Tzaneva L
National Center of Hygiene, Sofia, Bulgaria.
Cent Eur J Public Health. 1996 Sep;4(3):173-5.
The discomfort threshold problem is not yet clear from the audiological point of view. Its significance for work physiology and hygiene is not enough clarified. This paper discussed the results of a study of the discomfort threshold, performed including 385 operators from the State Company "Kremikovtzi", divided into 4 groups (3 groups according to length of service and one control group). The most prominent changes were found in operators with increased tonal auditory threshold up to 45 and over 50 dB with high confidential probability. The observed changes are distributed in 3 groups: 1. increased tonal auditory threshold (up to 30 dB) without decrease of the discomfort threshold; 2. decreased discomfort threshold (with about 15-20 dB) at increased tonal auditory threshold (up to 45 dB); 3. decreased discomfort threshold at increased (over 50 dB) tonal auditory threshold. The auditory scope of the operators, belonging to groups III and IV (with the longest length of service) is narrowed, being distorted for the latter. This pathophysiological phenomenon can be explained by an enhanced effect of sound irritation and the presence of a recruitment phenomenon with possible engagement of the central part of the auditory analyzer. It is concluded that the discomfort threshold is a sensitive indicator for the state of the individual norms for speech-sound-noise discomfort. The comparison of the discomfort threshold with the hygienic standards and the noise levels at each particular working place can be used as a criterion for the professional selection for work in conditions of masking noise effect and its tolerance with respect to achieving the individual discomfort level depending on the intensity of the speech-sound-noise signals at a particular working place.
从听力学角度来看,不适阈问题尚不明晰。其对工作生理学和卫生学的意义也未得到充分阐明。本文讨论了一项针对不适阈的研究结果,该研究涵盖了国营公司“克雷米科夫齐”的385名操作人员,分为4组(3组按服务年限划分,1个对照组)。在纯音听阈升高至45dB及超过50dB且具有高置信概率的操作人员中发现了最显著的变化。观察到的变化分布在3组中:1. 纯音听阈升高(高达30dB)但不适阈未降低;2. 纯音听阈升高(高达45dB)时不适阈降低(约15 - 20dB);3. 纯音听阈升高(超过50dB)时不适阈降低。属于第III组和第IV组(服务年限最长)的操作人员的听觉范围变窄,后者出现了畸变。这种病理生理现象可以通过声音刺激的增强效应以及可能涉及听觉分析器中枢部分的重振现象来解释。得出的结论是,不适阈是个体对语音 - 声音 - 噪声不适规范状态的敏感指标。将不适阈与卫生标准以及每个特定工作场所的噪声水平进行比较,可作为在掩蔽噪声影响条件下工作的职业选择标准,以及根据特定工作场所语音 - 声音 - 噪声信号强度实现个体不适水平时对其耐受性的标准。