6908例新生儿听力筛查结果分析  

The analysis of hearing screening results with 6 908 subjects

作　　者：董保华[1] 付国强[1] 张峰[1] 

机构地区：[1]河南宏力医院耳鼻喉科,河南长垣453400

出　　处：《中国现代医生》2014年第30期145-146,149,共3页China Modern Doctor

摘　　要：目的初步了解新乡市长垣县新生儿先天性听力损失发病情况,探讨如何提高新生儿听力筛查率。方法采用TEOAE筛查仪对2010年10月-2012年12月在河南宏力医院出生的6 908例新生儿进行听力筛查,初筛未通过者42 d复筛,复筛仍未通过者,出生后3个月转诊至郑州儿童医院听力诊断中心进行听力学诊断并电话随访、跟踪。结果同期间共出生新生儿8 240人,6 908例接受筛查,筛查率83.83%（6 908/8 240）,初筛通过6 149例,通过率为89.01%（6 149/6 908）,未通过759人,42 d实际复筛402人,复筛率52.96%（402/759）,复筛通过350例,通过率87.06%（350/402）。未通过52人,40例接受诊断性评估,最终确诊8例听力损失,其中足月儿3例,高危儿5例（早产儿3例、高胆红素2例）,先天性听力损失检出率为1.16‰（8/6 908）。结论 2010年10月-2012年12月河南宏力医院新生儿听力损失检出率为1.16‰;新生儿听力初、复筛率偏低,听力高危因素儿的先天性听力损失发生率明显高于正常足月儿。Objective To investigate newborn hearing screening status in Changyuan in order to explore how to improve the rate of newborn hearing screening. Methods Newborn babies born in Henan Honliv Hospital from October 2010 to December 2012 were included. TEOAE otoacoustic emission was used for the frist and the second screening. The babies who failed in the frist tests recieved the second screening after 42 days. The newborns who did not pass the second tests were referred to the children＇s Hospital of Zhengzhou hearing screening center for diagnosis and follow-up telephone. Results A total of 8 240 babies were born in our hospital from October 2010 to December 2012. Amomg these8 240 babies, 6 908 received the hearing screening with the rate of 83.83%（6 908/8 240）,in whom 6 149 passed the frist screening with a rate of 89.01%（6 149/6 908）, 759 failed. 402 out of 759 finished the second screening with a rate of 52.96%（402/759）, in whom 350 passed the screening with a rate of 87.06%（350/402）,52 failed. 40 out of 52 finished the hearing evaluation and medical diagnosis. At last, 8 subjects was confirmed hearing loss,in whom 3 subjects were full-term newborns,5 subjects of high risk infants.（3 subjects of prematureinfants,2 subjects of hyperbilirubinemia）. The detection rate of congenital hearing loss was 1.16‰（8/6 908）. Conclusion The detection rate of congenital hearing loss in Henan Honliv Hospital from October 2010 to December 2012 was 1.16‰. The tates of newborn hearing screening an rescreening in Changyuan are low, High risk infant occured in congenital hearing loss was significantly higher than that of full-term infant.

关 键 词：新生儿 听力损失 听力筛查 

分 类 号：R764[医药卫生—耳鼻咽喉科] R722.1[医药卫生—临床医学]