摘要
目的总结新生儿听力筛查资料,探讨早期发现先天性耳聋患儿的临床体会。方法选择2012年3至12月在湖北省中山医院阳逻院区出生的832例新生儿为研究对象,采用瞬态诱发耳声发射(TEOAE)初筛-TEOAE复筛-听性脑干诱发电位(ABR)再筛的三步法开展新生儿听力筛查,复筛阳性者按武汉市新生儿疾病筛查管理要求转诊到武汉市新生儿疾病筛查中心做进一步检查,并对结果进行分析。结果在832例新生儿中,听力筛查初筛通过率为90.50%,其中正常足月新生儿和高危儿初筛通过率分别为91.15%和86.67%,两组比较有显著性差异(x^2=12.734,P<0.05)。剖宫产的新生儿初筛通过率为90.13%,复筛通过率为91.04%;顺产的新生儿初筛通过率为92.16%,复筛通过率为91.67%。在采用了三步法开展新生儿听力筛查后,新生儿转诊率为0.84%。结论开展新生儿听力筛查能够更早的发现新生儿听力缺陷,及时开展相关干预手段,促使其听力及语言功能的恢复。
Objective To summarize neonatal hearing screening data to describe clinical experience of early detection of congenital deafness. Methods From March to December in 2012 832 neonates born in Hubei Zhongshan Hospital Yangluo School were chosen in study, and they underwent transient evoked otoacoustic emission （ TEOAE） screening-TEOAE rescreening- auditory brainstem response （ ABR） screening again. Wuhan Neonatal Screening Management required transfering the neonates with positive results in second screening to Wuhan Neonatal Screening Center for further examination. The screening results were analyzed. Results Of 832 cases, the pass rate at primary screening was 90. 50%, and that of normal full-term newborns and high-risk neonates was 91. 15% and 86. 67%, respectively. The difference was significant （χ2 =12. 734, P〈0. 05）. The pass rate of primary screening among neonates born by section was 90. 13%, and that of second screening was 91. 04%. Among spontaneously delivered neonates the pass rate of primary screening was 92. 16%, and that of second screening was 91. 67%. After adopting three-step hearing screening method, the transfer treatment rate of newborns was 0. 84%. Conclusion Neonatal hearing screening makes it possible to detect hearing defect early and carry out relevant interventions to promote the recovery of hearing and language function.
出处
《中国妇幼健康研究》
2015年第3期555-557,共3页
Chinese Journal of Woman and Child Health Research
关键词
新生儿
听力筛查
听力缺陷
回顾性分析
newborn
hearing screening
hearing defect
retrospective analyzing
