摘要
目的探讨男性噪声作业工人血糖水平与职业性噪声性听力损失(noise-induced hearing loss,NIHL)之间的关系。方法收集某汽车制造企业在岗工人的体检资料,以工龄≥1年的男性噪声作业人员为研究对象,将研究对象分为听力正常组、听力损失组、高频听力损失组和高频伴语频听力损失组,采用logistic回归模型分析研究对象NIHL的影响因素以及高血糖与NIHL之间的关系。结果在2735名噪声作业工人中发生听力损失993人(36.3%),其中包括高频听力损失929人(34.0%)和高频伴语频听力损失64人(2.3%)。随着年龄增长,噪声作业工人听力损失检出率、高频听力损失检出率和高频伴语频听力损失检出率均呈上升趋势(χ趋势2=146.563、120.397、49.340,P<0.05);随着工龄增长,噪声作业工人听力损失检出率、高频听力损失检出率均呈上升趋势(χ^(2)_(趋势)=57.447、60.167,P<0.05)。饮酒是噪声作业工人听力损失、高频听力损失的危险因素(P<0.05)。高血糖组噪声作业工人听力损失检出率、高频听力损失检出率和高频伴语频听力损失检出率均高于血糖正常组(P<0.05),在调整了可能影响听力损失的因素(年龄、工龄、饮酒、高血压)后,高血糖仍是听力损失的危险因素(P均<0.05)。结论高血糖可能会加重噪声作业人员罹患NIHL的风险。
Objective To explore the relationship between the blood sugar level of male workers exposed to noise and oc⁃cupational noise-induced hearing loss(NIHL).Methods The physical examination data of on-the-job workers in an automobile manufacturing enterprise were collected,and the male noise workers with working experience of more than one year were taken as the research objects.The research objects were divided into normal hearing group,hearing loss group,high-frequency hearing loss group and high-frequency hearing loss group.logistic regression model was used to analyze the influencing factors of NIHL and the relationship between hyperglycemia and NIHL.Results Among 2735 workers exposed to noise,993(36.3%)suffered from hearing loss,including 929(34.0%)with high frequency hear⁃ing loss and 64(2.3%)with high frequency hearing loss.With the increase of age,the detection rates of hearing loss,high-frequency hearing loss and high-frequency companion frequency hearing loss of noise-exposed workers all showed an upward trend(χ^(2)_(t rends)=146.563,120.397,49.340,P<0.05);With the increase of working years,the de⁃tection rate of hearing loss and high-frequency hearing loss of workers exposed to noise showed an upward trend(χ^(2)_(t rends)=57.447,60.167,P<0.05).Drinking alcohol is a risk fac⁃tor for hearing loss and high-frequency hearing loss in noise-exposed workers(P<0.05).The detection rates of hearing loss,high-frequency hearing loss and high-frequency hearing loss associated with speech frequency in noise-exposed workers in hyperglycemia group were higher than those in normal blood sugar group(P<0.05).After adjusting the factors that may affect hearing loss(age,length of service,drinking and hypertension),hyperglycemia is still a risk factor for hearing loss(P<0.05).Conclusion Hyperglycemia may aggravate the risk of NIHL among noise workers.
作者
姚玲莉
焦洁
张磊
李雨峥
樊惠玲
王冰
郝长付
姚武
YAO Ling-li;JIAO Jie;ZHANG Lei;LI Yu-zheng;FAN Hui-ling;WANG Bing;HAO Chang-fu;YAO Wu(Department of Occupational Health,School of Public Health,Zhengzhou University,Zhengzhou 450001,China;Department of Occupational Health,the Third People's Hospital of Henan Province,Henan Hospital for Occupational Diseases,Zhengzhou 450052,China;Physical examination department,the Third People's Hospital of Henan Province,Henan Hospital for Occupational Diseases,Zhengzhou 450052,China)
出处
《医药论坛杂志》
2024年第5期502-506,共5页
Journal of Medical Forum
关键词
噪声
高血糖
职业性噪声性听力损失
Noise
High blood sugar
Occupational noise-induced hearing loss
