新生儿听力筛查的实施与体会  

Implementation and experience on newborn hearing screening

作　　者：卢小玲[1] 吴玲梅[1] 

机构地区：[1]广东省东莞市人民医院,523018

出　　处：《护理实践与研究》2009年第17期21-22,共2页Nursing Practice and Research

摘　　要：目的:新生儿听力筛查可以早期发现婴幼儿听力障碍,以便及早进行干预,减少听力损伤对婴幼儿各方面的影响。方法:采用新生儿听力耳声发射筛查仪在新生儿出生后自然睡眠或安静状态下进行检查,一般仅用5～10min就可以完成测试。结果:接受筛查的新生儿1276例,其中经产道分娩486例,初筛通过率为93.83%(456/486);剖宫产790例,初筛通过率为85.95%(679/790)。孕周≥37周者初筛通过率为94.97%(1151/1212),孕周<37周者初筛通过率为84.38%(54/64)。新生儿出现病理性黄疸初筛通过率为81.92%(281/343),未出现病理性黄疸初筛通过率为93.03%(868/933)。结论:新生儿听力筛查对于新生儿听功能障碍的早期诊断、早期预防、早期治疗有着十分重要的意义。Objective：Hearing screening is able to detect the hearing disorders in the infants in the early stage for prompt intervention, so as to further reduce the widespread influence on hearing impairment to infants. Methods：By the means of TEOAE, newborn hearing screening carries out objective, fast and non - invasive examination on the newborns through otoacoustic emission when they are silent or in natural sleep. This kind of examination usually takes 5 to 10 minutes. Results ：There were 1276 infants who have accepted hearing screening under observation. Among the 1276 infants, 486 infants are delivered through birth canal whose passing rate of the initial screening was 93.83% （456/486）, while 790 infants are given birth by cesarean section whose passing rate of the initial screening was 85.95% （679/790）. Simultaneously, the passing rate of the initial screening of the newborns whose gestational weeks were no less than 37 weeks was 94.97% （ 1151/1212）, while the passing rate of the initial screening of those whose gestational weeks are less than 37 weeks was 84.38% （54/64）. As for those newborns who suffer pathological icterus, the passing rate was 81.92% （281/343）, while for those who do not suffer pathological ictcrus, the passing rate was 93.03 % （868/933）. Conclusion ： Newborn hearing screening is of great significance to the early diagnosis, early prevention and early treatment to the hearing impairment in the newborns.

关 键 词：新生儿 听力筛查 实施 体会 

分 类 号：R473.76[医药卫生—护理学]