者使用听力保护装置。

结论

长期暴露于高强度声音使音乐家面临听力损失的风险。然而,由于他们知识不足,大多数音乐家从未使用保护装置来预防听觉系统受损。

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