"I was standing just inside the doorway - even with a large opening in front of me, the muzzle blast was loud enough to make me to loose 100% hearing for several moments, and experience partial hearing loss for over an hour after that." -Maple_City_Woodsman
Good example of how sound can impair function. Even those who don't think the long term hearing loss is an issue should at least see this and the tactical disadvantage of instant hearing loss during a shootout. Ability to communicate with police or loved ones could make or break the situation. Could a person operate a cell phone right after shooting a .357 magnum indoors, or hear where the kids are?
Pressures can also give a rough idea of what hearing damage can occur. One of the reasons I carry a .44 Special and gave up on the .327 Federal Magnum. Interesting that the .45 ACP is by far the lowest pressure round of the major semiauto calibers:
Maximum SAAMI Pressures: (CUP)
.45 Long Colt..................14,000
.44 Special.....................15,500
.38 Special.....................17,000
.38 Special +P................18,500
.45 Auto........................21,000
.45 +P...........................23,000
.45 GAP.........................23,000
.22 LR...........................24,000
.22 Magnum...................24,000
.25 Auto........................25,000
.45 Super......................28,000
9mm.............................35,000
.357 Magnum.................35,000
.41 Magnum...................35,000
.40...............................35,000
.44 Magnum...................36,000
10mm............................37,500
9mm +P.........................38,500
.357 SIG........................40,000
9mm +P+.......................42,000
.327 Federal Magnum.......45,000
9mm PROOF LOAD............49,800
Of course those are maximum pressures, and pressures can vary widely within a specific caliber depending on how it is charged. Even the .357 magnum can be lightened up (but then some may say you might as well be shooting .38 Special/+P).
And from Stealth01's decibel list the .45 Auto also happens to have the lowest decibel level of the major semiauto calibers. The decibels scale is logarithmic, not linear. Every 3 decibel increase doubles the sound level so from Stealth01's decibel list a 9mm has roughly twice the sound level as a .45 ACP. Every 10 decibel increase is X10 the sound level so a .357 Magnum has roughly ten times the sound level of a .45 Long Colt. Why don't they sound that different to our ears? Human ears are not designed to differentiate at such high noise levels, just like we can not differentiate between high dog and low whale frequencies. At least that's how I understand it.
So I would guess a .45 ACP in an auto or a .45 Long Colt / .44 Special / .38 Special in a revolver as being effective choices when considering hearing preservation. Plus what others have said about a longer barrel and heavier bullet etc...