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巴西加油站工人的听觉系统功能障碍。

Auditory system dysfunction in Brazilian gasoline station workers.

机构信息

a Department of Audiology and Speech Therapy , Federal University of Santa Catarina , Florianopolis , Brazil.

b Workers' Health Reference Center , Joinville , Brazil.

出版信息

Int J Audiol. 2019 Aug;58(8):484-496. doi: 10.1080/14992027.2019.1597286. Epub 2019 Apr 24.

Abstract

To examine the auditory system of Brazilian gasoline station workers using an extensive audiological test battery. This was a cross-sectional study. The audiological evaluation included a questionnaire, pure-tone audiometry, acoustic immittance tests, transient-evoked otoacoustic emissions (TEOAEs), distortion product otoacoustic emissions (DPOAEs), auditory brainstem response (ABR) and P300 auditory-evoked potentials. A total of 77 Brazilian gasoline station workers were evaluated, and their results were compared with those of 36 participants who were not exposed to chemicals or noise at work. The gasoline station employees worked in 18 different gas stations, and the noise area measurements from all gas stations revealed time-weighted averages below 85 dBA. Of the 77 gasoline station workers evaluated, 67.5% had audiometric results within the normal range, but 59.7% reported difficulties in communication in noisy places. Gasoline station workers showed significantly poorer results than non-exposed control participants in one or more conditions of each of the audiological tests used, except P300. The results suggest that the gasoline station workers have both peripheral and central auditory dysfunctions that could be partly explained by their exposure to gasoline.

摘要

使用广泛的听力学测试组合来检查巴西加油站工人的听觉系统。这是一项横断面研究。听力学评估包括问卷调查、纯音测听、声导抗测试、瞬态诱发耳声发射(TEOAEs)、畸变产物耳声发射(DPOAEs)、听觉脑干反应(ABR)和 P300 听觉诱发电位。共有 77 名巴西加油站工人接受了评估,并将他们的结果与 36 名未在工作中接触化学物质或噪音的参与者的结果进行了比较。加油站员工在 18 个不同的加油站工作,所有加油站的噪声区域测量值均低于 85 dBA。在接受评估的 77 名加油站工人中,67.5% 的人听力测试结果在正常范围内,但 59.7% 的人报告在嘈杂环境中交流有困难。与未暴露于对照组参与者相比,除了 P300 之外,每个听力学测试的一个或多个条件下,加油站工人的结果明显较差。结果表明,加油站工人存在外周和中枢听觉功能障碍,这可能部分归因于他们接触汽油。

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