双卵双胎和单卵双胎新生儿听力筛查结果分析

doi:10.6040/j.issn.1673-3770.0.2022.065

Abstract

Abstract: Objective In this study we analyzed the hearing screening results of dizygotic and monozygotic twins in neonatal intensive care unit(NICU), to compare and discuss the hearing characteristics and factors related to positive screening. Methods Overall, 120 pairs of twins, totaling 240 infants in the NICU of the Tangshan Maternal and Child Health Hospital were analyzed. Participants were divided into the dizygotic and monozygotic twin groups, and data regarding the method of conception(in vitro fertilization embryo implantation or natural conception), gender, and b-ultrasound results of pregnancy examination were collected. A transient otoacoustic emission(TEOAE)instrument was used for hearing screening after the infants' condition was stabilized, and vital signs had become stable. SPSS 23.0 software was used to calculate the failure rate of initial screening, and the risk factors and related factors were analyzed and summarized. Results In total, we analyzed 240 infants, including 124 dizygotic twins with a failure rate of 37.10%(46/124)and 116 monozygotic twins with a failure rate of 31.90%(37/116).The two groups were significantly different in terms of the methods of conception and delivery(P<0.001, P=0.006), but no significant difference was found in any other indices. Conclusion Dizygotic and monozygotic sources had no significant effect on the failure rate of hearing screening in twins. Dizygotic twins were found to be mostly conceived by in vitro fertilization embryo implantation, while monozygotic twins were predominantly naturally conceived. The cesarean section rate of dizygotic twins was high. Factors such as sex pair and birth weight <1 500 g had no significant effect on the results of preliminary screening.

Key words: Hearing screening, Transient otoacoustic emissions, Dizygotic twins, Monozygotic twins, Neonatal intensive care unit, Transient otoacoustic emission

CLC Number:

R764.5

LI Wei, ZHAO Yi, GE Yueming, FU Hongtao, WANG Jindong, ZHANG Xiaolong, DONG Jie, CHENG Yuxiang. Analysis of hearing screening results of dizygotic and monozygotic twins[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(2): 1-6.

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Analysis of hearing screening results of dizygotic and monozygotic twins

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