1700例新生儿听力筛查结果分析  

1700 newborn hearing screening: results and analysis

作　　者：张燕[1] 刘喜歌[1] 于春刚[1] 王霞[1] 苗利华[1] 王增勤[1] 

机构地区：[1]北京电力医院耳鼻喉科,北京100073

出　　处：《中国听力语言康复科学杂志》2008年第5期21-23,共3页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的了解新生儿听力损失的发病情况,观察畸变产物耳声发射作为新生儿听力筛查方法的效果,分析初筛通过率的影响因素。方法应用畸变产物耳声发射仪,对2005年5月～2007年12月在我院妇产科分娩的1700例新生儿进行听力筛查。未通过初筛者,出生42天进行复查,复筛未通过者,3个月左右到指定机构行听性脑干反应测听进行诊断。结果1700例新生儿接受初次筛查,其中1582例通过,通过率为93.06%。初筛"未通过"的118例新生儿全部进行复筛,复筛通过106例,通过率为89.83%。复筛仍未通过的12例,其中3例确诊为先天性听力损失。结论我院新生儿听力障碍发病率为1.76‰,畸变产物耳声发射应用于新生儿听力筛查效果良好,初筛通过率与性别、分娩方式无关,足月儿较早产儿初筛通过率高,出生后3～5天进行筛查者通过率较出生后1～2天者通过率高。Objective To investigate the incidence of newborn hearing loss at our hospital and to study the effects of distortion product otoacoustic emissions（DPOAE） on the detection of newborn hearing screening. Method DPOAE was used to screen 1700 newborns for hearing impairment from May 2005 to December 2007. The newborns who failed initial hearing screening underwent the rescreening 42 days after birth. Auditory brainstem response （ABR） was used to assess the hearing of those after their failure in the rescreening 3 months after birth. Results All the 1700 newborns underwent the initial hearing screening, with a passing rate of 93.6% （1582/1700）. 118 failed newborns received the rescreening. The passing rate was 89.83% （106/118）. 3 of 12 cases of the rescreening failure were subsequently confirmed as congenital hearing loss. Conclusion The incidence of the congenital hearing loss from 1700 newborns at the hospital was 1.76‰.The application of DPOAE was considered to be effective. The passing rate in initial screening has relations to neither gender nor delivery methods. The passing rate of full-term infants was higher than that of premature infants. The passing rate of initial hearing screening 3 to 5 days after birth was higher than those 1 to 2 days after birth.

关 键 词：听力筛查 畸变产物耳声发射 新生儿 

分 类 号：R764.5[医药卫生—耳鼻咽喉科]