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慢性手机使用对听觉功能影响的评估:印度北部一家三级护理教学医院的研究。

Assessment of Effects of Chronic Mobile Phone Usage on Auditory Functions: A Study at a Tertiary Care Teaching Hospital in Northern India.

作者信息

Saroch Pallavi, Kalsotra Gopika, Kalsotra Parmod

机构信息

Department of Otorhinolaryngology, Head & Neck Surgery, ASCOMS, Jammu, 180017 India.

Department of Otorhinolaryngology, Head & Neck Surgery, GMC, Jammu, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):1540-1548. doi: 10.1007/s12070-023-04354-4. Epub 2023 Dec 2.

Abstract

Genuine concerns are being increased regarding potential health risks associated with the radiation exposure while using mobile devices. To study the effects of mobile phone usage on auditory functions. The detailed history of the patient was obtained with special emphasis on total cumulative usage [in years], average daily use [in minutes]. According to the years of exposure, subjects were divided into Group A (< 5 years of exposure) and Group B (> 5 years of exposure) and according to the average daily usage of mobile phones, subjects were divided into Group 1 (< 60 min daily usage) and Group 2 (> 60 min of daily usage). After that systemic examination was done. Audiological testing included pure tone audiometry (PTA) with extended high frequencies (0.250-12 kHz), Otoacoustic emissions (OAE) and Auditory Brainstem response (ABR) testing and middle latency response (MLR) were performed. Out of 100 subjects, maximum subjects (38%) in the present study were in the age group of 21-30 years with male: female ratio of 1.6:1. The main associated complaints in the subjects at the time of enrolment in the study included ear warmth (34%) followed by aural fullness (20%) and tinnitus (17%). In Group A, mild SNHL was seen in 3 (11.54%) subjects in whom 2 had > 60 min average daily use and 1 had < 60 min daily use. In Group B 19 (25.68%) subjects had mild SNHL out of which 6 were in Group 2 and 13 were in Group 1. In group B 2 (2.7%) subjects had moderate SNHL. Increase in latencies of Na and Pa were noted with prolonged and frequent exposure to mobile phones in MLR. It is advised to limit the usage of mobile phones so as to reduce the damage caused by EMRs to the auditory system.

摘要

人们对使用移动设备时辐射暴露带来的潜在健康风险愈发担忧。为研究使用手机对听觉功能的影响,详细了解了患者的病史,特别强调了总累积使用时间(以年为单位)和平均每日使用时间(以分钟为单位)。根据暴露年限,受试者被分为A组(暴露年限<5年)和B组(暴露年限>5年);根据手机平均每日使用时间,受试者被分为1组(每日使用时间<60分钟)和2组(每日使用时间>60分钟)。之后进行了系统检查。听力测试包括扩展高频(0.250 - 12kHz)的纯音听力测定(PTA)、耳声发射(OAE)、听觉脑干反应(ABR)测试以及中潜伏期反应(MLR)测试。在100名受试者中,本研究中最多的受试者(38%)年龄在21 - 30岁组,男女比例为1.6:1。研究入组时受试者的主要相关主诉包括耳部发热(34%),其次是耳闷(20%)和耳鸣(17%)。在A组中,3名(11.54%)受试者出现轻度感音神经性听力损失(SNHL),其中2名平均每日使用时间>60分钟,1名每日使用时间<60分钟。在B组中,19名(25.68%)受试者出现轻度SNHL,其中6名在2组,13名在1组。在B组中,2名(2.7%)受试者出现中度SNHL。在MLR中,发现随着长时间频繁接触手机,Na和Pa的潜伏期增加。建议限制手机使用,以减少电磁辐射对听觉系统造成的损害。

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本文引用的文献

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Effect of Prolonged Use of Mobile Phone on Brainstem Auditory Evoked Potentials.长期使用手机对脑干听觉诱发电位的影响
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High-frequency hearing loss among mobile phone users.手机用户中的高频听力损失
Indian J Otolaryngol Head Neck Surg. 2014 Jan;66(Suppl 1):169-72. doi: 10.1007/s12070-011-0406-4. Epub 2011 Dec 15.
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Auditory Brainstem Responses and EMFs Generated by Mobile Phones.手机产生的听觉脑干反应与电磁场
Indian J Otolaryngol Head Neck Surg. 2013 Dec;65(Suppl 3):645-9. doi: 10.1007/s12070-013-0676-0. Epub 2013 Sep 7.
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Mobile phone use and risk of tumors: a meta-analysis.手机使用与肿瘤风险:一项荟萃分析。
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