新生儿听力筛查未通过婴儿的听力评估  

Audiologic Evaluations of Newborns After Failure of Universal Neonatal Hearing Screening

作　　者：邹凌[1] 陶宣华[1] 蔡娟[1] 张薇[2] 

机构地区：[1]成都市妇幼保健院儿童听力检测中心,成都610031 [2]成都市儿童医院耳鼻咽喉科

出　　处：《听力学及言语疾病杂志》2010年第4期329-331,共3页Journal of Audiology and Speech Pathology

基　　金：四川省卫生厅科研课题项目(060190)

摘　　要：目的评估新生儿听力筛查未通过婴儿的听力状况及其变化。方法对新生儿听力筛查未通过、诊断为听力损失的136例婴儿分别在2～3月龄及4～6月龄时应用ABR、TEOAE、声导抗检查进行听力损失的初诊及确诊,比较和分析2次检查结果。结果 2～3月龄时136例婴儿初诊为单耳听力损失64例,双耳听力损失72例;听力损失程度:轻度109例,中度9例,重度7例,极重度11例。4～6月龄时确诊为听力正常22例,听力损失114例,其中单耳听力损失62例,双耳听力损失52例;轻度听力损失87例,中度11例,重度4例,极重度12例。确诊和初诊结果比较,听力损失程度无变化87例,加重或减轻49例(初诊为轻度听力损失者42例,中度4例,重度3例),其中听力损失程度加重7例、减轻20例、22例恢复正常。结论新生儿听力筛查未通过的婴儿听力损失状况可能发生变化,在初诊为听力损失后,应注意随访。Objective To investigate the hearing and audiologic aspect of children who failed the universal newborn bearing screening. Methods A prospective analysis of 136 consecutive records of neonates referred to Chengdu women and children health hospital due to universal neonatal hearing screening failure. The diagnostic eval- uation was performed at 3 and 6 months old and the protocol consisted of a standard otologic examination, diagnostic auditory brainstem response（ABR）, transient evoked otoacoustic emissions （TEOAE）, and middle ear assessment. Results In the initial 3 months old diagnosis, bilateral hearing loss was confirmed in 72 infants and unilateral hearing loss in 64 infants. Among 136 cases,mild hearing loss was found in 109, moderate in 9, severe in 7, and profound in l 1 infants. In 6 months old confirmed diagnosis,permanent hearing loss was confirmed in 114 children with normal hearing in 22 infants. Bilateral hearing loss was diagnosed in 52 infants and unilateral hearing loss in 62 infants. Among these 114 cases, mild hearing loss was observed in 87, moderate in 11, severe in 4, and profound in 12. Conclusion The hearing level of the infants continues to change and those referred from hearing screening are in need of an in depth evaluation and a comprehensive follow--up program.

关 键 词：新生儿听力筛查 转诊 听力评估 

分 类 号：R764.04[医药卫生—耳鼻咽喉科]