声刺激在新生儿听力筛查中的应用  

Application of sound stimulation to hearing screening in neonatals

作　　者：赵玉梅[1] 汪荐[1] 吴兴凤[1] 徐利文[1] 徐红[1] 王丹[1] 

机构地区：[1]武警湖北总队医院妇产科,武汉430061

出　　处：《武警医学》2002年第3期146-148,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的　为探讨新生儿的听力筛查简便可行的方法 ,早期发现听觉障碍 ,及早进行矫治 ,以促进先天性听力损伤恢复。方法　通过 3档发声强度分别为 75db、85db、10 0db音强刺激检测新生儿非条件反射反应 ,借以识别其听力状态 ,并对可疑聋儿进行听性脑干反应测听 (ABR)追踪随访。结果　在 1997年 3月～ 1999年 3月期间对 5 0 0例新生儿进行听力筛查测试 ,发现可疑听觉障碍儿 2 6例 5 2耳 ,发生率为 5 2 %;高危新生儿听觉障碍 12例 2 4耳 ,发生率为 2 4 %;正常新生儿组中 14例2 8耳 ,发生率为 3 17%。ABR追踪随访结果与声刺激检测结果具有相关性。结论　声刺激检测新生儿听力能代表绝大多数新生儿听力状态 ,且检测记录方便 ,理应做为新生儿听力筛查的方法之一。Objective To evaluate the validity of the sound stimulation in neonatal hearing screening,for early detection and treatment or rehabilitation of hearing disability.Methods Hearing was examined in 500 neonatals by stimulating the non-conditional reflex reaction with different acoustic frequencies in speech threshold.And auditory brainstem response(ABR) was followed up in neonatals with suspiected deafness.Results Suspicious hearing disability was detected in 26 cases(5.2%),and high risk hearing disability in 12 cases (2.4%).The result of ABR follow-up was correlated with sound stimulation test.Conclusions Sound stimulation test is simple,convenient and economic in neonatal hearing screening,so that it is a good method for early detection of hearing disability.

关 键 词：声刺激 新生儿 非条件反射 应用 

分 类 号：R722[医药卫生—儿科]