企业噪声对作业工人听力损伤的调查.docVIP

企业噪声对作业工人听力损伤的调查 董秋 宋海燕 赵亮亮 潘丽萍 李秀婷 江苏省南京市职业病防治院 江苏省疾病预防控制中心 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 了解江苏省南京市职业噪声接触对作业工人听力损伤的危害程度、特点及听力损伤发病情况。方法 抽取江苏省南京市接触噪声作业工人听力体检报告20 650份, 纯音测听结果按照GBT7582-2007《声学听阈与年龄关系的统计分布》要求进行年龄和性别校正, 听力损伤按照GBZ 49-2014《职业性噪声聋的诊断》进行分级诊断。实验数据统一录入Epidata数据库, 采用SPSS 22.0软件进行统计学分析。结果随着年龄的增大, 噪声作业人员中听力损伤者所占比率逐渐升高, 差异有统计学意义 (P0.05) 。男性噪声作业人员听力损伤占8.3%;女性噪声作业人员听力损伤所占比率为3.6%。男性听力损伤率高于女性, 差异有统计学意义 (P0.05) 。小型和微型企业中噪声作业人员听力损伤发生率最高, 而大型企业的听力损伤率最低, 为5.9%。噪声接害年限3年者中, 听力损伤所占比率为5.2%;接害工龄38年者中, 听力损伤比率7.1%;接害工龄8年者中, 听力损伤患病率最高, 为10.6%, 三组接害工龄之间听力损伤患病率的差异有统计学意义 (P0.05) 。结论 噪声作业工人的听力损伤发病情况与其噪声暴露的年限、年龄、性别及企业规模有关, 应加强企业及噪声作业工人的职业健康监护和个人防护。 关键词： 噪声; 听力损伤; 职业性; 收稿日期：2017-09-26 基金：南京市医学科技发展专项资金项目 (编号:YKK14169) A SURVEY ON OCCUPATIONAL HEARING LOSS OF WORKERS EXPOSED TO NOISE Dong Qiu Song Haiyan Zhao Liangliang Nanjing Center for Presentation and Treatment for Occupational Disease; Abstract： Objective To observe the injure features and levels of hearing loss, to have a survey on the morbidity of occupational hearing loss in noise exposure workers in Nanjing city, Jiangsu province.Methods We choose 20650 subjects who exposure to noise during work in Nanjing city.According to the GBT7582-2007, we calculated pure tone thresholds by adjusting age and gender.Furthermore, cases of occupational hearing loss were diagnosed by GBZ49-2014.Statistics in this survey were all collected in Epidata software.All analyses were performed using the SPSS22.0 software.Results There was an increase in the ratio of hearing loss according to the raise of age, which had significant difference (P0.05) .The rate of hearing loss in male was8.3%, while it accounted for 3.6%in female, we found that the case rate of male was significantly higher than female (P0.05) .The hearing loss incidence of noise exposure workers was the highest in micro and small enterprises, while in major ones, the rate was really the lowest.When considering the exposur