职业噪声暴露人群听力学特征分析

王曦; 赵乌兰; 徐飞; 张美辨; 邱伟

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职业噪声暴露人群听力学特征分析

临床研究 | 更新时间：2026-10-28

- 职业噪声暴露人群听力学特征分析
- Audiological Characteristics of People Exposed to Occupational Noise
- 中国听力语言康复科学杂志 2022年20卷第2期页码：102-106+115
- 作者机构：
  
  1. 浙江中医药大学医学技术与信息工程学院,杭州,310000
  2. 浙江省疾病预防控制中心
  3. Auditory Research Laboratories,State University of New York
- 作者简介：
- 基金信息：
  
  美国国立失聪和其他沟通障碍研究院资助项目（1RO1DC015990）;浙江省重点研发计划项目（201503039）;浙江中医药大学校级科研基金项目（2021ZZ05）
- DOI：
  中图分类号： R135
- 纸质出版：2022
- 稿件说明：
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王曦, 赵乌兰, 徐飞, 等. 职业噪声暴露人群听力学特征分析[J]. 中国听力语言康复科学杂志, 2022,20(2):102-106+115.

王曦, 赵乌兰, 徐飞, et al. Audiological Characteristics of People Exposed to Occupational Noise[J]. 2022, 20(2): 102-106+115.
王曦, 赵乌兰, 徐飞, 等. 职业噪声暴露人群听力学特征分析[J]. 中国听力语言康复科学杂志, 2022,20(2):102-106+115. DOI：

王曦, 赵乌兰, 徐飞, et al. Audiological Characteristics of People Exposed to Occupational Noise[J]. 2022, 20(2): 102-106+115. DOI：

摘要

目的探究职业噪声暴露人群的听力学特征

为早期噪声致隐性听力损失提供诊断意义。方法选取37例有噪声暴露史的健听青年(接噪组

年龄28.70±0.76岁)和37例无噪声暴露史的健听男青年(对照组

年龄26.50±0.95岁)的优势耳进行扩展高频(extended high-frequency

EHF)、畸变产物耳声发射(DPOAE)、噪声下言语测听(speech in noise

SIN)、听性脑干反应(ABR)、言语声诱发听性脑干反应(speech evoked auditory brainstem responses

s-ABR)

比较对照组和接噪组各项测试结果的差异

并分析测试结果的相关性。结果 (1)在EHF测听中

随频率增高

接噪组较对照组检出率降低;接噪组在12.5、14、16、18、20 kHz频率处的平均听阈显著高于对照组(P<0.05)。(2)在DPOAE中

接噪组的信噪比较对照组降低;在4～10 kHz频率上有显著差异(P<0.05)。(3)在SIN测听中

接噪组的信噪比损失较对照组严重

差异有统计学意义(P<0.05)。(4)在clickABR中

接噪组的波Ⅰ幅值较对照组低

波Ⅰ的潜伏期较对照组延长

Ⅰ-Ⅴ的平均峰间间隔较对照组缩短

Ⅴ/Ⅰ波幅比值高于对照组(P<0.05)。(5)在s-ABR测试中

接噪组波A、C、D、O潜伏期较对照组显著延长(P<0.05)。(6)扩展高频阈值分别与DPOAE、s-ABR的C、O波潜伏期具有相关性;DPOAE与SIN信噪比损失存在相关性;ABR与s-ABR对辅音/d/的刺激反应存在相关性。结论 EHF、DPOAE、SIN、click-ABR和s-ABR等5种测试对于早期诊断噪声致隐性听力损失可能存在一定临床意义。

Abstract

Objective To evaluate the clinical significance of possible noise-induced hearing loss by analyzing the audiological characteristics of people exposed to occupational noise. Methods Thirty-seven normal-hearing young adults with a history of noise exposure（noise-exposed group

aged 28.70±0.76 years） and thirty-seven normal-hearing young adults without a history of noise exposure（control group

aged 26.50±0.95 years） were recruited. The following five tests were conducted on each subject’s better ear to obtain audiological data: Extended high-frequency（EHF） audiometry（9-16 kHz）

Distortion product otoacoustic emissions（DPOAE）

Speech-in-noise（SIN） test

Auditory brainstem response（ABR）

and Speech-evoked auditory brainstem reponse（s-ABR）. The differences in the test results between the control group and the noise-exposed group were compared. Results 1. In the EHF audiometry

the detection rates of the noise-exposed group were significantly（P<0.05） lower than that of the control group at the frequencies of 12.5-20 kHz. 2. In DPOAE

the extended high-frequency signal-to-noise ratio was lower than that in the control group; the differences at 4-10 kHz were statistically significant（P<0.05）. 3. In the SIN test

the signal-to-noise ratio（SNR） loss in the noise-exposed group was significantly worse than that in the control group（P<0.05）. 4. In the click-ABR

the amplitude of wave I in the noise-exposed group was lower than that in the control group

the latency of wave I was longer than that in the control group

mean Peak-to-Peak interval for I-V was shorter than that of the control group

and the V/I amplitude ratio of the noised-exposed group was higher than that of the control group

all with statistical significance（P<0.05）. 5.In the s-ABR

the latencies of A

and O in the noise-exposed group were significantly longer than these in the control group.6. The extended high-frequency thresholds were correlated with DPOAE

and the latency of s-ABR wave C and O

respectively.DPOAE was correlated with SIN scores. Click-ABR was correlated with s-ABR’s response to the stimulus of consonant/d/.Conclusion The EHF

DPOAE

SIN

click-ABR

and s-ABR tests may have specific clinical significance for the early diagnosis of hidden hearing loss caused by noise.

关键词

Keywords

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