摘要
目的分析基层医院新生儿听力筛查情况,探讨影响新生儿听力障碍的潜在危险因素。方法以2017年1月至2017年12月在上海嘉定区妇幼保健院出生的新生儿为筛查对象,收集新生儿母亲姓名、年龄、孕周、分娩方式、新生儿性别、单/双胎、家族史、新生儿是否进入高危室以及入室第一诊断等信息,最终纳入8 564例。所有新生儿听力初筛和复筛均采用瞬态诱发耳声发射(TEOAE)方式在我院进行,复筛未通过者转至上海市儿童医院进行听力障碍确诊,收集并分析其反馈结果。结果新生儿初筛和复筛通过率在产妇年龄、分娩方式、孕周、新生儿体质量、性别及是否进入高危室方面比较差异均有统计学意义(P<0.05);诊断听力障碍23例,听力障碍确诊的新生儿从高到低排序为早产儿、肺炎、高胆红素血症、新生儿窒息、伴有2种及以上高危因素、双胎及低体质量、宫内感染及有听力障碍家族史等。结论高龄产妇、剖宫产、早产、低体质量儿、肺炎、高胆红素血症,新生儿窒息及宫内感染等可能是导致新生儿听力障碍的危险因素。
Objective To analyze newborn hearing screening results in primary hospitals,and to explore potential risk factors affecting hearing impairment in newborns.Methods Infants were screened from January 2017to December 2017 in Shanghai Jiading District Maternal and Child Care Hospital,and information was collected on the mother's name,age,gestational week,manner of delivery,gender of the newborn,single or double pregnancy,family history, whether the newborn entered the high-risk room and the first diagnosis.Finally,8564 cases were included.All newborn primary and secondary hearing screening were performed by transient evoked otoacoustic emission (TEOAE)in our hospital.The patients who failed secondary screening were transferred to Shanghai Children's Hospital for hearing impairment diagnosis,and the feedback results were collected and analyzed.Results There were statistically significant differences between neonatal first and second hearing screening rates in maternal age,delivery type,gestational age,neona- tal weight,gender,and whether or not to enter the high-risk room (P<0.05).Twenty-three cases of hearing impairment were diagnosed,and the incidence of the newborns diagnosed with hearing impairment from high to low were premature,pneumonia,hyperbilirubinemia,neonatal asphyxia,accompanied by two or more risk factors,twins,low birth weight,intrauterine infection,and family history of hearing impairment.Conclusion Elderly women,cesarean section, premature delivery,low birth weight,pneumonia,hyperbilirubinemia,neonatal asphyxia,and intrauterine infection may be the risk factors for neonatal hearing impairment.
作者
杨国栋
陆琴
刘燕
田文娟
梁秋峰
YANG Guo-dong;LU Qin;LIU Yan;TIAN Wen-juan;LIANG Qiu-feng(Department of Paediatrics,Shanghai Jiading District Maternity and Child Care Hospital,Shanghai 201821,CHINA;Department of Obstetrics,Shanghai Jiading District Maternity and Child Care Hospital,Shanghai 201821,CHINA)
出处
《海南医学》
CAS
2018年第22期3169-3172,共4页
Hainan Medical Journal
关键词
基层医院
新生儿
听力筛查
听力障碍
危险因素
Primary hospital
Newborns
Hearing screening
Hearing impairment
Risk factors
