摘要
【目的】取本地区新生儿听力障碍发病资料，分析听力筛查未通过的因素及临床听力学特征。【方法】2006年5月～2007年5月出生的286例新生儿，在出院前进行新生儿听力筛查；96例转诊至耳鼻喉科的疑似听力障碍患儿进行诊断性听力学检查。对未通过者进行声阻抗、耳声发射、听性脑干反应（auditory brainstem response，ABR）检查，以确定听力损失的性质和程度。【结果】286例新生儿，初筛有40例（13．99％）未通过筛查，复筛后有3例需行ABR检查，2例（6．99‰）有听力损失，其中正常新生儿1例（3．94‰），高危新生儿1例（31．25‰）；转诊疑似听力损失患儿96例，确认听力损失78例（81．25％）。【结论】3个月内早期诊断和6个月内早期干预是必要的，以便尽早发现患儿及时给予干预。
[Objective] To acquire the basic data of prevalence of newborn＇s hearing loss in Harbin,and to analyze the confusing factors and clinical audiological characteristics in infants failed in hearing screening. [Methods] 286 newborns born at Heilongjiang province hospital of Harbin form May 2006 to May 2007 were conducted preliminarg hearing screening,96 babies who had risk factors of hearing loss received the audiometry. Those infants who failed the audiometry had to receive comprehensive examinations such as acoustic impedance audiometry ,otoacoustic emission, auditory brainstem response. [Results] In 286 newborns, 40 cases （13.99%） who failed the first audiometry received the second audiometry. In 40 cases of the second screening, 3 cases received auditory brainstem response test while 2 cases （6.99‰） showed hearing loss, 1 cases （31.25‰）was found at high risk while the other one （3.94‰）was normal newborn . Among 96 infants who were unclearly diagnosed to have hearing loss, 78 cases （81.25%） had hearing loss. [Conclusion] It is necessary to early diagnosis in 3 months and early intervent in 6 months, in order to find that children as early as possible and to give a timely intervention.
出处
《中国儿童保健杂志》
CAS
2009年第1期73-75,共3页
Chinese Journal of Child Health Care
关键词
新生儿筛查
耳声发射
听性脑干反应
声阻抗
neonatal screening
otoacoustic emission
auditory brainstem
acoustic impedance tests
