摘要
目的 早期发现新生儿听力损失 ,以便及早干预 ,促进婴幼儿正常的语言发音。方法 应用瞬态诱发耳声发射技术对 2 0 0 0年 5月 18日至 2 0 0 1年 12月 30日济南市妇幼保健院住院分娩的新生儿进行听力普遍筛查 ,于生后 3月左右采用听觉诱发电位技术 (ABR和 4 0HzAERP)进行诊断。结果 8788例住院分娩新生儿中共筛查 82 6 2例 (94 .0 % ) ,其中 815 0例 (92 .7% )新生儿住院期间进行了筛查 ,初筛通过 6 92 0例 (84 .9% )。 12 30例未通过初筛 ,返回在门诊进行复筛的为 110 8例 (110 8/ 12 30 ,90 .0 8% ) ,复筛未通过 4 9例。确诊 4 1例听力损失 ,另有 1例为迟发性听力损失 ,共发现新生儿听力损失 4 2例。本组资料显示新生儿听力损失的发病率为 5 .0 8‰。双侧先天性听力损失的发病率为 2 .4 2‰。因双侧听力损失需要佩戴助听器的为 1.3‰。初筛的假阳性率为 14 .5 4 % ,两步筛查后的假阳性率为 0 .0 1% ,整个筛查程序的灵敏度为 95 .34%。结论 我国济南市局部城区新生儿先天性听力损失的发病率为 5 .0 8‰ ,与发达国家相比是高的 ;通过筛查 ,新生儿听力损失可及早发现 ,并进行及早干预 。
Objective To early detection of hearing loss in newborns so as to early intervention.Methods 8 150 infants were screened with TEOAE and ABR in the hospital from May 18,2000 to Dec 30,2001.Results A total of 8 788 newborns were available but only 8 262(94.0%) for screen.8 150(92.7%) were screened before discnarge from hospital.6 920(84.9%) passed and 1 230(15.1%) failed the first screen.1 108(90.08%) were followed up.Among them 49 failed the follow up screen.42 infants were further confirmed to have hearing loss by TEOAE and ABR.The incidence of congenital bilateral hearing loss in the screened papulation was 2.42‰ and that required hearing aid was 1.3‰.The false positive rate was 14.54% for the initial screen and 0.01% for the two-stage screen.The whole sensitivity was 95.34% in the program.Conclusion The incidence of newborn hearing loss in Jinan area of China 5.08% was higher then that in developed country.Newborns hearing loss can be identified early in the hospital by TEOAE and ABR so as to provied amplification earlier and pormote development of speech and language.
出处
《听力学及言语疾病杂志》
CAS
CSCD
2003年第3期165-168,共4页
Journal of Audiology and Speech Pathology
基金
国家自然科学基金资助项目 (项目编号 3 0 10 0 2 0 7)