山东大学耳鼻喉眼学报 ›› 2009, Vol. 23 ›› Issue (4): 38-40.

• 论文 • 上一篇    下一篇

6159例新生儿听力筛查结果分析

张俊瑶 朱富高 孙美红   

  1. 青岛大学医学院附属医院  1. 耳鼻咽喉-头颈外科; 2. 产科,山东 青岛 266003
  • 收稿日期:2009-06-21 修回日期:2009-07-29 出版日期:2009-08-16 发布日期:2009-08-16
  • 通讯作者: 朱富高(1961- ),男,主任医师,硕士生导师,主要从事耳鼻咽喉疾病的临床研究。
  • 作者简介:张俊瑶(1981- ),女,硕士研究生,主要从事耳鼻咽喉基础及临床研究。 Email:zjyzhb2008@yahoo.cn

Results and analysis of 6?159 newborn hearing screening

 ZHANG Dun-Yao, SHU Fu-Gao, SUN Mei-Gong   

  1. 1. Department of OtorhinolaryngologyHead and Neck Surgery; 2. Department of Obstetrics, Affiliated Hospital ofMedical College of Qingdao University, Qingdao266003, Shandong, China
  • Received:2009-06-21 Revised:2009-07-29 Online:2009-08-16 Published:2009-08-16

摘要:

目的 通过听力筛查,了解新生儿听力障碍的患病率及特征。方法采用GSI70畸变产物耳声发射仪,对2006年5月~2009年1月我院产科出生的6?159例新生儿进行听力筛查,出生后3~7d或出院前初筛,初筛未通过者于出生42?d复筛,仍未通过者转诊至指定医院接受诊断性耳声发射、听脑干反应和40Hz听相关电位检查。结果接受听力初筛人数5594例,筛查率90.83%,初筛通过4641例,初筛通过率82.96%, 需复筛953例,实际复筛507例,复筛率53.20%,复筛通过447例,复筛通过率88.17%。确诊为听力障碍者13例,听力障碍患病率2.53‰,男性6例,患病率2.41‰,女性7例,患病率2.63‰,男女患病率差异无统计学意义(P>0.05),正常新生儿8例,患病率1.69‰,重症监护室新生儿5例,患病率12.35‰,差异有统计学意义(P<0.05)。结论新生儿听力障碍患病率男女无差异,重症监护室新生儿听力障碍患病率高于正常新生儿的患病率,畸变产物耳声发射两步筛查法可降低假阳性率。

关键词: 婴儿,新生;听力筛查;听力障碍;高危因素

Abstract:

Objective To investigate newborn hearing disorders and clinical feature by analyzing data of newborn hearing screening. Methods The screening had three phases and included 6?159 newborns from May 2006 to Jan. 2009 in ourhospital. In phaseⅠ, the staff of the delivery suit screened newborn by Distortion Product Otoacoustic Emissions (DPOAE) between the third day and the seventh day after birth, or before the time of discharge. In phase Ⅱ, those who failed in phaseⅠ had a hearing test by DPOAE after forty-two days. Newborns who failed the second test were referred to a specified hospital for phase Ⅲ.  Audiometrists tested their hearing by Diagnostic Otoacoustic Emission, Auditory Brainstem Response and 40Hz Auditory Event Related Potential. Results 5594 newborns  were tested in phaseⅠand 4?641 passed, with a passrate of 82.96%. 953 newborns needed a further test, but only 507 newborns were tested in phase Ⅱ, and 447passed , with a passrate of 88.17%. Thirteen newborns (6 males and 7 females) were diagnosed as having hearing disorders in phase Ⅲ. The prevalence of newborn hearing disorders was 2.53‰ in all newborns, 2.41‰ in males and 2.63‰ in females. The prevalence rate of males showed no significant difference compared with that of females (P>0.05). The prevalence of hearing disorders of newbornswhoexperienced treatments after birth in a neonatal intensive care unit (NICU) was12.35‰ (five cases), and that of those without the experience was 1.69‰ (eight cases), the former's prevalence increased significantly compared with that of the latter (P<0.05). Conclusion The prevalence of newborn hearing disorders between males and females has no significant difference. Newborns who have experience in NICU demonstrate a higher prevalence than those without the experience. Themethod of two phases hearing screening by DPOAE can increase the pass-rate of the hearing test.

Key words: Newborn; Hearing screening; Hearing disorders; Riskfactors    passratepassrate

中图分类号: 

  • R764
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