中国耳鼻咽喉颅底外科杂志2025，Vol.31Issue(6)：11-16,6.DOI:10.11798/j.issn.1007-1520.202525356
扩展高频测听在早期职业噪声性听力损失检测中的临床应用
Clinical application of extended high-frequency audiometry in the early detection of occupational noise-induced hearing loss
摘要
Abstract
Objective To compare the speech frequency and extended high-frequency hearing thresholds between regular employees and those exposed to occupational noise using extended high-frequency audiometry(EHFA),and to evaluate the clinical value of EHFA in the early diagnosis of hearing impairment among occupational noise-exposed populations.Methods A total of 119 employees(95 males and 24 females;aged 23 to 67 years)who underwent occupational health examinations at the Second Hospital of Lanzhou University in 2023 were enrolled in the study and classified according to their noise exposure working years.All participants underwent routine otologic examinations,tympanometry,conventional pure-tone audiometry from 0.125 to 8 kHz,and EHFA from 9 to 16 kHz.Data analysis was performed using SPSS 29.0.1.0 software.Results The extended high-frequency thresholds(9-16 kHz)demonstrated a significant correlation with the duration of sustained occupational noise exposure.After removing the influence of age,the extended high-frequency thresholds in the left ear at 11.2 kHz,the right ear at 9,10,11.2,and 12.5 kHz still had a significant correlation with the duration of continuous noise exposure.Conclusion EHFA is an effective method for assessing hearing loss in the high and ultra-high frequency ranges.It can monitor possible early hearing loss in noise-exposed populations and has significant clinical significance for the early detection of occupational diseases such as noise-induced hearing loss.关键词
噪声性听力损失/扩展高频测听/职业病诊断/毛细胞Key words
Noise-induced hearing loss/Extended high-frequency audiometry/Occupational disease diagnosis/Hair cells分类
医药卫生引用本文复制引用
庞彤,卜鑫惠,边盼盼,程世红,王艳玢,徐百成..扩展高频测听在早期职业噪声性听力损失检测中的临床应用[J].中国耳鼻咽喉颅底外科杂志,2025,31(6):11-16,6.基金项目
国家自然科学基金地区科学基金项目(82460222) （82460222）
2023年甘肃省重点研发计划项目(23YFFA0040). （23YFFA0040）
