摘要
目的分析开封市儿童医院新生儿重症监护室(NICU)住院患儿自动听性脑干反应(AABR)初筛情况,了解新生儿重症监护室住院患儿自动听性脑干反应未通过率、导致自动听性脑干反应未通过的可能相关因素,以便在新生儿期及婴儿期加强关注、及早进行干预、降低听力障碍造成的不良后果。方法查找2021年11月—2023年11月在本院新生儿重症监护室住院患儿的病历资料,检索出成功开展自动听性脑干反应检查的患儿,记录患儿自动听性脑干反应结果、一般资料如性别、出生孕周、出生体重、有无出生窒息、分娩方式、主要诊断等情况,并根据自动听性脑干反应结果分为自动听性脑干反应未通过组和自动听性脑干反应通过组两组进行各因素对比分析。结果共找到356例符合条件的新生儿重症监护室住院患儿,自动听性脑干反应总体未通过率达59.8%,其中男性患儿212例,自动听性脑干反应未通过率为64.2%,女性患儿144例,未通过率为53.5%;早产儿97例,自动听性脑干反应未通过率为68.0%,足月儿组257例,自动听性脑干反应未通过率为56.4%,过期产儿组2例,自动听性脑干反应未通过率为50.0%,男性患儿与女性患儿相比、早产儿与足月儿组间对比均有统计学差异性。0~28 d组274例,自动听性脑干反应未通过率为60.2%,29~30 d组82例,自动听性脑干反应未通过率为58.5%;经阴分娩144例,自动听性脑干反应未通过率为58.3%,剖宫产分娩212例,自动听性脑干反应未通过率60.8%;有窒息史52例,自动听性脑干反应未通过率为55.8%,无窒息史304例,自动听性脑干反应未通过率为60.5%,上述各组间对比均无统计学差异(P>0.05)。结论新生儿重症监护室住院患儿自动听性脑干反应未通过率偏高,早产儿、男性患儿自动听性脑干反应未通过可能性更高,需要加强关注。因此,对各种原因入住新生儿重症监护室的患儿均要加强自动听性脑干反应监测,且对早产儿、男性患儿要加强重视,注意后续随访复筛,以减少听力障碍的漏诊。
Objective To analyze the condition of universal hearing screening of automatic auditory brainstem response(AABR)in neonatal intensive care unit(NICU)of Kaifeng Children's Hospital,and to understand the failure rate of AABR of children and the possible related factors that lead to the abnormal rate of AABR in hospitalized children in neonatal intensive care unit.So that we can pay more attention in neonatal period and infancy,and intervene the risk factors as early as possible,finally reduce the adverse consequences which lead to hearing impairment.Methods The medical records of children hospitalized NICU of our hospital from November 2021 to November 2023 were collected for study,and screen out the children who had successfully carried out automatic auditory brainstem response examination.The results of automatic auditory brainstem response,general information such as gender,gestational age,birth weight,birth asphyxia,mode of delivery,and main diagnosis of the children were recorded.The children were divided into the normal automatic auditory brainstem response group and the abnormal automatic auditory brainstem response group according to the automatic auditory brainstem response results,then the various factors were analyzed.Results A total of 356 cases of children hospitalized in neonatal intensive care unit were found to reach the standard,and the failure rate of automatic auditory brainstem response was 59.8%,including 212 male children(the abnormal automatic auditory brainstem response rate was 64.2%)and 144 female children(the abnormal automatic auditory brainstem response rate was 53.5%).There were 97 preterm infants(the abnormal automatic auditory brainstem response rate was 68.0%)and 257 full-term infants(the abnormal automatic auditory brainstem response rate was 56.4%)and 2 post-term infants(the abnormal automatic auditory brainstem response rate was 50.0%).There were statistical differences both between male infants and female infants and between preterm infants and full-term infants.There were 274 cases in 0~28 days group(the abnormal automatic auditory brainstem response rate was 60.2%),and 82 cases in 29~30 days group(the abnormal automatic auditory brainstem response rate was 58.5%).The abnormal automatic auditory brainstem response rate was 58.3%in 144 cases of vaginal delivery and the abnormal automatic auditory brainstem response rate was 60.8%in 212 cases of cesarean delivery.There were 52 cases with a history of asphyxia(the abnormal automatic auditory brainstem response rate was 55.8%)and 304 cases with no history of asphyxia(the abnormal automatic auditory brainstem response rate was 60.5%).There was no statistical difference between the above groups(P>0.05).Conclusions The abnormal AABR rate in hospitalized children of neonatal intensive care unit is high.The possibility of abnormal AABR in premature infants and male children is higher than full-term infants and female children,which we should pay more attention.Therefore,we should strengthen the monitor of AABR in children who were admitted to neonatal intensive care unit for various reasons when conducting universal hearing screening,and more attention should be paid to premature infants and male children,and the follow-up should been strengthen,and finally reduce the missed diagnosis of hearing impairment.
作者
徐倩倩
王潇潇
王富明
唐军
储进
Xu Qianqian;Wang Xiaoxiao;Wang Fuming;Tang Jun;Chu Jin(Otolaryngology Department,Kaifeng Children's Hospital,Kaifeng,Henan 475000,China;Neonatology Department,Kaifeng Children's Hospital,Kaifeng,Henan 475000,China)
出处
《齐齐哈尔医学院学报》
2024年第8期761-764,共4页
Journal of Qiqihar Medical University
基金
开封市科技发展计划项目(2003108)。
关键词
新生儿重症监护室
住院患儿
自动听性脑干反应
听力筛查
Neonatal intensive care unit
Inpatient children
Automatic auditory brainstem response
Universal hearing screening
