摘要
目的探讨肾虚对噪声作业工人听力的影响,寻找一种简便易行的噪声易感人群筛选方法。方法175名噪声作业工人为观察组,分别进行辨证分型;60名未接触噪声的行政人员为对照组。调查各观察对象的耳部自觉症状并测试纯音听力,比较各种症状和听力水平的组间差异。结果观察组中肾虚型(65人),非肾虚型(110人),肾虚型出现耳鸣症状者明显多于其它组(P<0.005)。纯音测听结果显示,各组语言频率听阈比较差异无统计学意义(P>0.05),但肾虚组高频平均听阈明显差于其他两组(P<0.05)。结论肾虚可以加重噪声对听力的损害,肾虚证候可以作为噪声易感人群筛选的一个重要指标。
Objective To investigate the effect of Kidney deficiency on the hearing of persons exposing to noisy working environment in order to explore a simple procedure for screening the population susceptible to noise. Methods One hundred and seventy five workers exposing to noisy working environment were included in this study and they were differentiated into different patterns according to the standardized pattern differentiation rules in TCM. And 60 official persons un-exposing to noisy working environment were taken as the controls. Then, all their personally felt symptoms were investigated and their hearing levels were determined, followed by a comparative analysis on the differences in the symptoms and hearing levels between the two groups. Results Among the persons exposing to noisy working environment, 65 were differentiated as the pattern of Kidney deficiency and 110 differentiated as the pattern without Kidney deficiency, those in the pattern of Kidney deficiency complaining much more obvious severity and showing a much higher frequency of symptom of tinnitus （ P 〈 0. 005 ） and determined with significant hearing threshold decreasing in high frequencies （ P 〈 0.005） as shown in the pour tone auditometry but not in the speech frequencies （ P 〉 0.05）. Conclusions Kidney deficiency can aggravate the damaging effect of noise on hearing and the symptom meaning a pattern of Kidney deficiency may be taken as an important indicator for screening the population susceptible to noise.
出处
《中国中西医结合耳鼻咽喉科杂志》
2007年第4期256-258,共3页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
关键词
肾虚
噪声易感性
听力
Kidney deficiency
Noise susceptibility
Hearing
