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Noise-induced hearing loss in young adults: the role of personal listening devices and other sources of leisure noise.

机译:年轻人引起的噪音引起的听力损失:个人听力设备和其他休闲噪音来源的作用。

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CONCEPT: No consensus exists regarding the magnitude of the risk of noise-induced hearing loss (NIHL) associated with leisure noise, in particular, personal listening devices in young adults. OBJECTIVE: Examine the magnitude of hearing loss associated with personal listening devices and other sources of leisure noise in causing NIHL in young adults. STUDY DESIGN: Prospective auditory testing of college student volunteers with retrospective history exposure to home stereos, personal listening devices, firearms, and other sources of recreational noise. METHODS: Subjects underwent audiologic examination consisting of estimation of pure-tone thresholds, speech reception thresholds, and word recognition at 45 dB HL. RESULTS: Fifty subjects aged 18 to 30 years were tested. All hearing thresholds of all subjects (save one-a unilateral 30 dB HL threshold at 6 kHz) were normal, (i.e., 25 dB HL or better). A 10 dB threshold elevation (notch) in either ear at 3 to 6 kHz as compared with neighboring frequencies was noted in 11 (22%) subjects and an unequivocal notch (15 dB or greater) in either ear was noted in 14 (28%) of subjects. The presence or absence of any notch (small or large) did not correlate with any single or cumulative source of noise exposure. No difference in pure-tone threshold, speech reception threshold, or speech discrimination was found among subjects when segregated by noise exposure level. CONCLUSION: The majority of young users of personal listening devices are at low risk for substantive NIHL. Interpretation of the significance of these findings in relation to noise exposure must be made with caution. NIHL is an additive process and even subtle deficits may contribute to unequivocal hearing loss with continued exposure. The low prevalence of measurable deficits in this study group may not exclude more substantive deficits in other populations with greater exposures. Continued education of young people about the risk to hearing from recreational noise exposure is warranted.
机译:概念:关于与休闲噪声(尤其是年轻人的个人听力设备)相关的噪声诱发的听力损失(NIHL)的风险大小尚无共识。目的:检查与个人听力设备和其他休闲噪声源相关的听力损失的严重程度,这些噪声会导致年轻人发生NIHL。研究设计:对大学生志愿者的前瞻性听觉测试,其回顾性历史经历涉及家庭立体声,个人收听设备,枪支和其他娱乐性噪声源。方法:受试者接受听力学检查,包括纯音阈值,语音接收阈值和45 dB HL的单词识别的估计。结果:对五十名年龄在18至30岁之间的受试者进行了测试。所有受试者的所有听力阈值均正常(在6 kHz时节省一个单边30 dB HL阈值)是正常的(即25 dB HL或更佳)。与11个(22%)的受试者相比,在3至6 kHz时任一只耳朵在10至6 dB的阈值升高(陷波)被发现,而在14个(28%)中,任一只耳朵的明确陷波(15 dB或更高) )的主题。是否存在任何缺口(小或大)与任何单个或累积的噪声暴露源均不相关。按噪声暴露水平进行区分时,在对象之间未发现纯音阈值,语音接收阈值或语音辨别力的差异。结论:大部分个人听力设备的年轻用户处于实质性NIHL的风险较低。必须谨慎解释这些发现与噪声暴露的关系。 NIHL是一个累加过程,即使持续暴露也可能导致轻微的听力损失,甚至轻微的缺陷。在这一研究组中,可衡量的赤字患病率较低,可能不能排除其他人群中暴露量更大的实质性赤字。继续对年轻人进行娱乐性噪声暴露听力风险的教育。

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