Study the impacts of diagnosis on occupational noise-induced deafness after bring into the different high frequency hearing threshold weighted value
10.3760/cma.j.issn.1001-9391.2017.11.003
- VernacularTitle: 纳入不同高频听阈值对职业性噪声聋诊断结果的影响
- Author:
Laijun XUE
1
;
Aichu YANG
;
Hao CHEN
;
Weixin HUANG
;
Jijun GUO
;
Xiaoyang LIANG
;
Zhiqiang CHEN
;
Qianling ZHENG
Author Information
1. Qingyuan City Hospital for Occupational Disease Prevention and Treatment, Qingyuan 511500, China
- Publication Type:Journal Article
- Keywords:
Noise;
Occupational noise deafness;
Noise-induced hearing loss;
Speech frequency mean value;
High frequency hearing threshold weighted value;
Diagnostic rate
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2017;35(11):812-817
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Study of the results and the degree on occupational noise-induced deafness in-to the different high frequency hearing threshold weighted value, in order to provide theoretical basis for the re-vision of diagnostic criteria on occupational noise-induced deafness.
Methods:A retrospective study was con-ducted to investigate the cases on the diagnosis of occupational noise-induced deafness in Guangdong province hospital for occupational disease prevention and treatment from January 2016 to January 2017. Based on the re-sults of the 3 hearing test for each test interval greater than 3 days in the hospital, the best threshold of each frequency was obtained, and based on the diagnostic criteria of occupational noise deafness in 2007 edition, Chi square test, t test and variance analysis were used to measure SPSS21.0 data, their differences are tested among the means of speech frequency and the high frequency weighted value into different age group, noise ex-posure group, and diagnostic classification between different dimensions.
Results:1. There were totally 168 cases in accordance with the study plan, male 154 cases, female 14 cases, the average age was 41.18 ±6.07 years old. 2. The diagnosis rate was increased into the weighted value of different high frequency than the mean value of pure speech frequency, the weighted 4 kHz frequency increased by 13.69% (χ2=9.880, P=0.002) , 6 kHz increased by 15.47% (χ2=9.985, P=0.002) and 4 kHz+6 kHz increased by15.47% (χ2=9.985, P=0.002) , the difference was statistically significant. The diagnostic rate of different high threshold had no obvious differ-ence between the genders. 3. The age groups were divided into less than or equal to 40years old group (A group) and 40-50 years old group (group B) , there were higher the diagnostic rate between high frequency weighted 4 kHz (A group χ2=3.380, P=0.050; B group χ2=4.054, P=0.032) , weighted 6 kHz (A group χ2=6.362, P=0.012; B group χ2=4.054, P=0.032) , high frequency weighted 4 kHz+6 kHz (A group χ2=6.362, P=0.012; B group χ2=4.054, P=0.032) than those of speech frequency average value in the same group on oc-cupational noise-induced deafness diagnosis rate, the difference was statistically significant. There was no sig-nificant difference between age groups (χ2=2.265, P=0.944) . 4. The better ear's mean value of pure speech fre-quency and the weighted values into different high frequency of working years on each group were compared, working years more than 10 years group was significantly higher than that of average thresholds of each frequen-cy band in 3-5 group (F=2.271, P=0.001) , 6-10 group (F=1.563, P=0.046) , the difference was statistically significant. The different high frequency weighted values were higher than those of the mean value of pure speech frequency, and the high frequency weighted 4 kHz+6 kHz had the highest frequency difference, with an average increase of 2.83 dB. 5. The diagnostic rate into weighted different high frequency was higher in the mild, moderate and severe grades than in the pure speech frequency. In the comparison of diagnosis for mild occupational noise-induced deafness, in addition to the weighted 3 kHz high frequency (χ2=3.117, P=0.077) had no significant difference, the weighted 4 kHz (χ2=10.835, P=0.001) , 6 kHz (χ2=9.985, P=0.002) , 3 kHz+4 kHz (χ2=6.315, P=0.012) , 3 kHz+6 kHz (χ2=6.315, P=0.012) , 4 kHz+6 kHz (χ2=9.985, P=0.002) , 3 kHz+4 kHz+6 kHz (χ2=7.667, P=0.002) were significantly higher than the diagnosis rate of the mean value of pure speech frequency. There was no significant difference between the two groups in the moderate and se-vere grades (P>0.05) .
Conclusion:Bring into different high frequency hearing threshold weighted value in-creases the diagnostic rate of occupational noise-induced deafness, the weighted 4 kHz, 6 kHz and 4 kHz+ 6 kHz high frequency value affects the result greatly, and the weighted 4 kHz+6 kHz high frequency hearing threshold value is maximum the effect on occupational noise-induced deafness diagnosis.
