【摘要】目的：调查常规火炮射击训练或战斗中，炮手因防护措施欠缺而易导致爆震性声损伤的情况，为采用适当的防护措施提供依据。方法：某部参加火炮实弹射击的官兵86人，分为带孔耳塞组46人，对照组40人；分别在火炮实弹射击前及实弹射击后24h观察鼓膜、外耳道等情况，进行常规的纯音电测听检查。结果：火炮实弹射击后24h，带孔耳塞组新增鼓膜充血1例，耳鸣1例，无鼓膜穿孔，听阈提高≥10dB者3例(6.5%)；对照组新增鼓膜充血1例，耳鸣2例，无鼓膜穿孔，听阈提高≥10dB者11例(27.5%)；两组比较，差异非常显著(P<0.01)。结论：带孔耳塞对爆震性声损伤能起到较好的防护作用。

    【关键词】带孔耳塞 爆震性声损伤

    Hole earplugs to prevent detonation of the effect of acoustic trauma

    Hong JinkeZhang JunZhang HaixieGao ShenhongLi WeiZhao Xiaoli

    【Abstract】Objective：To investigate the conventional artillery firing training or combat，gunners easily due to the lack of protective measures led to the detonation of acoustic trauma ......