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潜水会使听力功能恶化吗?

Does diving deteriorate hearing functions?

作者信息

Canarslan-Demir Kubra Canarslan-Demir, Ozgok-Kangal Kubra, Kilic Samet, Genc Hakan

机构信息

Saglik Bilimleri Universitesi, Gulhane Egitim ve Arastirma Hastanesi, Ankara, Turkey.

Assistant Professor, Saglik Bilimleri Universitesi, Gulhane Egitim ve Arastirma Hastanesi, Ankara, Turkey.

出版信息

Undersea Hyperb Med. 2023 Third Quarter;50(3):313-318.

PMID:37708065
Abstract

Studies evaluating the hearing function of professional divers have yielded mixed results. In this study, we aimed to observe the effect of diving on hearing function by comparing the audiometry of experienced divers with a non-diver control group. Secondly, we aimed to compare the hearing function among divers according to the diving years and the number of dives in terms of diving exposure. Experienced divers who applied to the University of Health Sciences Gűlhane Training and Research Hospital Underwater and Hyperbaric Medicine Department between 2017-2021 for periodic fitness to dive examinations were included in our study. The control group was randomly selected from the non-diver population with similar ages and gender. The audiometry of the control group and the study group was compared. While the control group was found to be better only at 8,000 Hz in the left ear (p = 0.03), there was no difference between the study group and the control group in other frequencies and pure-tone averages. In conclusion, we did not find any evidence regarding the worsening effect of diving on the hearing functions of experienced divers. With the increased awareness of occupational safety in recent years, modern technologies, protective measures, and more conservative diving profiles may have minimized the possible adverse effects of diving on hearing function. Longitudinal studies on hearing functions in the same occupational diver groups should be conducted while observing the effect of different diving profiles and noise exposures.

摘要

评估职业潜水员听力功能的研究结果不一。在本研究中,我们旨在通过比较经验丰富的潜水员与非潜水员对照组的听力测定结果,观察潜水对听力功能的影响。其次,我们旨在根据潜水年限和潜水次数(即潜水暴露情况)比较潜水员之间的听力功能。2017年至2021年间,申请进入健康科学大学古勒汗培训与研究医院水下与高压医学科进行定期潜水健康检查的经验丰富的潜水员被纳入我们的研究。对照组是从年龄和性别相似的非潜水人群中随机选取的。比较了对照组和研究组的听力测定结果。虽然发现对照组仅在左耳8000赫兹处表现更好(p = 0.03),但研究组和对照组在其他频率及纯音平均值方面没有差异。总之,我们没有发现任何证据表明潜水会对经验丰富的潜水员的听力功能产生恶化影响。近年来,随着职业安全意识的提高,现代技术、防护措施以及更保守的潜水方案可能已将潜水对听力功能的潜在不利影响降至最低。在观察不同潜水方案和噪声暴露的影响时,应对同一职业潜水员群体的听力功能进行纵向研究。

相似文献

1
Does diving deteriorate hearing functions?潜水会使听力功能恶化吗?
Undersea Hyperb Med. 2023 Third Quarter;50(3):313-318.
2
Risk mitigation in divers with persistent (patent) foramen ovale.卵圆孔未闭潜水员的风险降低
Diving Hyperb Med. 2019 Jun 30;49(2):77-78. doi: 10.28920/dhm49.2.77-78.
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Assessment of the peripheral hearing system of sport divers.对运动潜水员外周听觉系统的评估。
Undersea Hyperb Med. 2011 Nov-Dec;38(6):515-26.
4
The absence of hearing loss in otologically asymptomatic recreational scuba divers.耳科无症状的休闲水肺潜水员未出现听力损失情况。
Undersea Hyperb Med. 2006 Mar-Apr;33(2):135-41.
5
Longitudinal screening of hearing threshold in navy divers: is diving really a hazard?海军潜水员听力阈值的纵向筛查:潜水真的有危害吗?
Diving Hyperb Med. 2019 Dec 20;49(4):283-290. doi: 10.28920/dhm49.4.283-290.
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On diver thermal status and susceptibility to decompression sickness.关于潜水员的热状态与减压病易感性
Diving Hyperb Med. 2015 Sep;45(3):208.
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Hearing threshold in sport divers: is diving really a hazard for inner ear function?职业潜水员的听力阈值:潜水真的会对内耳功能造成危害吗?
Arch Otolaryngol Head Neck Surg. 2004 Feb;130(2):221-5. doi: 10.1001/archotol.130.2.221.
8
Assessment of the central hearing system of sport divers.对职业潜水员中枢听觉系统的评估。
Undersea Hyperb Med. 2011 Nov-Dec;38(6):527-35.
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Does diving affect the hearing of Asian military divers? A study in the Republic of Singapore Navy.潜水会影响亚洲军事潜水员的听力吗?新加坡海军的一项研究。
Undersea Hyperb Med. 2014 Jan-Feb;41(1):41-7.
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Persistent (patent) foramen ovale (PFO): implications for safe diving.持续性(开放)卵圆孔未闭(PFO):对安全潜水的影响
Diving Hyperb Med. 2015 Jun;45(2):73-4.

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