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新生儿听力异常早期干预的临床研究 被引量:6

Clinical study of early intervention on the newborn's hearing impairment
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摘要 目的:通过对该院出生的全部新生儿进行耳声发射(EOAE)检查,探讨早期发现听力异常,早期干预对听力康复的意义。方法:在该院出生的新生儿于出生第3d进行耳声发射测试,对二次复查未通过者在4个月内进行听力诱发电位检查(ABR),并接受全面的听力学诊断和评估,儿童保健科对听力异常儿建档及追踪管理。结果:最后确诊听觉障碍16例,总发病率为3 .93‰,其中轻度听力障碍10例(2 .46‰),中度听力障碍5例(1 .23‰),重度听力障碍1例(0 .24‰)。目前1 5岁以上患儿13例,其中8例经ABR诊断轻度听力障碍者语言发育正常;中度听力障碍4例中,除1例语言发育稍落后,3例语言发育基本正常;1例重度听力障碍者已配带助听器,语言发育迟缓。结论:开展新生儿听力筛查,早期发现听力异常,并建立健全听力保健,可有效地减轻听力损害,促进语言发育。 Objective:By examining evoked otoacoustic emissions (EOAE) of all newborns born in this hospital to explore the significance of early detection and intervention on hearing recovery.Methods:The newborns born in this hospital received EOAE at the 3rd day after delivery, those with twice EOAE abnormity received auditory brainstem response (ABR) test within four months and general audiology diagnosis and evaluation, then the files of the infants with abnormal hearing were set up and they were followed-up and managed by Department of Child Healthcare.Results:Of 16 infants diagnosed as dysaudia accounting for 3.93‰, there were 10 cases with mild dysaudia (2.46‰), 5 cases with moderate dysaudia (1.23‰), 1 case with severe dysaudia (0.24‰). Of 13 children aged over 1.5 years old, there were 8 normal language development children with mild dysaudia; of 4 cases with moderate dysaudia, 3 cases with substantial normal language development but 1 case with latish language development. 1 case with severe dysaudia and relaxant language development wore audiphone.Conclusion:Developing screen of newborns' hearing, detecting early hearing abnormity and improving hearing healthcare could effectively decrease hearing impairment and promote language development.
出处 《中国妇幼保健》 CAS 北大核心 2005年第7期868-869,共2页 Maternal and Child Health Care of China
关键词 新生儿 听力筛查 耳声发射 Newborns Hearing screen Evoked otoacoustic emission (EOAE)
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参考文献5

  • 1徐秀,王穗芬,彭咏梅,刘湘云.上海地区2378名新生儿听力筛查分析[J].中华儿科杂志,1997,35(11):571-573. 被引量:76
  • 2American Academy of Pediatrics. Newbom and infant hearting loss: detection and intervention. Pediatrics, 1999, 103:527. 被引量:1
  • 3Downs MP, Yoshinaga C. The efficacy of early identification and intervention for children with hearing impairment. Pediatr Clin North Am,1999, 101:4. 被引量:1
  • 4American Academy of Pediatrics. Language of early - and later - identified children with hearing loss. Pediatrics, 1998. 102:1161. 被引量:1
  • 5Mason JA, Herrmann KR. Uniersol infant hearing screening by automated auditory brainstem response measurement. Pediatrics. 1998, 101 :221. 被引量:1

二级参考文献1

  • 1王穗芬,中华儿童保健杂志,1994年,2卷,261页 被引量:1

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