对工业噪声致听力损伤的临床研究.PDFVIP

2004 18 2 J ou mal of ChinaJ ap an Fr iendship H osp it al , 2004 Ap r , Vol . 18, N o. 2 67 对工业噪声致听力损伤的临床研究 1 2 3 1 1 韩 军 张 颖 倪道凤 王娜亚 杨大章 ( 1. 中日友好医院耳鼻咽喉科; 2. 中心手术室, 北京 100029; 3. 中国医 科 院中国协和医科大 北京协和医院耳鼻咽喉科, 北京 100730) : 0. 5 kHz~ 16 kHz ( DPOAE) , , : , 42 20 0. 5 kHz~ 16 kHz DPOAE ( 0. 5 kHz~ 8 kHz) ( 9 kHz~ 16 kHz) , DP OAE : 87 dB~ 95 dB SPL( A) , 0. 5 kHz~ 2 kHz 6 kHz, DP OAE 4 6 kHz 11. 2 kHz , 12. 5 14 16 kHz, , DPOAE : , DPOAE DPOAE : ; ; , ; ; : R764. 43 : A : 100 10025( 2004) Clinical study on hearing damage in industrical noise exposure workers/ / HAN Jun, ZHANG Yinf, N Daofeng, et al/ / Journal of ChinaJapan Friendship Hospital, 2004 Apr, 18(2) : 6772 Abstract Objective: T investigate the result f dist rti n pr duct t ac ustic emissi ns( DP OAE) and expanded high frequency audi met ry in n ise exp sure w rkers. Methods:DPOAE, c nventi nal pure t ne audi metry and expanded high frequency audi metry were examined in 42 y ung adults with n rmal hearing and 20 n ise exp sure w rkers. DPOAE amplitudes, c nventi nal pure t ne hearing thresh lds and expanded high frequency hearing thresh lds were c mpared. Results: In n ise exp sure w rkers against y ung adults wit h n rmal hearing, the pure t ne hearing thresh lds at 6 kHz and expanded high frequency area declined significantly, DPOAE amplitudes at frequency fr m 4 t 6 kHz and 11. 2 kHz declined bvi w ly t , but t here ex isted n significantly difference at frequency fr m 12. 5 t 16 kHz between the tw gr ups. Conclusion: DPOAE is p tential implement t early diagn se and detect n isein duced deafness. T he riginated area and mechanism f DPO