山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (2): 8-12.doi: 10.6040/j.issn.1673-3770.0.2012.297

• 论著 • 上一篇    下一篇

新生儿听力筛查11894例结果分析

刘志奇1，2，刘立思1，杨琨3   

  1. 1.华中科技大学同济医学院附属同济医院耳鼻咽喉头颈外科， 武汉 430030；
    2.湖北省妇幼保健院耳鼻咽喉科， 武汉 430070；
    3.武汉大学人民医院耳鼻咽喉头颈外科， 武汉 430060
  • 收稿日期:2012-10-04 发布日期:2013-04-16
  • 通讯作者: 刘立思。 Email：profliu@hotmail.com
  • 作者简介:刘志奇，博士。 Email：liuwu188@tom.com

Hearing screenings  in 11894 infants

 LIU Zhi-qi1，2， LIU Li-si1， YANG Kun3   

  1. 1. Department of OtolaryngologyHead and Neck Surgery, Tongji Hospital， Tongji Medical College Huazhong University of Science and Technology, Wuhan 430030, China； 2. Department of Otorhinolaryngology of Hubei Provincial Women and Children’s Hospital, Wuhan 430070, China； 3. Department of OtolaryngologyHead and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
  • Received:2012-10-04 Published:2013-04-16

PDF (PC)

1673

摘要：

目的   了解新生儿听力筛查的通过率、听力损失的发病率,分析可能导致新生儿听力损失的原因。方法   瞬态诱发性耳声发射(TEOAE)按两阶段方案进行听力筛查, 11894例新生儿中未通过者3月龄后行畸变产物耳声发射(DPOAE)、1000Hz探测音鼓室导抗、听性脑干反应(ABR)测试,结果用统计学软件SPSS15.0分析。结果   初筛通过率为82.64%，复筛通过率为78.71%。产科病区新生儿初筛通过率为84.63%，新生儿重症监护病房(NICU)新生儿初筛通过率为78.00%，经比较两者差异有统计学意义(ANOVA，P<0.05)。确诊有听力损失患者68例(106耳),发病率约为0.57%，其中传导性听力损失31例，感音神经性听力损失16例，混合性听力下降21例。听力筛查双耳未通过组和单耳未通过组听力损失的患病率分别为12.92%(38/294)、5.00%(30/600)，中度及中度以上听力损失的比例分别为3.33%(1/30)、18.42%(14/76)，经比较差异有统计学意义(ANOVA，P<0.05)。引起听力损失的可能原因有：黄疸(24.56%，14/57)，感染(24.56%，14/57)，窒息(19.30%，11/57)，低体质量(17.54%，10/57)，其他因素(14.04%，8/57)。结论   听力筛查是早期发现新生儿听力损失的基础性工程；双耳听力筛查未通过比单耳听力筛查未通过患儿存在听力损失的可能性更大，听力损失的程度也可能更重；黄疸、感染、窒息和新生儿低体质量是导致听力损失的常见原因。

关键词: 听力筛查；耳声发射；听性脑干反应；鼓室导抗测试；体层摄影术, Ｘ线计算机；新生儿

Abstract:

Objective    To obtain the pass rate of hearing screening, the incidence and cause of hearing loss in the newborns. Methods   11894 cases were screened by a two-stage program of transient evoked oto-acoustic emissions test(TEOAE). The failed were re-examined with DPOAE,1000Hz probe tone tympanometry, auditory brainstem response(ABR) 3 months later. The results were analyzed. Results  The primary screening pass rate was  82.64%, while the secondary pass rate was 78.71%. The pass rates were 84.63% and 78.00% in the obstetric ward and NICU ward,respectively (ANOVA, P<0.05). 68 cases (including 106 ears) were diagnosed as hearing loss with the incidence rate at 0.57%. Among them, there were 31 conductive hearing loss, 16 sensorineural hearing loss, and 21 mixed hearing loss. In the groups with the tests failed bilaterally or unilaterally , the corresponding prevalence rate was 12.92% (38/294) or 5.00% (30/600). The proportions of moderate and severe hearing were 3.33% (1/30) and 18.42% (14/76) (ANOVA, P<0.05). The possible causes of hearing loss consisted of jaundice (24.56%, 14/57), infection (24.56%, 14/57), asphyxia (19.30%, 11/57), low birth weight (17.54%, 10/57), and other factors (14.04%, 8/57). Conclusion   Hearing screening is a basic project for early detection of neonatal hearing loss. Binaurally failed cases are more likely to develop into hearing loss than the unilateral, and the degree of hearing loss might also be more severe. Jaundice, infection, asphyxia, and low birth weight are major causes for neonatal hearing loss.

Key words: Hearing screening, Auditory brainstem response, Computerized tomography, CT； Infant, Tympanometry, Otoacoustic emission

中图分类号: 

  • R764.5
[1] 冯蕾,吴丹凤. 人工耳蜗植入后对侧耳是否联合使用助听器声调识别的对比研究[J]. 山东大学耳鼻喉眼学报, 2017, 31(5): 27-31.
[2] 苏法仁,丁静华,刘新刚,薄琳. 软带骨锚式助听器在先天性双侧小耳畸形患者中的应用[J]. 山东大学耳鼻喉眼学报, 2016, 30(1): 74-75.
[3] 周晓娓, 虞幼军, 赵远新, 刘振, 郑立岗. 传导性或混合性耳聋患者佩戴骨锚式助听器软带的预期效果[J]. 山东大学耳鼻喉眼学报, 2015, 29(2): 28-30.
[4] 田天捷1，耿阳1，叶青1,2，张先增3，谢树森3，沈帆1. 细胞凋亡与激光对内耳损伤关系的研究[J]. 山东大学耳鼻喉眼学报, 2012, 26(2): 35-38.
[5] 张阳. 内耳免疫反应中细胞凋亡及Bcl-2与Bax的表达[J]. 山东大学耳鼻喉眼学报, 2011, 25(3): 34-36.
[6] 杨燕1，李宁2，于江2，张珂2，吴淑荣2，高希宝2. 铬对大鼠听力的损伤及锌、硒的拮抗作用[J]. 山东大学耳鼻喉眼学报, 2011, 25(3): 37-40.
[7] 张恩东，李大建，苗乐杰. 重症监护病房与母婴同室新生儿听力筛查比较[J]. 山东大学耳鼻喉眼学报, 2011, 25(2): 29-31.
[8] 薛秋红，陈小林. 个人音乐播放器对大学生人群听力影响的调查研究[J]. 山东大学耳鼻喉眼学报, 2011, 25(1): 41-43.
[9] 余崇仙，杨克林，张晓敏，汪平. 3～4月龄及5～6月龄婴儿听性脑干反应的正常值分析[J]. 山东大学耳鼻喉眼学报, 2010, 24(4): 17-20.
[10] 蔡勋华1，陈文文1，杨钰2，张裕华1，童军1，邓亚新1. 显微镜下骨锚式助听器植入术和适宜植入部位的初步研究[J]. 山东大学耳鼻喉眼学报, 2013, 27(4): 43-46.
[11] 周晓娓, 王跃建, 段光荣, 虞幼军. 听力诊疗网络平台的开发[J]. 山东大学耳鼻喉眼学报, 2014, 28(6): 79-84.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
网站版权所有 © 2018 《山东大学耳鼻喉眼学报》编辑部　
地址：山东省济南市山大南路27号（250100）电话：+86-0531-88366912 E-mail: ebhxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发