Noise and quality of life.

Noise and quality of life.
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DOI:
10.3390/ijerph7103730
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发表时间:
2010-10
影响因子:
--
通讯作者:
Standring RT
Standring RT
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Seidman MD;Standring RT

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噪声被定义为一种有害的声音或多种声音的组合,对健康有不良影响。这些影响可通过多种机制以生理损伤或心理伤害的形式表现出来。长期暴露于噪声中会导致特定频率范围内的永久性听阈位移和听力丧失。噪声性听力损失(NIHL)被认为是可预防的听力损失的主要原因之一。美国约有1000万成年人和520万儿童已经患有不可逆的噪声性听力障碍,每天还有3000万人暴露在危险的噪声水平下。噪声性听力损失的机制尚未完全明确,但许多研究提高了我们对这一过程的理解。氧化应激在噪声性听力损失中的作用已得到广泛研究。有令人信服的数据表明,通过实施包括抗氧化、抗细胞间黏附分子1抗体和抗JNK干预等多种策略,可以减轻这种损伤。噪声的心理影响通常没有得到很好的描述,且常常被忽视。然而,其影响可能同样具有破坏性,可能包括高血压、心动过速、皮质醇释放增加和生理应激增加。总体而言,这些影响会对日常生活以及全球经济生产产生严重的不良后果。本文将综述噪声的生理和心理后果及其对生活质量的影响。
Noise is defined as an unwanted sound or a combination of sounds that has adverse effects on health. These effects can manifest in the form of physiologic damage or psychological harm through a variety of mechanisms. Chronic noise exposure can cause permanent threshold shifts and loss of hearing in specific frequency ranges. Noise induced hearing loss (NIHL) is thought to be one of the major causes of preventable hearing loss. Approximately 10 million adults and 5.2 million children in the US are already suffering from irreversible noise induced hearing impairment and thirty million more are exposed to dangerous levels of noise each day. The mechanisms of NIHL have yet to be fully identified, but many studies have enhanced our understanding of this process. The role of oxidative stress in NIHL has been extensively studied. There is compelling data to suggest that this damage may be mitigated through the implementation of several strategies including anti-oxidant, anti-ICAM 1 Ab, and anti JNK intervention. The psychological effects of noise are usually not well characterized and often ignored. However, their effect can be equally devastating and may include hypertension, tachycardia, increased cortisol release and increased physiologic stress. Collectively, these effects can have severe adverse consequences on daily living and globally on economic production. This article will review the physiologic and psychologic consequences of noise and its effect on quality of life.
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