中华耳科学杂志2016，Vol.14Issue(6)：729-734,6.DOI:10.3969/j.issn.1672-2922.2016.06.007
吸烟和饮酒对职业性噪声暴露对工人听力的影响
Smoking, Alcohol Consumption and Occupational Noise and Hearing Impairment
摘要
Abstract
Objective To investigate the impact of smoking, alcohol consumption and noise exposure on hearing. Methods Noise exposed workers in a large heavy industry factory were selected as the subjects of the study. Questionnaire survey was used to collect their history of smoking and alcohol consumption. Their pure tone threshold average in the sound-proofed environment was evaluated. Low-frequency hearing loss (LFHL) was defined as PTA>25 dB HL at 0.25-3 kHz, and high-frequency hearing loss (HFHL) as PTA>40 dB HL at 4-8 kHz. Using history of smoking and drinking, sub-jects were divided into a non-cigarette non-alcohol group (C0A0, or control), a cigarette smoking without alcohol group (C1A0), an alcohol consuming without cigarette group (C0A1), and a cigarette smoking and alcohol consuming group (C1A1). The duration of cigarette smoking, alcohol consuming and noise exposure was evaluated using a logistic regression model. Results Differences in PTA between each group and the control group were not statistically significant, nor were hearing loss types. Logistic regression analysis showed adjusted odds ratios for HFHL at 1.736, 1.954 and 3.975 and for LF-HL at 1.517, 2.257 and 1.627 for workers with noise exposure of 5-10 years, 10-15 years and≥15 years, respectively. Smok-ing had no effect on hearing loss types, and adjusted odds ratios for HFHL were 1.777, 1.814, 2.402 and 3.13 for workers with alcohol consumption of 0-5 years, 5-10 years, 10-15 years and≥15years, respectively. Conclusions Alcohol consump-tion may increase the risk of hearing impairment in workers exposed to noise. In addition to hearing protection measures, workers should be counseled on healthy living habits. Smoking, however, does not appear to be a critical factor in causing hearing impairment.关键词
噪声/吸烟/饮酒/听力损失Key words
Occupational noise/Cigarette smoking/Alcohol consumption/Hearing impairment分类
医药卫生引用本文复制引用
郭洋,孙渊渊,王慧,冯艳梅,时海波,殷善开..吸烟和饮酒对职业性噪声暴露对工人听力的影响[J].中华耳科学杂志,2016,14(6):729-734,6.基金项目
国家自然科学基金重点项目（81530029），国家自然科学基金青年科学基金项目（81300820）联合资助This work was supported by grants from the National Natural Science Foundation of China (No.81530029 and No.81300820) （No.81530029 and No.81300820）
