摘要
目的：分析3 200例新生儿听力筛查结果和相关影响因素,了解新生儿听力障碍的发病情况。方法：对2014-01-2015-03期间出生的3 200例新生儿进行听力筛查测试,根据新生儿是否有高危因素,分为正常新生儿组（2 945例）和高危新生儿组（255例）。采用快速脑干诱发电位听力筛查仪（AABR）对出生后3-5d的新生儿进行听力筛查初筛;初筛未通过者,出生后30-42d复筛;复筛仍未通过者,于3月龄行诊断型听性脑干诱发电位检查（诊断型ABR）确诊。比较分析新生儿听力筛查初筛通过率、复筛通过率和听力障碍患病比例与相关因素的关系,正常新生儿组与高危新生儿组听力筛查结果差异等。结果：1新生儿听力初筛未通过率为7.50%（240/3 200）;30例未参与复筛,复筛未通过率为15.24%（32/210）;听力障碍患病比例约为0.38%（12/3 200）,听力障碍假阳性率为1.31%（42/3 200）。2不同分娩方式、新生儿性别在听力初筛、复筛通过率和听力障碍患病比例比较,差异无统计学意义（P〉0.05）,不同胎龄、产妇年龄在新生儿听力初筛、复筛通过率和听力障碍患病比例比较,差异有统计学意义（P〈0.05）。3高危新生儿组初筛、复筛通过率明显低于正常新生儿组（P〈0.05）,听力障碍发生率高于正常新生儿组（P〈0.05）。结论：强化孕期保健,尽量降低异常分娩情况（早产、新生儿窒息）,普及新生儿听力筛查和提高筛查准确率,加强对有高危因素的新生儿进行早期诊断与干预,对减少新生儿听力障碍的发生率具有重要的意义。
Objective： To analyze the results of hearing screening and the related factors in 3 200 newborn infants, in order to know the incidence of neonatal hearing disorders. Method：Three thousand two hundred cases of newborn infants born during 2014-01 and 2015-03 were tested for hearing screening. According to risk factors, newborns were divided into the normal newborn group （2 945 cases） and the high-risk neonatal group （255 cases）. Using fast brainstem auditory evoked potential （AABR） to screen the hearing screening of newborn infants with 3-5 d; those who did not pass the screening, after the birth of 30-42 d re-screening; re-screening still not pass, within 3 months line diagnostic auditory brainstem evoked potential （diagnostic ABR） confirmed. Comparative analysis of newborn hearing screening by screening through rate, re-screening through rate and hearing impairment rate proportional relationship with the relevant factors, and the differences of hearing screening results in the normal newborn group and the high-risk neonatal group. Result：①The rate of neonatal hearing screening did not pass was 7.50% （240/3 200）; 30 cases was not involved in re-screening, the rate of re-screening did not pass was 15.24% （32/210）; hearing impairment rate is about 0.38% （12/3200）, and the hearing impairment positive rate was 1.31% （42/3 200）. ② There was no significant difference of different delivery mode, neonatal sex in newborn hearing screening through rate, re-screening through rate and hearing impairment rate （P：〉0. 05）. Different gesrational age, maternal age in newborn hearing screening through rate, re-screening through rate and hearing impairment rate, the difference was statistically significant （P〈0.05）. ③ Screening through rate and re-screening through rate of the high-risk neonatal screening group were significantly lower than the normal newborn group （P〈0.05）, and hearing impairment rate was higher than normal newborn group （P〈0.05）. Conclusion： Strengthen prenatal health care, to reduce abnormal childbirth conditions （preterm birth, neonatal asphyxia）, universal newborn hearing screening and improve screening accuracy, and to strengthen newborns with risk factors for early diagnosis and intervention, to reduce the incidence of neonatal hearing impairment has important significance.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2015年第22期1977-1980,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
广东省清远市科技局课题[No:(2014)29号-B023]
关键词
新生儿
听力筛查
快速脑干诱发电位听力筛查仪
相关因素
newborn
hearing screening
rapid brainstem evoked potential hearing screening instrument
related factors
