4041例新生儿听力筛查结果分析  

Analysis of measured results of distortion product otoacoustic emissions test in 4041 neonates′s hearing screening

作　　者：周媛[1] 姚红兵[1] 李年琼[1] 徐洁[1] 

机构地区：[1]重庆医科大学附属儿童医院耳鼻喉科,400014

出　　处：《重庆医学》2009年第9期1026-1027,共2页Chongqing medicine

基　　金：重庆市卫生局基金资助项目(07-2-171)

摘　　要：目的通过对新生儿进行听力筛查,了解新生儿听力障碍的发病状况及高危因素,探讨新生儿听力筛查的运作模式。方法采用畸变产物耳声发射技术(DPOAE)对2007年4月至2008年8月在本院新生儿科住院的4 041例新生儿进行听力筛查,初筛未通过者于生后42d进行复筛,复筛仍未通过者,于生后3个月进行第3次筛查,未通过者立即采用脑干听觉诱发电位(ABR)技术诊断。结果共筛查4 041例,通过初筛、复筛及第3次筛查,最后经ABR检查,确诊为听力障碍的有9例,发病率为2.22‰。其中,双耳极重度聋1例,重度聋3例,中度聋2例;单耳重度聋1例,轻度聋2例。在这9例患儿中,窒息1例,早产儿2例,胆红素脑病2例,其余4例无明显高危因素。结论新生儿听力筛查在及早发现听力障碍方面发挥着十分重要的作用,DPOAE是适合应用于临床的一种快速可行的新生儿听力筛查方法,新生儿早产、窒息、高胆红素血症可能是导致听力障碍的高危因素。Objective To investigate the incidence of neonate hearing loss and high risk factor,and evaluate the suited mode of newborn bearing screening. Methods 4 041 admission neonates totally were screened by DPOAE from April 2007 to August 2008. Through continually screening（they were respectively implemented on 3 days,42 days and 3 months） , the continuative hearing abnormal babies would be diagnosed by ABR. Results Nine deaf babies were founded（1 for double extreme deafness,3 for double severe deafness,2 for double medium deafness; 1 for single severe deafness,2 for single light deafness）, the incidence of neonate hearing loss was 2.22‰. In the nine cases, 1 case was asphyxial, 2 cases were premature and 2 cases were hyperbilirubinemia,others had no obvious high risk factor. Conclusion Newborn hearing screening is necessary for us to diagnose the deafness in early phase,and DPOAE is a feasible pass for UNHS,and the asphyxial, premature and hyperbilirubinemia neonates are the high risk colony in hearing loss.

关 键 词：新生儿 听力筛查 畸变产物耳声发射 

分 类 号：R764.04[医药卫生—耳鼻咽喉科]