摘要
目的探讨2014版职业性噪声聋诊断标准对职业健康检查中的听力结果评定的影响。方法采用整群抽样方法,选取835名噪声作业工人为研究对象,比较GBZ 49-2007《职业性噪声聋诊断标准》(以下简称"GBZ 49-2007")与GBZ 49-2014《职业性噪声聋的诊断》(以下简称"GBZ 49-2014")对研究对象的听阈评定结果。结果采用GBZ 49-2007计算的双耳高频平均听阈值低于采用GBZ 49-2014计算的结果[(46.8±8.1)vs(49.2±8.0)d B,P<0.01];采用GBZ 49-2007计算的较好耳语频平均听阈值低于采用GBZ 49-2014计算的较好耳听阈加权值[(18.8±3.6)vs(22.0±3.3)d B,P<0.01]。采用GBZ 49-2007进行年龄性别修正后计算的较好耳语频平均听阈值和较好耳听阈加权值分别低于采用GBZ 49-2014进行年龄性别修正的计算结果[(18.8±3.6)vs(19.4±3.6)d B,(21.5±3.4)vs(22.0±3.3)d B,P<0.05]。GBZ 49-2014的疑似职业性噪声聋检出率高于GBZ 49-2007(6.35%vs 2.87%,P<0.01)。结论在职业健康检查中,相对于GBZ 49-2007,采用GBZ 49-2014可能更容易被诊断为疑似职业性噪声聋。
Objective To explore the 2014 edition of the diagnostic criteria of occupational noise-induced deafness on the assessment of hearing loss in occupational health examination. Methods A total of 835 noise-exposed workers were selected as study subjects by cluster sampling method. The hearing threshold results were compared through two different editions of criteria: GBZ 49-2007 Diagnostic Criteria of Occupational Noise-induced Deafness( GBZ 49-2007) and GBZ 49-2014 Diagnosis of Occupational Boise-induced Deafness( GBZ 49-2014). Results The binaural high frequency threshold average calculated by GBZ 49-2007 was lower than that of GBZ 49-2014 [( 46. 8 ± 8. 1) vs( 49. 2 ± 8. 0) d B,P < 0. 01].The speech frequency threshold average of the good ear calculated by GBZ 49-2007 was lower than the monaural threshold of weighted value of the good ear of GBZ 49-2014 [( 18. 8 ± 3. 6) vs( 22. 0 ± 3. 3),P < 0. 01]. The speech frequency threshold average of the good ear and the monaural threshold of weighted value of the good ear calculated after age and sex correction using GBZ 49-2007 were lower than that calculated by using GBZ 49-2014 [( 18. 8 ± 3. 6) vs( 19. 4 ± 3. 6),( 21. 5 ±3. 4) vs( 22.0 ±3.3),P <0.05]. The detection rate of suspected occupational noise-induced deafness GBZ 49-2014 was higher than that of GBZ 49-2007( 6. 35% vs 2. 87%,P < 0. 01). Conclusion In occupational health examination,the diagnostic criteria of GBZ 49-2014 can diagnose patients as suspected occupational noise-induced deafness easier than that of GBZ 49-2007.
作者
丘丛玺
林秋月
李燕茹
肖吕武
周浩
刘移民
QIU Congxi;LIN Qiuyue;LI Yanru;XIAO Liiwu;ZHOU Hao;LIU Yimin(Guangzhou Occupational Disease Prevention and Treatment Center, Guangzhou, Guangdong 510620, China)
出处
《中国职业医学》
CAS
北大核心
2019年第3期345-348,共4页
China Occupational Medicine
基金
广东省“十二五”医学重点专科(粤卫函[2012]20号)
广州市医学重点学科建设项目(穗卫科教[2016]27号)
广州市“121人才梯队工程”后备人才项目(穗人社发[2011]167号)
关键词
职业性噪声聋
职业健康检查
噪声
诊断标准
Occupational noise-induced deafness
Occupational health examination
Noise
Diagnostic criteria
