摘要
目的:分析职业性噪声聋诊断申请者听力学与职业卫生学资料,探讨影响疑似职业性噪声聋规范诊断的因素。方法:于2022年5月,收集2018年1月至2021年12月在北京大学第三医院完成职业性噪声聋诊断的患者信息,整理和分析其工作环境职业卫生学资料、临床听力学检查结果及职业性噪声聋诊断依据,职业性噪声聋诊断结论的影响因素用多因素非条件logistic回归分析。结果:共纳入129名研究对象,均为在各职业健康检查机构中发现的疑似职业性噪声聋病例,经诊断确诊为职业性噪声聋者8例(占6.20%),无职业性噪声聋者121例(占93.80%)。进入诊断程序完善听力检查后发现,仅27.27%(24/88)患者的听力学改变符合职业性噪声聋诊断起点;进一步分析工作场所噪声强度,其中的16例患者因工作环境噪声强度不足85 dB,被确定为无职业性噪声聋。logistic回归分析结果显示,工作时长>8 h( OR=9.274,95% CI:1.388~61.950, P=0.022)及工作环境噪声强度( OR=1.189,95% CI:1.059~1.334, P=0.003)是影响职业性噪声聋诊断结论的独立危险因素。 结论:职业健康检查发现的疑似职业性噪声聋病例,在经过充分休息后职业性噪声聋排除率较高;用人单位提供工作环境噪声强度检测结果有助于职业性噪声聋判定。
ObjectiveTo analyze the audiology and occupational health data of applicants diagnosed of occupational noise deafness,and to explore the influencing factors in the diagnosis of suspected occupational noise deafness.MethodsIn May 2022,the information of patients diagnosed with occupational noise deafness in Peking University Third Hospital from January 2018 to December 2021 was collected,and the occupational health data of their working environment,clinical audiological examination results and diagnosis basis of occupational noise deafness were collected and analyzed.Multi-factor unconditional logistic regression analysis was used to analyze independent risk factors for the diagnosis of occupational noise deafness.ResultsA total of 129 subjects were included,all of which were suspected cases of occupational noise deafness found in various occupational health examination institutions.Eight cases(6.20%)were diagnosed as occupational noise deafness,and 121 cases(93.80%)were non-occupational noise deafness.After hearing examination,only 27.27%(24/88)of the patients'audiological changes were consistent with the starting point of occupational noise deafness diagnosis.Further analysis of the noise intensity in the workplace showed that 16 patients were identified as non-occupational noise deafness because the noise intensity of the working environment was less than 85 dB.Logistic regression analysis showed that the working hours were more than 8 hours(OR=9.274,95%CI:1.388-61.950,P=0.022)and the noise intensity of the working environment(OR=1.189,95%CI:1.059-1.334,P=0.003)were independent risk factors for the diagnosis of occupational noise deafness.ConclusionThe exclusion rate of suspected occupational noise deafness found in occupational health examination is higher after adequate rest.The test results of working environment noise intensity provided by the employer can help to determine occupational noise deafness.
作者
李晓
上伟
李树强
赵赞梅
郑亦沐
关里
Li Xiao;Shang Wei;Li Shuqiang;Zhao Zanmei;Zheng Yimu;Guan Li(Department of Occupational Disease,Peking University Third Hospital,Beijing Occupational Health Inspection Quality Control and Improvement Center,Beijing 100191,China;Department of Occupational Disease,Nuclear Industry 417 Hospital,Xi'an 710600,China)
出处
《中华劳动卫生职业病杂志》
CAS
CSCD
北大核心
2023年第11期844-848,共5页
Chinese Journal of Industrial Hygiene and Occupational Diseases
基金
国家临床重点专科建设项目(职业病专科)
北京市海淀区预防医学会课题(2017HDPMA08)。
关键词
噪声
职业性
职业病
诊断
职业性噪声聋
职业健康检查
8
h等效声级
环境检测报告
Noise,occupational
Occupational diseases
Diagnosis
Occupational noise deafness
Occupational health examination
8 hour equivalent sound level
Environmental detection report
