JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v9i8.11832ArticleAnalysis and Reflection on a Case of Diagnosis and Identification of Occupational Noise-induced Deafnesshttps://artdesignp.com/journal/JCNR/9/8/10.26689/jcnr.v9i8.11832LiFaqiang2025982025-09-04Objective: Through retrospective analysis of a case of occupational noise-induced hearing loss (NIHL) diagnosis and two-grade appraisal, this study explores the causes of inconsistency between diagnosis and appraisal conclusions, aiming to improve occupational health management. Methods: Data including occupational history, workplace noise exposure levels, pure-tone audiometry (PTA), and objective audiological tests were collected and analyzed. Results: Both municipal and provincial appraisals contradicted the initial diagnostic conclusion of “moderate occupational NIHL”. Conclusion: The diagnosis of occupational NIHL requires multidisciplinary expertise and is influenced by subjective factors. Appraisal institutions should adopt evidence-based approaches, integrate objective tests with PTA results, and comprehensively evaluate occupational exposure history to ensure scientific and impartial conclusions.

Hu S, 2008, Analysis of the Occupational Disease Diagnosis System in China. China Occupational Medicine, 35(1): 49–50.

Wang J, Hou Q, Yang H, 2019, Thoughts on the Diagnosis of Two Cases of Severe Noise-Induced Deafness. Occupational Health and Emergency Rescue, 37(6): 532–534.

Bai Y, Cao W, Zhu W, 2019, Diagnosis and Differential Analysis of a Suspected Case of Occupational Noise-Induced Deafness. Chinese Journal of Industrial Medicine, 32(5): 422–424.

Liu J, Zhang W, Yang Y, et al., 2014, Reflections Triggered by a Misdiagnosed Suspected Case of Occupational Noise-Induced Deafness. Chinese Journal of Industrial Medicine, 27(3): 238.

Deng H, Zhu B, Yao J, et al., 2021, Thoughts on the Diagnosis and Appraisal of a Case of Occupational Noise-Induced Deafness. Chinese Journal of Industrial Medicine, 34(5): 465–466.

Zhao S, Sun D, Yu J, et al., 2020, Analysis of the Impact of Noise on Employees’ Hearing and Cardiovascular System in Refinery Enterprises and Countermeasures Research. Safety, Health, and Environment, 20(6): 43–46.