噪音暴露是否与正常听力仪表的损伤扩展高频听力有关? 一个系统的审查和元分析
Sajana Aryal1, Monica Trevino1, Hansapani Rodrigo2
1University of Texas at Austin, Austin, TX, USA.
Trends in hearing
|May 16, 2025
概括
扩展的高频听力损失 (9-20 kHz) 可以表明早期的噪音暴露,即使在较低频率 (≤8 kHz) 的正常听力. 职业噪音与这种损害的联系比娱乐噪音更强.
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
- 环境健康 环境健康
背景情况:
- 噪音引起的听力损伤是一个越来越令人担忧的问题.
- 动物模型表明,耳基很容易受到噪音的影响.
- 早期暴露于噪音可能会导致基底耳功能障碍,标准听力图无法检测到.
研究的目的:
- 调查人类在扩展高频 (9-20 kHz) 中暴露于噪音和听力之间的关联.
- 识别噪音引起的听力损伤的早期标志物.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 包括30项研究,其中约有2500名参与者具有正常音频图 (≤8 kHz).
- 分析了职业和娱乐噪音暴露对9-20 kHz的听力值的影响.
主要成果:
- 职业噪音和9-16 kHz的听力值之间存在显著的正相关性 (中大效应大小).
- 娱乐噪音与听力值的相关性不太一致.
- 发表偏差在10kHz时被注意到.
结论:
- 扩展的高频听力值 (8kHz以上) 可能预示着早期的噪音暴露效应.
- 需要使用噪声剂量计进行进一步的纵向研究来确认因果关系.
- 扩展高频听力测量可以在临床上对早期检测有用.
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