Potential Risks to Hearing Functions of Service Members From Exposure to Jet Fuels.
Potential Risks to Hearing Functions of Service Members From Exposure to Jet Fuels.
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暴露于喷气燃料对军人听力功能的潜在风险。
DOI：
10.1044/2021_aja-20-00226
复制
发表时间：
2021
影响因子：
1.8
通讯作者：
Konrad-Martin,Dawn
中科院分区：
文献类型：
--
作者：
Morata,ThaisC;Hungerford,Michelle;Konrad-Martin,Dawn
目的一些军事职业，特别是美国空军的军事职业，需要使用或围绕喷气燃料进行工作。喷气燃料含有已知会影响中枢神经功能的成分，但这些燃料对听觉功能的影响，特别是对声音的听觉处理，目前还没有很好的了解。动物研究表明，在暴露于噪声之前暴露于喷气燃料会加剧噪声暴露的影响，暴露于喷气燃料的服务人员在其工作环境中有暴露于噪声的风险。这篇文章的目的是给一个简短的概要的证据，由于航空燃油暴露，以帮助听力学家在他们的决策时，提供护理的人群谁是职业暴露于燃料或在military service.ConclusionsExposure航空燃油影响中枢神经功能，并结合噪声暴露，可能会对听觉产生有害影响，研究尚未完全解释。需要额外的纵向研究来解释这种关系，这对服务人员和其他暴露于喷气燃料的人具有临床意义。与此同时，听力学家可以通过在获取患者病历时筛查化学暴露来获得有用的信息。如果怀疑暴露于喷气燃料，可使用终生暴露于噪声和溶剂问卷来估计噪声暴露等级，并确定其他增效剂，如喷气燃料和工业化学品。在听力评估和制定治疗计划时，航空燃油暴露史应作为听力测试选择的依据。
PurposeSeveral military occupations, particularly those within the U.S. Air Force, require working with or around jet fuels. Jet fuels contain components that are known to affect central nervous function, yet effects of these fuels on auditory function, specifically auditory processing of sound, are not well understood at this time. Animal studies have demonstrated that exposure to jet fuels prior to noise exposure can exacerbate the noise exposure's effects, and service members exposed to jet fuels are at risk of noise exposure within their work environments. The purpose of this article was to give a brief synopsis of the evidence on the ototoxic effects due to jet fuel exposure to aid audiologists in their decision making when providing care for populations who are occupationally exposed to fuels or while during military service.ConclusionsExposure to jet fuels impacts central nervous function and, in combination with noise exposure, may have detrimental auditory effects that research has yet to fully explain. Additional longitudinal research is needed to explain the relationships, which have clinical implications for service members and others exposed to jet fuels. In the meantime, audiologists can gain useful information by screening for chemical exposures when obtaining patient case histories. If jet fuel exposure is suspected, the Lifetime Exposure to Noise and Solvents Questionnaire can be used to estimate a noise exposure ranking and identify other potentiating agents such as jet fuel and industrial chemicals. A history of jet fuel exposure should inform the selection of hearing tests in the audiometric evaluation and when devising the treatment plan.
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