瞬态诱发耳声发射在窒息新生儿听力筛查中的应用  

Application of transient evoked otoacoustic emission to hearing screen of neonates of asphyxia

作　　者：李新尉[1] 单子丽[1] 耿曼英[1] 

机构地区：[1]郑州大学第二附属医院耳鼻咽喉科,河南郑州450003

出　　处：《中国基层医药》2005年第1期45-46,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨瞬态诱发耳声发射(transientevokedotoacousticemission,TEOAE)应用于新生儿窒息听力筛查的可行性及临床意义。方法对重症监护室住院的164例窒息新生儿及60例健康新生儿应用CELESTA503耳声发射仪进行TEOAE检测,出院前和3个月后复查。结果第一次窒息新生儿TEOAE通过率为6274%,健康新生儿TEOAE通过率为95%,两组检出率经统计学分析,差异有非常显著意义(P<001)。第二次窒息新生儿TEOAE通过率为8963%,第三次窒息新生儿TEOAE通过率为9412%。结论TEOAE是快速可行的高危新生儿听力筛查方法;新生儿测试TEOAE的通过率与窒息程度有关;窒息对耳蜗功能的影响是可逆的。Objective To explore the feasibility and clinical significance of hearing screening in neonates of asphyxia by using transient evoked otoacoustic emission(TEOAE).Methods 164 neonates of asphyxia under intensive care were tested by CELESTA 503 TEOAE 2 or 3 times.The results were compared with those of 60 healthy neonates.Results The presence of TEOAE in neonates of asphyxia was 62.74% in the first test,however,that of healthy neonates was 95%.A significant difference could be found by statistical analysis in the second test before their leaving the hospital,the presence of TEOAE in neonates of asphyxia was 89.63% and in the third test 3 months later,the result became 94.12%,between two groups there was statistical significance(P<0.01).Conclusions The TEOAE is a practical and quick method to screen hearing for high-risk neonates;The presence of TEOAE in neonates of asphyxia is closely relate to its severity;The affect of asphyxia on cochlear is reversible.

关 键 词：窒息新生儿 听力筛查 瞬态诱发耳声发射 健康 出院 院前 耳蜗功能 通过率 结论 方法 

分 类 号：R722.1[医药卫生—儿科]