听力正常的年轻工人职业性噪声暴露与延长高频听力损失的关系。

IF 2.6 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Panqi Xue, Wulan Zhao, Xiangjing Gao, Fang Wei, Fei Xu, Hongwei Xie, Hangze Mao, Hua Zou, Wei Qiu
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引用次数: 0

摘要

目的:职业性噪声暴露与延伸高频(EHF)听力损失之间的关系研究有限。本研究通过声压级、暴露时间、峰度等指标,探讨职业性噪声暴露与噪声暴露工人EHF听力损失的关系,为噪声暴露工人听力损失的早期发现和预防提供依据。设计:对602名参与者进行了横断面调查,其中472名噪音暴露的工人和130名非噪音暴露的对照组。收集并分析了常规频率(0.25至8 kHz)和EHF(9至16 kHz)下的一般人口统计学特征、噪声暴露数据和听力阈值。采用线性混合效应模型分析EHF听力阈值与8h等效连续a加权声压级(LAeq,8h)、累积噪声暴露(CNE)、峰度调整CNE (CNE- k)等噪声暴露指标之间的关系。结果:在纳入分析的602名参与者中,472人(78.4%)的职业噪声暴露≥75 dBA。噪声暴露组与非噪声暴露组在性别、暴露时间、LAeq、8h、CNE、CNE- k方面差异均有统计学意义(p < 0.05)。噪声暴露组在9 ~ 16 kHz范围内的平均听力阈值显著高于非噪声暴露组(p < 0.05)。不同LAeq、8h暴露组的平均听力阈值基本稳定,在常规频率(0.25 ~ 8 kHz)范围内变化不大,但在EHF范围内存在差异。在80 dBA < LAeq,8h≤85 dBA噪声环境中,EHF听力损失最为突出。采用噪声暴露指标CNE和CNE- k综合声压级、暴露时间和峰度后,不同噪声暴露条件下被试的EHF听力阈值差异有统计学意义(p < 0.05)。线性混合影响模型分析表明,在EHF噪声暴露的3个指标中,CNE-K最能反映噪声性听力损失。结论:EHF听力阈值检测对早期职业性噪声性听力损失的识别比常规听力学检测更敏感。CNE-K是一种综合噪声能量、暴露时间和峰度的指标,是评价职业性噪声暴露EHF听力损失风险的较为全面有效的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of Occupational Noise Exposure and Extended High-Frequency Hearing Loss in Young Workers With Normal Hearing.

Objectives: Studies on the relationship between occupational noise exposure and extended high-frequency (EHF) hearing loss are limited. This study investigated the relationship between occupational noise exposure and EHF hearing loss in workers exposed to noise as measured by sound pressure level, exposure duration, and kurtosis to help provide a basis for early detection and prevention of hearing loss in noise-exposed workers.

Design: A cross-sectional survey was conducted among 602 participants with 472 noise-exposed workers and 130 non-noise-exposed controls. General demographic characteristics, noise exposure data, and hearing thresholds at conventional frequencies (0.25 to 8 kHz) and EHF (9 to 16 kHz) were collected and analyzed. Linear mixed-effects model analyses between hearing thresholds of EHF and noise exposure indicators including the 8-h equivalent continuous A-weighted sound pressure level (LAeq,8h), cumulative noise exposure (CNE), and kurtosis-adjusted CNE (CNE-K) were conducted.

Results: Among the 602 participants included in the analysis, 472 individuals (78.4%) were occupationally exposed to noise exposures ≥75 dBA. Significant differences (p < 0.05) were observed in sex, exposure duration, LAeq,8h, CNE, and CNE-K between the noise-exposed group and the nonexposed group. The mean hearing thresholds for all tested extended high frequencies ranging from 9 to 16 kHz were significantly higher in the noise-exposed group than in the nonexposed group (p < 0.05). The mean hearing thresholds of subjects in different groups of LAeq,8h exposures were generally stable with little variance in the conventional frequencies (0.25 to 8 kHz) but differed in the EHF range. Moreover, EHF hearing loss appeared to be most prominent in the subjects exposed to noise with 80 dBA < LAeq,8h ≤ 85 dBA. After the combination of the sound pressure level, exposure duration, and kurtosis by using the noise exposure indicators CNE and CNE-K, the subjects at the different noise exposures showed significant differences in hearing thresholds at EHF (p < 0.05). Linear mixed-effected model analyses showed that the CNE-K was the best to indicate noise-induced hearing loss among the three noise exposure indicators at EHF.

Conclusions: The results indicate that the EHF hearing threshold testing is more sensitive to identifying early occupational noise-induced hearing loss than conventional audiometry. The CNE-K, an indicator combining noise energy, exposure duration, and kurtosis, is a more comprehensive and effective method for assessing the risk of EHF hearing loss due to occupational noise exposure.

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来源期刊
Ear and Hearing
Ear and Hearing 医学-耳鼻喉科学
CiteScore
5.90
自引率
10.80%
发文量
207
审稿时长
6-12 weeks
期刊介绍: From the basic science of hearing and balance disorders to auditory electrophysiology to amplification and the psychological factors of hearing loss, Ear and Hearing covers all aspects of auditory and vestibular disorders. This multidisciplinary journal consolidates the various factors that contribute to identification, remediation, and audiologic and vestibular rehabilitation. It is the one journal that serves the diverse interest of all members of this professional community -- otologists, audiologists, educators, and to those involved in the design, manufacture, and distribution of amplification systems. The original articles published in the journal focus on assessment, diagnosis, and management of auditory and vestibular disorders.
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