摘要
本研究用瞬态诱发耳声发射（transientevokedotoacousticemission，TEOAE）技术对北京海淀妇幼保健院1998年4～8月出生的新生儿进行听功能筛查，用听觉脑干反应和40Hz听觉相关电位技术作为确诊程序，探讨了TEOAE技术在婴幼儿听功能监测中的作用和可能的应用前景。其结果显示：①1470例新生儿接受了TEOAE听功能筛查，经过双阶段的TEOAE筛查后，总通过率为94．90％；②双阶段TEOAE听功能筛查程序的阳性预测值为73．08％；③接受TEOAE筛查的新生儿，听损伤发病率为9．52％。；其中，高危婴儿室和普通新生儿病房的发病率分别为19．38‰和7．43‰，极重度、重度和轻中度听损伤的发病率分别为1．36‰、2．72‰和4．76‰；④日龄为＜1天、1天、2天和≥3天的新生儿的TEOAE筛查通过率分别为62．45％、70．45％、81．58％和84．78％，日龄2天组的通过率高于＜1天和1天组（X2=34．430，P=0．000；X2=15．408，P=0．000），而与≥3天组无显著差异（X2=1．393，P=0．238）。
Hearing of 1569 neonates born between April and August of 1998 in Beijing Haidian Health Maternity Hospital were evaluated by transient evoked otoacousticemission (TEOAE) hearing screening. Auditory brainstem responses (ABRs) & 40Hzauditory event related potentials (40Hz-AERPs) were used as diagnostic tests for thosewho had not passed the screening. The results showed as follows.① 1470 (93. 69%)newborns received the screening, 13 of them (19 ears) were diagnosed to have sufferedfrom hearing loss;② The positive expected value of TEOAE screening was 73. 08 %; ③The incidence of hearing loss in neonates was 9. 52%, ④ During the first screening stage(age≤7 day), 2-day old neonatal group showed higher passing less than 1-day & 1-dayold group. Nevertheless,there was no significant difference between 2-day old group andmore than 3-day old group.
出处
《耳鼻咽喉（头颈外科）》
1999年第4期207-211,共5页
Chinese Arch Otolaryngology-Head Neck Surg
基金
北京市自然科学基金!7942009
关键词
瞬态诱发
耳声发射
听力测验
婴儿
新生儿
Transient evoked otoacoustic emissions,TEOAEs
Audiometry,evoked response
Infant,newborn
