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职业噪音不对称导致听力损失:一种电生理学方法
Philippe Henri DeJonckere1, Jean Lebacq2
1Federal Agency for Occupational Risks, Brussels, Belgium.
International archives of otorhinolaryngology
|August 11, 2023
概括
职业噪音暴露导致不对称的听力损失,平均而言,左耳受到影响更大. 这一发现在研究中使用的两个电生理学方法中是一致的.
科学领域:
- 听力学 听力学是指听力学.
- 职业健康 职业健康 职业健康
- 神经科学是一个神经科学.
背景情况:
- 由于职业噪音暴露导致的听力损失的对称性仍然是一个有争议的话题.
- 了解不对称性对于准确诊断和对噪音引起的听力损失 (NIHL) 的补偿至关重要.
研究的目的:
- 调查职业噪音暴露是否导致对称或不对称的听力损失.
- 为了比较皮质唤起响应听力测量 (CERA) 和听觉稳定状态响应 (ASSR) 在检测听力损失不对称性的有效性.
主要方法:
- 156名受试者有记录的噪音暴露和不同程度的NIHL,接受了CERA和ASSR检查.
- 没有中耳病理的受试者被纳入对噪音诱导影响的集中评估.
- 数据是作为医疗法律专家对赔偿的评估的一部分收集的.
主要成果:
- 与右耳相比,CERA和ASSR都显示左耳的平均听力值明显较差 (1-2-3 kHz).
- 听力值的左右差异在两种方法之间有很强的相关性.
- 听力不对称与参与者的年龄或整体听力损失程度之间没有显著的相关性.
结论:
- 职业噪音暴露导致可测量的平均听力值不对称,有利于左耳更大的损伤.
- 在NIHL中,与右耳相比,左耳的平均缺陷约为2.23dB (3.2%).
- 像CERA和ASSR这样的电生理学方法是量化噪音引起的听力损失中的这种不对称性的可靠工具.
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