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摘要: 目的:通过调查大学生听力损失现状、噪声暴露水平及听觉行为习惯,获得听力损失的患病率,探讨听力损失的危险因素,为有针对性的开展听力损失的预防、耳保健和听力保健宣教提供研究证据。方法:以目的抽样的方式,抽取某大学642例新生为研究对象。研究中对全部受试者逐一进行纯音听力测试,并采用噪声暴露水平调查量表进行评估。结果:①WHO/PDH97.3推荐的听力损失诊断标准,高频听力损失诊断标准,以及噪声引起的听力阈值改变标准下,听力损失患病率分别为0.36%、20.91%和6.73%。②多元Logistic回归对高频听力损失的危险因素分析显示,交通噪声中暴露和耳部感染史可能是高频听力损失发生的危险因素。结论:大学生高频听力损失患病率较高,交通噪声和耳部感染是引起听力损失的危险因素,大学生听力损失预防值得关注。Abstract: Objective: The purpose of the present study was to investigate the prevalence of hearing loss by studying the current status of hearing loss, risk factors of hearing loss, exposure level of noise, and everyday habit of hearing in a group of university students, so as to provide information for hearing loss prevention in university students.Method: According to the purposive sampling method,642 freshmen students participated in the study. Pure tone audiometry, and exposure level of noise scale were performed in all participants.Result: ①According to the hearing loss criterion of WHO/PDH97.3, high frequency hearing loss, and noise induced threshold shifts, the hearing loss prevalence was 0.36%,20.91% and 6.73%, respectively.②Multivariant Logistic regression analysis of high-frequency hearing loss indicated that traffic noise exposure and ear infection were risk factor of high frequency hearing loss.Conclusion: There is a high prevalence of high frequency hearing loss in university students(20.91%),which was high related with traffic noise exposure and ear infection.
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Key words:
- hearing loss /
- noise /
- high frequency hearing loss
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[1] HENDERSON E, TESTA M A, HARTNICK C. Prevalence of noise-induced hearing-threshold shifts and hearing loss among US youths[J].Pediatrics, 2011,127:e39-46.
[2] GILLES A, VAN HAL G, DE RIDDER D, et al. Epidemiology of noise-induced tinnitus and the attitudes and beliefs towards noise and hearing protection in adolescents[J]. PLoS One, 2013,8:e70297-.
[3] TWARDELLA D, PEREZ-ALVAREZ C, STEFFENS T, et al. The prevalence of audiometric notches in adolescents in Germany:The Ohrkan-study[J].Noise Health, 2013, 15:412-419.
[4] 赵娟, 陈俞, 吉彬, 等. 42例青年人扩展高频测听的临床应用及意义[J].新疆医科大学学报, 2011, 9(34):917-919.
[5] 张延平, 周凤书, 申行运, 等. 青年人高频测听及其意义[J].临床耳鼻咽喉科杂志, 2002, 16(4):181-182.
[6] ZHU X, BIHI A, HU X, et al. Chinese-adapted youth attitude to noise scale:evaluation of validity and reliability[J].Noise Health,2014,16:218-222.
[7] KIM D K, PARK S N, KIM H M, et al. Prevalence and significance of high-frequency hearing loss in subjectively normal-hearing patients with tinnitus[J].Ann Otol Rhinol Laryngol,2011, 120:523-528.
[8] HENDERSON E, TESTA M A, HARTNICK C. Prevalence of noise-induced hearing-threshold shifts and hearing loss among US youths[J].Pediatrics,2011,127:e39-46.
[9] LAO X Q, YU I T, AU D K, et al. Noise exposure and hearing impairment among Chinese restaurant workers and entertainment employees in Hong Kong[J].PLoS One,2013, 8:e70674-70674.
[10] TUNG C Y, CHAO K P. Effect of recreational noise exposure on hearing impairment among teenage students[J].Res Dev Disabil,2013,34:126-132.
[11] PELLEGRINO E, LORINI C, ALLODI G, et al. Music-listening habits with MP3 player in a group of adolescents:a descriptive survey[J].Ann Ig,2013,25:367-376.
[12] 徐展,李宗华,陈阳,等.西安市中学生耳科疾病现况调查[J].中国耳鼻咽喉头颈外科,2011,18(9):477-480.
[13] GILLIVER M, BEACH E F, WILLIAMS W. Noise with attitude:influences on young people's decisions to protect their hearing[J].Int J Audiol,2013,52:S26-32.
[14] SEKHAR D L, CLARK S J, DAVIS M M, et al. Parental perspectives on adolescent hearing loss risk and prevention[J].JAMA Otolaryngol Head Neck Surg, 2014,140:22-28.
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