早期识别可能的职业噪音引起的听力损失:一个系统的审查
Nyasha Makaruse1,2,3, Mike R D Maslin1,2, Ziva Shai Campbell1,2
1School of Psychology, Speech and Hearing, University of Canterbury, Christchurch, New Zealand.
International journal of audiology
|October 29, 2024
概括
早期职业噪音引起的听力损失 (NIHL) 在延长的高频段 (8 kHz以上) 最容易受到影响. 修改后的监测指标显示,在检测早期听力变化方面,其灵敏度和特异性很高.
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
- 听力科学 听力科学
背景情况:
- 职业噪音引起的听力损失 (NIHL) 监测依赖于准确检测早期听力变化.
- 目前的听力测试频率可能不适合识别NIHL的早期迹象.
研究的目的:
- 为了确定最容易受到早期NIHL的听力测量频率.
- 确定职业NIHL监控中最有效的早期标志指标.
主要方法:
- 欧维德MEDLINE和Embase的系统文献综述 (2021年7月 - 2024年5月).
- 对噪声引起的变化听力值水平 (HTLs) 的分析.
- 对早期标志指标的敏感性和特异性的评估.
主要成果:
- 扩展的高频率 (12,14,16 kHz) 是最容易受到早期NIHL的影响.
- 传统频率 (3-6 kHz) 也显示出易感性.
- 修改后的NIOSH和OSHA指标实现了100%的灵敏度和98%的特异性.
结论:
- 改进目前的NIHL监测指标至关重要.
- 探索扩展的高频率对于早期检测是必要的.
- 需要进一步的研究来确定职业NIHL监测的最佳频率和敏感指标.
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