【摘要】：目的建立聽力信息監(jiān)控系統(tǒng),應(yīng)用該系統(tǒng)獲得某軍單位1、單位2、單位3應(yīng)招入伍士兵聽力信息基線數(shù)據(jù),并對(duì)基線數(shù)據(jù)進(jìn)行分析。方法評(píng)估及調(diào)研軍事噪聲聽力檢測入網(wǎng)設(shè)備及系統(tǒng)軟硬件設(shè)備,建立軍事噪聲動(dòng)態(tài)監(jiān)控系統(tǒng)并與聽力檢測設(shè)備形成移動(dòng)式局域網(wǎng)絡(luò),為不同營區(qū)496名即將從事高噪聲軍事作業(yè)的新入伍士兵進(jìn)行常規(guī)體格檢查和聽力檢查。統(tǒng)計(jì)學(xué)調(diào)查數(shù)據(jù)用PASW statistics 18進(jìn)行分析,整體均數(shù)差異性比較采用非參數(shù)檢驗(yàn),P0.05示差異有統(tǒng)計(jì)學(xué)意義。結(jié)果完成動(dòng)態(tài)聽力監(jiān)控系統(tǒng)的建設(shè),應(yīng)用該系統(tǒng)分3天為496名男士兵完成聽力學(xué)檢測,以excel表形式導(dǎo)出全部聽力數(shù)據(jù)并分析。結(jié)果示:檢測士兵年齡范圍17-25歲,平均年齡19歲,中耳鼓室圖異常5人,根據(jù)GJB 2121-94分級(jí),496名士兵中479人聽力正常,17人存在聽力損失;按照全頻平均聽閾分析,有73耳存在聽力損失,其中輕度68耳,中度5耳。將496人各頻率聽力水平進(jìn)行差異性比較,P0.05,示各頻率聽力損失水平整體均值有顯著統(tǒng)計(jì)學(xué)差異,組間多重兩兩比較P0.01,示3kHz和6kHz分別與其余頻率聽力水平有顯著統(tǒng)計(jì)學(xué)差異。結(jié)論應(yīng)用聽力損失動(dòng)態(tài)監(jiān)控系統(tǒng)獲得軍事噪聲作業(yè)人員聽力信息數(shù)據(jù)方便快捷;基線數(shù)據(jù)提示:部分士兵在軍事噪聲暴露前已存在不同程度的聽力損失,獲得精準(zhǔn)的軍事噪聲聽力損失數(shù)據(jù),是進(jìn)一步監(jiān)控官兵聽力損失的關(guān)鍵環(huán)節(jié)。
[Abstract]:Objective to establish a hearing information monitoring system and use the system to obtain the baseline data of 1 unit 2 units and 3 units of enlisted soldiers and analyze the baseline data. Methods to evaluate and investigate the military noise hearing detection network equipment and the system hardware and software equipment, to establish the military noise dynamic monitoring system and to form a mobile local area network with the hearing detection equipment. Routine physical examination and hearing examination were performed for 496 newly recruited soldiers who were about to engage in high-noise military operations in different camp areas. The statistical survey data were analyzed by PASW statistics 18, the difference of the overall mean was compared by non-parametric test, P0.05 showed that the difference was statistically significant. Results the construction of dynamic hearing monitoring system was completed. The hearing test was completed for 496 male soldiers in three days. All the hearing data were derived and analyzed by excel table. The results showed that the age range of the soldiers was 17-25 years, the average age was 19 years, and the tympanogram of the middle ear was abnormal in 5 cases. According to GJB 2121-94 classification, 479 of the 496 soldiers had normal hearing and 17 had hearing loss. According to the full-frequency average hearing threshold analysis, 73 ears had hearing loss, including mild 68 ears and moderate 5 ears. The differences of hearing levels among 496 people at different frequencies were compared (P0.05). The results showed that there was significant statistical difference in the overall mean of hearing loss levels among different frequencies, and there was a significant difference between the two groups (P0.01). The results showed that 3kHz and 6kHz were significantly different from the other frequencies. Conclusion it is convenient and quick to obtain the hearing information data of military noise workers by using the dynamic monitoring system of hearing loss. Baseline data suggest that some soldiers have different degrees of hearing loss before exposure to military noise. Obtaining accurate hearing loss data of military noise is the key link to further monitor the hearing loss of officers and soldiers.
【作者單位】： 解放軍軍事醫(yī)學(xué)科學(xué)院第四研究所衛(wèi)生學(xué)環(huán)境醫(yī)學(xué)研究所;解放軍總醫(yī)院耳鼻咽喉頭頸外科—耳內(nèi)科解放軍耳鼻咽喉研究所;北京66011部隊(duì)衛(wèi)生隊(duì);河北66350部隊(duì);
【基金】：國家重大科學(xué)研究計(jì)劃項(xiàng)目(2014CB943001) 國家自然基金重大國際合作項(xiàng)目(81120108009) 全軍“十二五”重點(diǎn)項(xiàng)目(BWS11J026)聯(lián)合資助
【分類號(hào)】：R82

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