未通过听力筛查新生儿的听力确认及追踪  

Auditory confirmation and follow-up examination of neonates failing hearing screening

作　　者：赵学林 郝艳芳[2] 李惠敏 习国平[2] 常新民 马丽[2] 

机构地区：[1]河北省邯郸市峰峰集团第二医院耳鼻喉科,056201 [2]河北省邯郸市第三医院耳鼻喉科

出　　处：《中国妇幼保健》2009年第23期3240-3241,共2页Maternal and Child Health Care of China

基　　金：2008年邯郸市科研项目课题(课题编号:0823108081)

摘　　要：目的:探讨基层医院未通过听力筛查新生儿听力确认及追踪的意义。方法:应用畸变产物耳声发射、脑干诱发电位、声导抗对未通过听力筛查的76例新生儿分别在3月龄和6月龄时进行客观听力检查,并对两次结果进行分析。结果:76例新生儿最后确认听力损失41例,占53.95%,其中中轻度14例(18.42%)、中度15例(19.74%)、重度7例(9.21%)、极重度5例(6.58%)。两次结果比较,重度或极重度听力损失者听力基本无改变,而轻中度听力损失者转化为正常的比例较高。结论:对于未通过听力筛查的新生儿必须进行有效的听力确认并坚持至少为期1年的随访,才能做出正确的听力诊断。Objective： To explore the significance of audition confirmation and follow - up examination of neonates failing hearing screening in primary hospital. Methods ： Audio acuity was carried out in 76 neonates on the third month and sixth month after birth by distortion product otoacoustic emission, brainstem evoked potential and acoustic immittance, then the results were compared. Results： 41 neonates （53.95%） had hearing loss, including 14 neonates （ 18.42% ） of mild - moderate hearing loss, 15 neonates （ 19. 74% ） of moderate hearing loss, 7 neonates （9. 21% ） of severe hearing loss and 5 neonates （6. 58% ） of very severe hearing loss. The neonates with mild - moderate hearing loss improved to normal audition were more easily than the neonates with severe or very severe hearing loss. Conclusion： Neonates failing hearing screening should be followed up for 12 months before audile diagnosis.

关 键 词：新生儿筛查 听觉 脑干 诱发电位 

分 类 号：R195.4[医药卫生—卫生统计学]