勞工健檢聽力檢查指引之建立

Establishment of a Guideline for Audiometry in Labor Health Examinations

為提升勞工健檢聽力檢查的品質，以便能早期發現噪音所引起之聽覺神經變化，防止永久性或不可恢復的聽力損失，擬參考先進國家純音聽力檢查方法與國內純音聽力檢查實施現況，建立一套勞工健檢聽力檢查指引。指引包括聽力計之標準規格、維修與校正，聽力檢查室之容許背景噪音值，測試頻率的順序，聽力閾值的測定，受測者之準備與指導，檢查結果之記錄與評估，耳鼻喉專科之轉診、追蹤與勞工調派，以及其它應注意事項。此聽力檢查指引之實施必能進一步落實勞工聽力保護計劃。

To improve the quality of audiometry in labor health examinations, which is indispensible to the early detection of hearing impairment by noise exposure and prevention of permanent and irreversible sequelae, a guideline of pure-tone audiometric tests with reference to the practices adopted by western countries and audiometry in Taiwan is established. The guideline covers a wide range of topics such as maintenance and calibration of equipment, maximum permissible ambient noise levels of test rooms, preparation and instruction of tests, the order of frequency presentation, measurements of hearing threshold levels without masking, and other precautions pertaining to the validity of audiometry, documentation of results, otologic referral, follow-up and dispositions. The guideline will ensure the success of audiometry programs in industrial installations.