廊坊地区79450例新生儿听力筛查结果分析  

Analysis on hearing screening results of 79 450 neonates in Langfang city

作　　者：赵玉娟[1] 刘凤茹[1] 吕艳芬[1] 

机构地区：[1]河北省廊坊市妇幼保健中心儿保科,065000

出　　处：《中国妇幼保健》2012年第34期5521-5522,共2页Maternal and Child Health Care of China

基　　金：河北省廊坊市科技课题〔2011013004〕

摘　　要：目的:了解该地区新生儿听力障碍的发病情况。方法:回顾性分析2010年10月～2011年10月廊坊地区出生的79 450例新生儿听力筛查的结果。采用畸变产物耳声发射(DPOAE)进行初筛,初筛阳性者及高危儿42天后采用DPOAE联合自动听性脑干诱发电位(AABR)进行复筛,复筛阳性者采用AABR+ABR+DPOAE+声导抗等听力测试做最后确诊,确定听力障碍的程度和性质。结果:新生儿听力筛查79 450例,初筛率92.5%;初筛通过69 122例,通过率87.0%;复筛8 125例,未通过975例,阳性率12.0%;确诊201例,总发病率2.5‰,其中轻度听力损伤108例,中度听力损伤56例,重度37例。结论:对新生儿进行听力普遍筛查,可早期发现听力异常,及时给予干预,减少听力损害的发生,促进言语发育,提高人口素质。Objective： To understand the prevalence of neonatal heating impairment in the region. Methods： The results of hearing screening in 79 450 neonates who were born in Langfang city from October 2010 to October 2011 were analyzed retrospectively. Distortion product evoked otoacoustic emission （DPOAE） was used for preliminary screening, the positive children of preliminary screening and high risk children adopted DPOAE combined with auditory brainstem response （AABR） after 42 days for secondary screening, the positive chil- dren of secondary screening adopted AABR ＋ ABR ＋ DPOAE ＋ acoustic immittanee for making a definite diagnosis finally, the degree and character of hearing impairment were confirmed. Results： A total of 79 450 neonates received hearing screening, the rate of preliminary screening was 92. 5% ; 69 122 children passed preliminary screening, the passing rate was 87.0% ; 8 125 children received secondary screening, 975 children failed, the positive rate was 12. 0% ; 201 children were diagnosed definitely, the total prevalence was 2. 5‰, 108 children with mild hearing impairment, 56 children with moderate hearing impairment, and 37 children with severe hearing impairment were included. Conclusion： Conducting hearing screening generally in neonates can find hearing impairment early, carry out intervention measures timely, reduce the occurrence of hearing impairment, promote language development, and improve quality of the population.

关 键 词：新生儿听力筛查 畸变产物耳声发射 自动听性脑干诱发电位 听力障碍 

分 类 号：R722[医药卫生—儿科]