Ylikoski M E
Lappeenranta Regional Institute of Occupational Health, Finnish Institute of Occupational Health, Lappeenranta.
Mil Med. 1995 Aug;160(8):388-90.
The association of noise-induced hearing loss from gunfire noise with the occurrence of elevated blood pressure was investigated with screening audiometric measurement results and a questionnaire in a randomly selected group of 699 army officers. After age correction, hearing was found to be deteriorated (i.e., more than 20 dB at all of the measured frequencies) in 352 (50.4%) subjects. Of the 699 officers, 535 (76.5%) reported normal and 164 (23.5%) reported elevated blood pressure. In 122 (17.5%), elevation was permanent and verified by a physician. The occurrence of elevated blood pressure showed a highly significant correlation with severity of hearing loss (chi-square = 25.4; p < 0.001), but not with exposure to gunfire noise. Self-reported hypertension seemed to be associated with severity of impulse noise-induced hearing loss, but not with the amount of gunfire noise exposure. Thus, the present study does not support the suggestion that there exists a simultaneous correlation between impulse noise exposure, noise-induced hearing loss, and self-reported elevated blood pressure.
通过听力筛查测量结果和问卷调查，对699名随机抽取的军官进行研究，以探讨枪声噪声所致的噪声性听力损失与血压升高之间的关联。校正年龄后，发现352名（50.4%）受试者听力下降（即在所有测量频率下听力下降超过20 dB）。在这699名军官中，535名（76.5%）报告血压正常，164名（23.5%）报告血压升高。其中122名（17.5%）血压升高为持续性，且经医生证实。血压升高的发生与听力损失严重程度呈高度显著相关（卡方检验=25.4；p<0.001），但与枪声噪声暴露无关。自我报告的高血压似乎与脉冲噪声所致听力损失的严重程度有关，但与枪声噪声暴露量无关。因此，本研究不支持脉冲噪声暴露、噪声性听力损失与自我报告的血压升高之间存在同时相关性的观点。
