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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medlit</journal-id><journal-title-group><journal-title xml:lang="ru">Гигиена и санитария</journal-title><trans-title-group xml:lang="en"><trans-title>Hygiene and Sanitation</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0016-9900</issn><issn pub-type="epub">2412-0650</issn><publisher><publisher-name>Federal Scientific Center of Hygiene named after F.F. Erisman</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.47470/0016-9900-2021-100-11-1323-1327</article-id><article-id custom-type="elpub" pub-id-type="custom">medlit-1855</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>МЕТОДЫ ГИГИЕНИЧЕСКИХ ИССЛЕДОВАНИЙ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>METHODS OF HYGIENIC AND EXPERIMENTAL INVESTIGATIONS</subject></subj-group></article-categories><title-group><article-title>Совершенствование методов диагностики профессиональной потери слуха</article-title><trans-title-group xml:lang="en"><trans-title>Improving methods for diagnosing occupational hearing loss</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4875-1247</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Волгарева</surname><given-names>Альфия Динисламовна</given-names></name><name name-style="western" xml:lang="en"><surname>Volgareva</surname><given-names>Alfiya D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Канд. мед. наук, ст. науч. сотр. ФБУН «Уфимский НИИ медицины труда и экологии человека», 450106, Уфа.</p><p>e-mail: ad-volgareva@yandex.ru</p></bio><bio xml:lang="en"><p>MD, PhD, Senior Researcher of the Ufa Institute of Occupational Health and Human Ecology, Ufa, 450106, Russian Federation.</p><p>e-mail: ad-volgareva@yandex.ru</p></bio><email xlink:type="simple">ad-volgareva@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6127-7703</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шайхлисламова</surname><given-names>Э. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Shaikhlislamova</surname><given-names>Elmira R.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9457-1274</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Галлямова</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gallyamova</surname><given-names>Svetlana A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8476-1223</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гимранова</surname><given-names>Г. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Gimranova</surname><given-names>Galina G.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3258-2477</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шаповал</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shapoval</surname><given-names>Inna V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5807-2037</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чудновец</surname><given-names>Г. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Chudnovets</surname><given-names>Guzel M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3428-0085</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хафизова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Hafizova</surname><given-names>Alsu S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФБУН «Уфимский научно-исследовательский институт медицины труда и экологии человека»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ufa Research Institute of Occupational Health and Human Ecology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФБУН «Уфимский научно-исследовательский институт медицины труда и экологии человека»; ФГБОУ ВО«Башкирский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ufa Research Institute of Occupational Health and Human Ecology; Bashkir State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>06</day><month>12</month><year>2021</year></pub-date><volume>100</volume><issue>11</issue><fpage>1323</fpage><lpage>1327</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Волгарева А.Д., Шайхлисламова Э.Р., Галлямова С.А., Гимранова Г.Г., Шаповал И.В., Чудновец Г.М., Хафизова А.С., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Волгарева А.Д., Шайхлисламова Э.Р., Галлямова С.А., Гимранова Г.Г., Шаповал И.В., Чудновец Г.М., Хафизова А.С.</copyright-holder><copyright-holder xml:lang="en">Volgareva A.D., Shaikhlislamova E.R., Gallyamova S.A., Gimranova G.G., Shapoval I.V., Chudnovets G.M., Hafizova A.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.rjhas.ru/jour/article/view/1855">https://www.rjhas.ru/jour/article/view/1855</self-uri><abstract><sec><title>Введение</title><p>Введение. Поскольку доля нейросенсорной тугоухости в структуре профессиональной заболеваемости в Российской Федерации увеличилась в 2018 году в 1,5 раза по сравнению с 2007 годом, крайне важно обеспечить достоверность результатов диагностических исследований для установления факта нарушения слуха в результате действия производственного шума.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Ретроспективно за период 2008–2017 гг. проведён анализ распространённости и динамики профессиональной потери слуха в Республике Башкортостан (РБ). Объективизация состояния слухового сенсорного анализатора проведена 30 пациентам с профессиональной потерей слуха с помощью тональной пороговой аудиометрии и регистрации коротколатентных слуховых вызванных потенциалов.</p></sec><sec><title>Результаты</title><p>Результаты. В РБ количество профессиональных заболеваний, вызванных воздействием физических факторов, возросло в 2 раза, в основном за счёт профессиональной потери слуха с лёгкой степенью течения процесса. Полученные показатели коротколатентных слуховых вызванных потенциалов определили различие латентностей зарегистрированных потенциалов, амплитуд и интервалов у лиц с нарушением слуховой функции профессионального генеза и у лиц из контрольной группы, не имеющих производственный акустический контакт.</p></sec><sec><title>Заключение</title><p>Заключение. Рост числа больных с профессиональной потерей слуха требует разработки мероприятий по их своевременной и объективной диагностике и медицинскому обслуживанию. Метод регистрации коротколатентных слуховых вызванных потенциалов является чувствительным и достаточно информативным при диагностике потерь слуха от воздействия производственного шума.</p></sec><sec><title>Участие авторов</title><p>Участие авторов: Волгарева А.Д. — концепция и дизайн исследования, написание текста, редактирование, утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи;Шайхлисламова Э.Р., Гимранова Г.Г. — концепция и дизайн исследования, редактирование, утверждение окончательного варианта статьи;Галлямова С.А. — сбор и обработка материала, статистическая обработка, написание текста;Шаповал И.В. — сбор и обработка материала, статистическая обработка;Чудновец Г.М., Хафизова А.С. — сбор и обработка материала.</p></sec><sec><title>Конфликт интересов</title><p>Конфликт интересов. Авторы декларируют отсутствие явных и потенциальных конфликтов интересов в связи с публикацией данной статьи.</p></sec><sec><title>Финансирование</title><p>Финансирование. Исследование не имело спонсорской поддержки.</p></sec><sec><title>Поступила</title><p>Поступила: 06.05.2021 / Принята к печати: 28.09.2021 / Опубликована: 30.11.2021</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction. Since the share of sensorineural hearing loss in the structure of occupational morbidity in the Russian Federation increased by 1.5 times in 2018 compared to 2007, it is essential to ensure the reliability of the results of diagnostic studies to establish the fact of hearing impairment as a result of occupational noise.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. Retrospectively for the period 2008-2017 the analysis of the prevalence and dynamics of occupational hearing loss in the Republic of Bashkortostan (RB) was carried out. Objectification of the state of the auditory sensory analyzer was carried out in 30 patients with occupational hearing loss using tonal threshold audiometry and registration of short-latency auditory evoked potentials.</p></sec><sec><title>Results</title><p>Results. In the RB, the number of occupational diseases caused by exposure to physical factors has doubled, mainly due to occupational hearing loss with a mild course of the process. The obtained indicators of short-latency auditory evoked potentials determined the difference in the latencies of the recorded potentials, amplitudes and intervals in persons with impaired auditory function of professional origin and in a group of persons from the control group who did not have industrial acoustic contact.</p></sec><sec><title>Conclusion</title><p>Conclusion. The increase in the number of patients with occupational hearing loss requires the development of measures for their timely and objective diagnosis and medical care. The method of recording short-latency auditory evoked potentials is sensitive and quite informative in diagnosing hearing loss from exposure to occupational noise.</p></sec><sec><title>Contribution</title><p>Contribution:Volgareva A.D. — concept and design of research, writing, editing;Shaykhlislamova E.R., Gimranova G.G. — concept and study design, editing;Gallyamova S.A. — collection and processing, statistical analysis, writing of the text;Shapoval I.V. — collection and processing, statistical processing;Chudnovets G.M., Hafizova A.S. — collection and processing of the material.All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.</p></sec><sec><title>Conflict of interest</title><p>Conflict of interest. The authors declare no conflict of interest.</p></sec><sec><title>Acknowledgement</title><p>Acknowledgement. The study had no sponsorship.</p></sec><sec><title>Received</title><p>Received: May 6, 2021 / Accepted: September 28, 2021 / Published: November 30, 2021</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>производственный шум</kwd><kwd>профессиональная нейросенсорная тугоухость</kwd><kwd>тональная пороговая аудиометрия</kwd><kwd>коротколатентные слуховые вызванные потенциалы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>occupational noise</kwd><kwd>professional sensorineural hearing loss</kwd><kwd>tonal threshold audiometry</kwd><kwd>short-latency auditory evoked potentials</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Бухтияров И.В. Современное состояние и основные направления сохранения и укрепления здоровья работающего населения России. 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