摘要目的:研究浙江省江山地区居民听力损失现状及其影响因素。 方法： 采用现况研究流行病学研究方法，于2016年-2017年在浙江省江山市人民医院前来体检的居民中随机抽取550人进行问卷调查及纯音听力测试，问卷主要包括6个方面：①基本情况、②家族史、③现患史、④生活行为习惯、⑤工作与居住环境、⑥自身听力认知情况, 以平均听阈>25dB为听力损失的判断标准及以6000Hz、8000Hz听阈平均值为高频听阈作为因变量，采用SPSS22。0统计软件进行卡方检验和logistic回归分析。88663

结果：本次研究中江山地区听力损失患病率为29。4%，高频听力损失率为51。2% 。年龄越大，听力损失和高频听力损失的患病率越高；收入较高和文化水平较高的居民，听力损失的患病率较低，男性听力损失的患病率明显高于女性。年龄是听力损失的相关因素。随着年龄增大，高频听阈的平均值也增大；男性高频听阈平均值明显高于女性，年龄，收入水平都是高频听阈听力损失的相关因素。另一方面，该人群对听力损失暴露因素的了解以及对自身听力的保护意识都比较薄弱，在550例受检者中，仅有205人（38。3%）关注自身的听力情况，246人（44。8%）关注听力保护的知识。 

结论：江山地区居民听力损失以及高频听力损失患病率都较高，并且对听力损失的认识较差，自我保护意识也比较薄弱，需加强对该地居民的听力健康教育，提高居民对听力损失的认识以及自身保护的意识。

Objective: To study the current situation and influencing factors of hearing loss in Jiangshan, Zhejiang province。

Methods: The epidemiological studies of research methods, questionnaire survey and audiometery on 2016 -2017 years to come to a medical examination in the people's Hospital of Jiangshan City, Zhejiang residents in a random sample of 550 people, the questionnaire includes 6 aspects: first, the basic situation of family history, the prevalence of the history, living habits, 5。 Working and living environment, and their own cognitive listening, the criteria for judging the average hearing threshold >25dB for hearing loss and to 6000Hz and 8000Hz for high frequency threshold average value as the dependent variable, the chi square test and logistic regression analysis using SPSS22。0 statistical software。

Results: the prevalence rate of hearing loss in Jiangshan area was 29。4%, and the high frequency hearing loss rate was 51。2%。 The greater the age, the higher the prevalence of hearing loss and high frequency hearing loss; the prevalence of hearing loss was higher in the higher income and higher educational level, and the prevalence of hearing loss was higher in males than in females。 Age is a related factor in hearing loss。 As the age increases, the average value of high frequency also increases; the average value of male high frequency was significantly higher than that in female, age, income level are the related factors of high frequency audiometry。 On the other hand, the crowd on hearing loss exposure and understanding of the consciousness of protecting their hearing is relatively weak, in 550 subjects, only 205 people (38。3%) on the hearing itself, 246 people (44。8%) on hearing protection knowledge。

Conclusion: the high prevalence rate of hearing loss in Jiangshan area and residents of high frequency hearing loss, and the hearing loss less understanding, self protection consciousness is relatively weak, the need to strengthen the health education for the hearing of the local residents, improve the residents of hearing loss of understanding and awareness of their own protection。    【毕业论文关键词】听力损失；高频听力损失：不良生活习惯；慢性病：

 Key words: hearing loss; high frequency hearing loss; bad habits; chronic disease