Pawlaczyk-Łuszczyńska Małgorzata, Zaborowski Kamil, Zamojska-Daniszewska Małgorzata, Dudarewicz Adam, Rutkowska-Kaczmarek Paulina
Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland (Zakład Zagrożeń Fizycznych / Department of Physical Hazards).
Med Pr. 2019 Feb 28;70(1):27-52. doi: 10.13075/mp.5893.00736. Epub 2019 Feb 15.
The aim of the study was to assess the noise exposure and risk of noise-induced hearing loss (NIHL) among users of communication headsets (CHs) or headphones.
Noise measurements and questionnaire surveys were carried out in 74 workers (aged: 31.8±7.3 years), including military aviation personnel (N = 12), transcribers (N = 18) and call center operators (N = 44). Sound pressure levels (SPLs) emitted by CHs (or headphones) were determined using the microphone in the real ear (MIRE) technique and artificial ear techniques according to PN-EN ISO 11904-1:2008 and CSA Z107.56-13, respectively. The risk of NIHL was evaluated in accordance with PN-ISO 1999:2000.
The diffused-field-related A-weighted equivalent-continuous SPLs measured under CHs (or headphones) using the MIRE and artificial ear techniques reached values of 67-86 dB (10-90th percentile) and 68-89 dB (10-90th percentile), respectively. The study subjects used these devices 1.5-8 h (10-90th percentile) per day. Exposure to such noise levels for 40 years of employment causes the risk of hearing impairment (mean hearing threshold level for 2, 3 and 4 kHz > 25 dB) up to 10-12% (MIRE technique) or 19-22% (artificial ear technique). Individual daily noise exposure levels in study group varied 71-85 dB (10-90th percentile). A number of workers complained of problems with understanding speech in noisy environment (28.4%) and hearing whisper (16.2%) and experienced post-work temporary hearing symptoms (16.2-25.7%) as well.
The users of CHs and headphones should be included in the hearing conservation program. Further studies are also needed among employees of other industries. Med Pr. 2019;70(1):27-52.
本研究旨在评估使用通信耳机(CH)或头戴式耳机的人员的噪声暴露情况以及噪声性听力损失(NIHL)风险。
对74名工人(年龄:31.8±7.3岁)进行了噪声测量和问卷调查,其中包括军事航空人员(N = 12)、转录员(N = 18)和呼叫中心操作员(N = 44)。分别根据PN-EN ISO 11904-1:2008和CSA Z107.56-13,使用真耳中的麦克风(MIRE)技术和人工耳技术测定CH(或头戴式耳机)发出的声压级(SPL)。根据PN-ISO 1999:2000评估NIHL风险。
使用MIRE和人工耳技术在CH(或头戴式耳机)下测量的与扩散场相关的A加权等效连续SPL值分别达到67-86 dB(第10-90百分位数)和68-89 dB(第10-90百分位数)。研究对象每天使用这些设备1.5-8小时(第10-90百分位数)。在40年的工作中暴露于此类噪声水平会导致听力受损风险(2、3和4 kHz的平均听力阈值水平> 25 dB)高达10-12%(MIRE技术)或19-22%(人工耳技术)。研究组中个体每日噪声暴露水平在71-85 dB之间(第10-90百分位数)。许多工人抱怨在嘈杂环境中理解语音有问题(28.4%)、能听到低语(16.2%),并且工作后还出现了暂时性听力症状(16.2-25.7%)。
CH和头戴式耳机的使用者应纳入听力保护计划。其他行业的员工也需要进一步研究。《医学实践》。2019年;70(1):27-52。