噪聲暴露人員血壓血糖水平與聽力損失的關系
發(fā)布時間:2018-04-25 18:50
本文選題:高血壓 + 高血糖; 參考:《聽力學及言語疾病雜志》2014年02期
【摘要】:目的探討噪聲暴露作業(yè)人員血壓、血糖水平與聽力損失的關系。方法采用橫斷面流行病學研究方法,對719例噪聲暴露作業(yè)人員進行聽力測試和血糖、血壓檢測,分析聽力損失組和聽力正常組與血壓、血糖水平的關系。結果①719例噪聲暴露作業(yè)人員中高頻聽力損失罹患率為19.61%(141/719);男性聽力損失罹患率(23.42%,130/555)高于女性(6.70%,11/164)(P0.01);②檢出高血壓120例(16.70%,120/719),聽力損失人群和聽力正常者中高血壓檢出率分別為29.08%(41/141)和13.67%(79/578),前者高于后者(P0.05);檢出高血糖85例(11.82%,85/719),聽力損失者和聽力正常者中高血糖檢出率分別為21.99%(31/141)和9.34%(54/578),前者高于后者(P0.01);③高血壓組、高血糖組2 000~8 000Hz純音氣導聽閾提高(P0.05),2 000~8 000Hz DPOAE反應幅值下降(P0.01),4 000~8 000Hz信噪比均降低(P0.05);ABR高刺激速率(51.1次/秒)時兩組波Ⅲ、Ⅴ潛伏期和Ⅰ-Ⅲ、Ⅰ-Ⅴ波間期均延長(P0.05)。結論高血壓、高血糖可與噪聲協(xié)同作用,加重聽力損害。
[Abstract]:Objective to investigate the relationship between hearing loss and blood pressure, blood glucose level in noise exposed workers. Methods A cross-sectional epidemiological study was carried out in 719 noise-exposed workers to test their hearing, blood sugar and blood pressure, and to analyze the relationship between hearing loss and normal hearing, blood pressure and blood sugar level. Results the incidence of high frequency hearing loss in 1719 noise exposed workers was 19.61 / 71 / 719 and that of male hearing loss was 23.422 / 130 / 555), which was higher than that of female's 6.70 / 164 / 0.01g / 2. 120 cases of hypertension were detected in 120 / 120 / 71919 cases. The prevalence rate of hypertension in the hearing loss group and the normal hearing group was 120% / 719, respectively. It was 29.08% 41 / 141) and 13.6779 / 578m, the former was higher than the latter (P0.05); 85 cases of hyperglycemia were detected in 11.82% / 719%; the detectable rates of hyperglycemia in hearing loss and normal hearing persons were 21.9999% 31 / 141) and 9.3454% / 5780.The former was higher than that in the latter group P0.01 / 719. In the hyperglycemia group, the increase of pure tone hearing threshold at 2 000 ~ 8 000Hz and the decrease of the response amplitude of P0. 05 ~ 2 000 ~ 8 000Hz DPOAE decreased the signal-to-noise ratio (SNR) of P0. 05 ~ 0. 05 and ABR at a high stimulation rate of 51. 1 times / s.) at the same time, the wave 鈪,
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