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冲动噪声对枪支使用者的听觉效应系统的影响

Asya Fatma Men¹, Seyra Erbek²

¹Department of Audiology, Faculty of Health Sciences, University of Health Sciences, Istanbul, Turkey.

Acta oto-laryngologica

|August 20, 2025

概括

暴露于枪支噪音可能会导致隐藏的听力损伤,即使是正常的听力测试. 耳声排放 (OAEs) 可以检测到这种噪声引起的听力损伤的早期迹象.

科学领域:

听觉神经科学听觉神经科学
职业健康职业健康职业健康职业健康
军事医学军事医学

背景情况:

高强度的冲动噪音,如枪支爆炸声,可以导致亚临床耳和耳外听力系统损伤.
这种损伤通常无法通过标准听力测量检测到.

研究的目的:

评估枪支噪声暴露对军事人员听觉系统的影响.
识别噪音引起的听力损伤的潜在早期指标.

主要方法:

展望性研究比较了45名使用枪支的军人与45名未使用枪支的对照人员.
使用纯色调听力测量,语音听力测量,扭曲产品耳声辐射 (DPOAE) 和对侧抑制测试进行中介性橄耳反射 (MOCR) 评估.
在多重比较中应用了邦费罗尼校正.

主要成果:

枪支使用者在特定频率 (例如,右耳4kHz,左耳0.25,2和4kHz) 的听力值显著提高.
在枪支使用者中观察到更高的纯色平均值,语音接收值和更低的语音歧视得分.
在枪支使用者进行校正后,左耳的2kHz DPOAE振幅显著降低.

结论:

冲动性枪支噪音可能会诱导亚临床耳功能障碍,即使在正常听力测试听力的人中也是如此.
干扰产品的音声辐射 (DPOAEs),特别是在中频段,作为噪声引起的听力损伤的早期指标,显示出有前途.
强调需要对暴露于噪音的军事人员进行听觉监测和听力保护.

关键词:

枪支枪支的使用情况.反侧面的抑制抑制.扭曲产品的光声学排放.冲动性噪音是一种冲动性噪音.中间的橄耳的反射.

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