住院期间未做听力筛查新生儿瞬态诱发耳声发射延期筛查结果分析  

Analysis on the deferred screening results of transient evoked otoacoustic emission among neonates not receiving hearing screening in hospital

作　　者：胡海利[1] 邵子瑜[1] 徐军杨 李欢欢[1] 王丹[1] 

机构地区：[1]安徽省合肥市妇幼保健所新生儿疾病筛查中心,230001

出　　处：《中国妇幼保健》2015年第14期2206-2208,共3页Maternal and Child Health Care of China

摘　　要：目的：了解住院期间未做听力筛查婴儿的瞬态诱发耳声发射（TEOAE）延期筛查结果,以发现高危听力损失儿童。方法：对2012年7月1日~2013年12月31日在该单位听力筛查中心门诊的婴儿进行TEOAE筛查,采用自制问卷对婴儿的家庭情况及一般情况进行调查。结果：在947名婴儿中,TEOAE初筛总体未通过率为11.83%,其中左耳未通过率为3.06%,右耳未通过率为3.17%,双耳未通过率为5.60%,男孩未通过率为12.97%,女孩未通过率为10.36%,城区婴儿未通过率为10.87%,农村婴儿未通过率为15.35%。经χ^2检验,初筛未通过率性别、地区及筛查年龄差异无统计学意义（P〉0.05）。结论：TEOAE筛查可以为早期发现婴幼儿听力损失提供参考,加强对TEOAE未通过高危儿童的密切随访和及早干预,是避免听力损失影响儿童发育的重要措施。Objective： To understand the deferred screening resuhs of transient evoked otoacoustic emission （TEOAE） among neo- nates not receiving hearing screening in hospital, find the high-risk children with hearing loss. Methods： The infants receiving TEOAE in outpatient of hearing screening center in the institute from July 1 st, 2012 to December 31 st, 2013 were selected, a self-designed question- naire was used to survey family and general situations. Results： Among 947 infants, the failing rate of primary screening by TEOAE was 11.83%, the failing rates of left ear, right ear, bilateral ears were 3.06%, 3.17%, and 5.60%, respectively; the failing rates in boys and girls were 12. 97% and 10. 36%, respectively; the failing rates in urban infants and rural infants were 10. 87% and 15.35%, respectively; there was no statistically significant difference in the failing rate of primary screening among the infants with different genders, living in differ- ent areas, and receiving screening at different age （P〉0. 05） . Conclusion： TEOAE screening provides reference for early detection of hearing loss among infants. The important measures to prevent the effect of hearing loss on childhood development include strengthening close follow-up and early intervention among the high-risk infants failing in TEOAE.

关 键 词：婴儿 听力筛查 瞬态诱发耳声发射 

分 类 号：R764[医药卫生—耳鼻咽喉科]