摘要
目的对比分析8 200例北京市新生儿和1 940例西宁市新生儿的听力筛查结果。方法回顾性分析2009年1月～2011年10月北京大学第三医院8 200例、青海大学附属医院1 940例活产新生儿听力筛查的结果,均采用瞬态诱发耳声发射(TEOAE)进行初筛、复筛,其中,北京大学第三医院对具有听力损害高危因素儿采用了TEOAE联合自动听性脑干反应(AABR)进行复筛。结果北京大学第三医院活产新生儿初筛率为100%,复筛率为83.39%,最终确诊为先天性听力损失者正常儿中25例,高危儿中35例。青海大学附属医院活产新生儿初筛率为85.98%,复筛率为68.21%,最终诊断为听力损失者正常儿中1例,高危儿中6例。北京大学第三医院初筛率和复筛率均较青海大学附属医院高,差异有统计学意义(P<0.05)。结论 2009～2011年北京大学第三医院活产新生儿听力筛查结果达到推荐筛查标准,而青海大学附属医院尚未达到筛查标准,应进一步加强宣教和随访。
Objective To conduct a comparative analysis of the 8 200 and 1 940 the universal newborn hearing screening （UNHS） results obtained in Beijing and Xining,respectively. Methods The newborns were selected Peking University third hospital and Qinghai University affiliated hospital from January 1,2009 to October 30,2011 and their hearing screening and diagnosis data were retrospectively collected. 5 644 normal newborn infants and 2 556 infants with high risk of hearing impairments were born in Peking University third hospital. 1 354 normal infants and 586 high risk infants were born in Qinghai University affiliated hospital. Transiently otoacoustic emission （TEOAE） was used in two hospital for the first and the second screenings. Moreover, the babies with high risk factors at Peking University third hospital recieved additional autoauditory brainstem response （AABR） test. Results 100% newborn infants were screened in 1st stage UNHS in Peking University third hospital, and 83.39% newborn infants in 2nd stage UNHS. In contrast, 85.98% newborn infants were screened in 1st stage UNHS, and 68.21 %newborn infants as 2nd stage UNHS in Qinghai University affiliated hospital. There were significant differences between the two groups （ p 〈0.05）. 25 normal infants and 35 high risk infants in Peking University were finally diag- nosed with congenital hearing loss. 2 normal infants and 5 high risk infants in Qinghai University affiliated hospital were finally diagnosed with congenital hearing loss. Conclusion UNHS in Peking University from 2009 to 2011 met the standard recommended, while UNHS in Qinghai University affiliated hospital failed or was close to the standard. We should further strengthen education and follow-up to improve UNHS.
出处
《听力学及言语疾病杂志》
CAS
CSCD
北大核心
2012年第5期413-416,共4页
Journal of Audiology and Speech Pathology
基金
国家十一五科技支撑计划(2007BAI18B12)
北京市自然科学基金(7112144)
国家自然科学基金(30500556)联合资助
关键词
新生儿听力筛查
瞬态诱发耳声发射
听力损失
随访
Newborn hearing screening Transiently otoaeoustic emissions Hearing loss
Follow-up
