Zumbido no trabalhador exposto ao ruído

Sandra Regina Weber, Eduardo Périco
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引用次数: 13

Abstract

PURPOSE: To verify the characteristics, prevalence, and repercussion of tinnitus in noise-exposed workers. METHODS: A total of 585 workers from a food industry were questioned about tinnitus. Individuals that reported tinnitus with duration of more than five minutes and for more than six months answered an interview regarding occupational and tinnitus histories, answered to the Tinnitus Handicap Inventory questionnaire, and carried out a pure tone audiometry. Data were statistically analyzed. RESULTS: Tinnitus prevalence was 7.2% (n=42), the average noise exposure time was three years and eight months, and the average tinnitus perception time was three years and seven months. There was a predominance of intermittent (88%) and bilateral (53.4%) perception, with progressive onset (66.7%). A total of 50% didn't present hearing loss. The subjects reported that tinnitus interferes mainly in concentration; stress, silence and noise were the worsening factors most frequently mentioned. There was a difference between noise exposure time and tinnitus perception time in individuals without hearing loss. CONCLUSION: The absence of hearing loss in half the individuals and the correlation between noise exposure time and tinnitus perception time, in these subjects, suggest a possible effect of noise not restrained to the peripheral auditory system, and the need to include tinnitus in hearing conservation programs.
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暴露在噪音中的工人的耳鸣
目的:验证噪声暴露工人耳鸣的特点、患病率和影响。方法:对某食品行业585名工人的耳鸣情况进行调查。报告耳鸣持续时间超过5分钟且超过6个月的个体回答了关于职业和耳鸣病史的访谈,回答了耳鸣障碍问卷调查,并进行了纯音听力测量。对数据进行统计学分析。结果:耳鸣患病率为7.2% (n=42),平均噪声暴露时间为3年8个月,平均耳鸣感知时间为3年7个月。以间歇性(88%)和双侧(53.4%)感觉为主,进行性发病(66.7%)。总共有50%的人没有听力损失。受试者报告耳鸣主要干扰注意力;压力、沉默和噪音是最常被提及的恶化因素。无听力损失个体的噪声暴露时间与耳鸣感知时间存在差异。结论:半数受试者无听力损失,噪声暴露时间与耳鸣感知时间之间存在相关性,提示噪声可能不局限于外周听觉系统,有必要将耳鸣纳入听力保护计划。
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