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Influence of stress and pure tone audiometry on noise-exposed dental laboratory technicians by dental instrument

치과기공 소음 노출이 치기공과 학생의 스트레스와 순음청력에 미치는 영향

  • Yon, Jung-Min (Research Institute of Veterinary Medicine, Chungbuk National University) ;
  • Lee, Ju-Hee (Dept. of Dental Laboratory Technology, Daejeon Health Sciences College) ;
  • Kim, Dae-Hyun (Dept. of Epidemiology and Health Promotion, Graduate School of Public Health, Yonsei University) ;
  • Lee, Og-Kyoung (Dept. of Clinical Laboratory Science, Daejeon Health Sciences College)
  • 연정민 (충북대학교 동물의학연구소) ;
  • 이주희 (대전보건대학교 치기공학과) ;
  • 김대현 (연세대학교 역학과) ;
  • 이옥경 (대전보건대학교 임상병리학과)
  • Received : 2016.03.01
  • Accepted : 2016.04.20
  • Published : 2016.04.28

Abstract

Noise is unwanted sound that is the reason of the stress and hearing loss. The current study attempted to estimate whether the noise of dental laboratory affected stress and pure tone audiometry (PTA) of dental laboratory technicians (DLTs) using heart rate variability, air and bone conduction audiometry. The age, heights, and weights of DLTs were resembled control. Standard deviation of normal to normal interval such as stress resistance and normalized HF of DLTs were significantly decreased, but heart rates, normalized LF, and LF/HF ratio of DLTs were significantly increased compared with control. In air conduction audiometry of DLTs, significant increments of thresholds encountered in 125, 250, 500, 1000, 2000, 3000, 4000, and 6000 Hz in the right ears and 125, 250, 500, 1000, and 2000 Hz in the left ears. Thresholds of bone conduction audiometry in both ears were significantly increased in 250, 500, 1000, 2000, and 4000 Hz. The findings in this study provide that stress and hearing loss observed in noise-exposed DLTs at dental laboratory. Therefore, proper safety precautions should be carried out at dental laboratory.

소음은 원하지 않는 소리로서 소음의 노출은 스트레스와 난청의 원인이 된다. 본 연구에서는 치기공과 학생의 치과기공 소음 노출에 의하여 스트레스와 순음청력에 미치는 영향을 파악하기 위하여 심박변이도와, 공기전도검사와 골전도검사를 실시하였다. 치기공과 학생의 나이, 키와 체중은 대조군과 유사한 결과를 나타냈다. 스트레스의 저항도를 나타내는 심박 표준편차와 부교감신경의 활성과 관련 있는 norm HF는 유의적으로 감소하였으며, 심박수, 교감신경의 지표인 norm LF, 교감신경과 부교감신경의 비율은 유의적으로 증가하였다. 공기전도검사 결과 치기공과 학생의 오른쪽 귀의 125, 250, 500, 1000, 2000, 3000, 4000, 6000 Hz와 왼쪽 귀의 125, 250, 500, 1000, 2000 Hz에서 역치와 골전도검사 결과 오른쪽과 왼쪽 모두 250, 500, 1000, 2000, 4000 Hz에서 역치가 유의적으로 증가하였다. 또한, 순음청력검사 결과를 4분법을 이용하여 어음영역의 평균을 비교한 결과 치기공학과 학생에서의 역치가 모두 유의적인 증가를 보였다. 이와 같은 결과를 종합해 보면, 치기공학과 학생들에게 노출된 치과기공 소음에 의해서도 스트레스의 증가와 청력소실이 유발될 수 있으므로 적절한 예방책을 찾아야 할 것이다.

Keywords

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