听力信息系统下新入伍人员听力水平基线数据分析
은력신식계통하신입오인원은력수평기선수거분석
An Information Technology-Based Dynamic Hearing Monitoring System and Its Application
  • 万方数据
    中华耳科学杂志 중화이과학잡지
    CHINESE JOURNAL OF OTOLOGY
    2014年 2期 198-202 ,共5页

    兰兰%吴铭权%韩冰%王大勇%于宁%张超%丁海娜%史伟%梁思超%王卉%李娜%李倩%王军%张延亮%于黎明%王秋菊

    란란%오명권%한빙%왕대용%우저%장초%정해나%사위%량사초%왕훼%리나%리천%왕군%장연량%우려명%왕추국

    军事%噪声性听力损失%动态监测%信息系统%基线数据 軍事%譟聲性聽力損失%動態鑑測%信息繫統%基線數據
    군사%조성성은력손실%동태감측%신식계통%기선수거
    Military noise%Hearing impairment%Monitoring of dynamic system%Information
    目的：建立听力信息监控系统，应用该系统获得某军单位1、单位2、单位3应招入伍士兵听力信息基线数据，并对基线数据进行分析。方法评估及调研军事噪声听力检测入网设备及系统软硬件设备，建立军事噪声动态监控系统并与听力检测设备形成移动式局域网络，为不同营区496名即将从事高噪声军事作业的新入伍士兵进行常规体格检查和听力检查。统计学调查数据用PASW statistics 18进行分析，整体均数差异性比较采用非参数检验，P<0.05示差异有统计学意义。结果完成动态听力监控系统的建设，应用该系统分3天为496名男士兵完成听力学检测，以excel表形式导出全部听力数据并分析。结果示：检测士兵年龄范围17-25岁，平均年龄19岁，中耳鼓室图异常5人，根据GJB 2121-94分级，496名士兵中479人听力正常，17人存在听力损失；按照全频平均听阈分析，有73耳存在听力损失，其中轻度68耳，中度5耳。将496人各频率听力水平进行差异性比较，P<0.05，示各频率听力损失水平整体均值有显著统计学差异，组间多重两两比较P<0.01，示3kHz和6kHz分别与其余频率听力水平有显著统计学差异。结论应用听力损失动态监控系统获得军事噪声作业人员听力信息数据方便快捷；基线数据提示：部分士兵在军事噪声暴露前已存在不同程度的听力损失，获得精准的军事噪声听力损失数据，是进一步监控官兵听力损失的关键环节。
    목적：건립은력신식감공계통，응용해계통획득모군단위1、단위2、단위3응초입오사병은력신식기선수거，병대기선수거진행분석。방법평고급조연군사조성은력검측입망설비급계통연경건설비，건립군사조성동태감공계통병여은력검측설비형성이동식국역망락，위불동영구496명즉장종사고조성군사작업적신입오사병진행상규체격검사화은력검사。통계학조사수거용PASW statistics 18진행분석，정체균수차이성비교채용비삼수검험，P<0.05시차이유통계학의의。결과완성동태은력감공계통적건설，응용해계통분3천위496명남사병완성은역학검측，이excel표형식도출전부은력수거병분석。결과시：검측사병년령범위17-25세，평균년령19세，중이고실도이상5인，근거GJB 2121-94분급，496명사병중479인은력정상，17인존재은력손실；안조전빈평균은역분석，유73이존재은력손실，기중경도68이，중도5이。장496인각빈솔은력수평진행차이성비교，P<0.05，시각빈솔은력손실수평정체균치유현저통계학차이，조간다중량량비교P<0.01，시3kHz화6kHz분별여기여빈솔은력수평유현저통계학차이。결론응용은력손실동태감공계통획득군사조성작업인원은력신식수거방편쾌첩；기선수거제시：부분사병재군사조성폭로전이존재불동정도적은력손실，획득정준적군사조성은력손실수거，시진일보감공관병은력손실적관건배절。
    Objective To establish an information technology based dynamic military noise and hearing monitoring sys-tem. Methods A total of 496 new recruits received physical examinations and hearing tests. Using the information, a dynamic military noise monitoring system was established on a local computer network infrastructure. All auditory data were collected following a standard hearing examination protocol. The PASW Statistics 18 software was used for statistical analysis. Results The dynamic monitoring system was successfully established and the testing of the 496 soldiers using the system was complet-ed in three days. The soldiers aged from 17-25 years (average 19 years). Abnormal tympanograms were seen in 5 and various degrees of hearing loss based on the GJB 2121-94 standards were identified in 17 of these solders. Abnormal auditory thresh-olds were noticed in 73 ears (68 mild and 5 moderate). Hearing levels at different frequencies showed some differences were (P<0.05), especially at 3 kHz and 6 kHz (P<0.01). Conclusions This study indicates that the dynamic hearing monitoring sys-tem can collect and analyze hearing information personnel at potential risk of military noise exposure in a easy and fast fashion. The baseline data in this study indicate that many new recruits have hearing loss of various levels even before they were ex- posed to military noise.
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