Job A, Grateau P, Picard J
Centre de Recherches du Service de Santé des Armées Emile Pardé, La Tronche, France.
Hear Res. 1998 Aug;122(1-2):119-24. doi: 10.1016/s0378-5955(98)00104-x.
Left ear noise-induced hearing losses are dominant in the army. The common explanation is the asymmetrical effect of the shooting posture. However, firm evidence to support this possibility is still lacking. In the French army shooters, eye preference rather than hand preference for shooting determines the side of shooting and hence the ear more exposed to noise. To test whether left-right asymmetry of hearing thresholds really relates to the shooting posture, we analyzed audiograms from 644 officers of the infantry and artillery branches. The interaural differences reached 7 dB for right-eyed subjects, and less, about 5 dB, for left-eyed subjects at 6-7 kHz, both with disadvantage for the left ear. In contrast, hearing thresholds of both groups in the low frequency range were significantly better for left ears. Our results suggest each ear has different intrinsic characteristics. The right cochlea might be a less sensitive but more robust sensor than the left cochlea, which might be a finer sensor but more sensitive to noise.
在军队中,左耳噪声性听力损失占主导地位。常见的解释是射击姿势的不对称效应。然而,仍缺乏支持这种可能性的确凿证据。在法国军队射击者中,射击时的用眼偏好而非用手偏好决定了射击的一侧,从而决定了哪只耳朵更易暴露于噪声中。为了测试听力阈值的左右不对称是否真的与射击姿势有关,我们分析了来自步兵和炮兵部队644名军官的听力图。在6 - 7千赫兹时,右眼优势的受试者双耳差异达到7分贝,而左眼优势的受试者差异较小,约为5分贝,且都是左耳处于劣势。相比之下,两组受试者左耳在低频范围内的听力阈值明显更好。我们的结果表明每只耳朵都有不同的内在特征。右耳蜗可能是一个不太敏感但更稳健的感受器,而左耳蜗可能是一个更精细但对噪声更敏感的感受器。