CAJ | 학술논문

目的：研究吸烟对职业噪声暴露人群的听力影响。方法以2009年来本院进行岗前体检、接触职业性噪声的作业人员作为研究对象。研究对象分为非吸烟人群（对照组）、吸烟人群（吸烟组）；吸烟人群中，按吸烟数量多少（＜10支／d；≥10支／d，＜20支／d；≥20支／d）分为：低暴露组、中暴露组、高暴露组。分析研究对象2009、2012年职业健康检查结果，包括内科检查、纯音测听、血常规及生物化学检查等。结果纯音听力频率为0．5、1、2 kHz时，对照组与吸烟组的听力受损率差异无统计学意义（P＞0．05）；3、4、6 kHz频率时，对照组与吸烟组的听力受损率差异有统计学意义（P＜0．05）。纯音听力频率为0．5、1、2、3 kHz时，低、中、高暴露组听力受损率差异无统计学意义（P＞0．05）；4、6 kHz频率时，低、中、高暴露组听力受损率差异有统计学意义（P＜0．05）。结论吸烟为职业噪声暴露人群听力损失的危险因素，吸烟量的多少与听力损失呈正相关。（中国眼耳鼻喉科杂志，2015，15：36-38）
목적：연구흡연대직업조성폭로인군적은력영향。방법이2009년래본원진행강전체검、접촉직업성조성적작업인원작위연구대상。연구대상분위비흡연인군（대조조）、흡연인군（흡연조）；흡연인군중，안흡연수량다소（＜10지／d；≥10지／d，＜20지／d；≥20지／d）분위：저폭로조、중폭로조、고폭로조。분석연구대상2009、2012년직업건강검사결과，포괄내과검사、순음측은、혈상규급생물화학검사등。결과순음은력빈솔위0．5、1、2 kHz시，대조조여흡연조적은력수손솔차이무통계학의의（P＞0．05）；3、4、6 kHz빈솔시，대조조여흡연조적은력수손솔차이유통계학의의（P＜0．05）。순음은력빈솔위0．5、1、2、3 kHz시，저、중、고폭로조은력수손솔차이무통계학의의（P＞0．05）；4、6 kHz빈솔시，저、중、고폭로조은력수손솔차이유통계학의의（P＜0．05）。결론흡연위직업조성폭로인군은력손실적위험인소，흡연량적다소여은력손실정정상관。（중국안이비후과잡지，2015，15：36-38）
Objective To study the relationship of smoking and hearing loss in occupational noise exposure workers .Methods Occupational noise exposure workers who had taken pre-service medical examination were considered as the research subjects .The research subjects were divided into non-smoking population ( control group ) and smoking population(smoking group).The smoking population were divided into low exposure group , moderate exposure group and high exposure group based on their smoking ( <10 cigarettes/day;≥10 cigarettes/day, <20 cigarettes/day;≥20 cigarettes/day respectively ) .The occupational health examination results in 2009 and 2012 were analyzed , including medical examination , pure tone audiometry results , blood and biochemical tests .Results When pure tone audiometry frequency were 0.5, 1, 2 kHz , the hearing-impaired rate in control group and smoking group was not statistically significant(P>0.05);when pure tone audiometry frequency were 3,4,6 kHz , the hearing-impaired rate in control group and smoking group was statistically significant (P<0.05).When pure tone audiometry frequency were 0.5,1,2,3 kHz, the hearing-impaired rate in low exposure group , moderate exposure group and high exposure group was not statistically significant(P>0.05);when pure tone audiometry frequency were 4,6 kHz,the hearing-impaired rate in low exposure group, moderate exposure group and high exposure group was statistically significant (P<0.05).Conclusions Smoking is a risk factor of hearing loss of occupational noise exposure population , the amount of smoking was positively correlated with hearing loss.