婴幼儿的早期听力诊断  

Early Hearing Diagnosis for Infants and Young Children

作　　者：黄丽辉[1] 

机构地区：[1]首都医科大学附属北京同仁医院北京市耳鼻咽喉科研究所耳鼻咽喉头颈科学教育部重点实验室首都医科大学,北京100005

出　　处：《中国听力语言康复科学杂志》2015年第5期321-323,共3页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：卫生公益性行业科研专项基金（201202005）;首都医学发展科研基金项目（2009-1049）;首都临床特色应用研究专项基金（Z131107002213123）

摘　　要：新生儿听力筛查的广泛开展，极大地推动了婴幼儿听力诊断的发展。有效干预的前提是早期和准确的诊断。婴幼儿听力诊断的关键点归纳为以下几点：①做好婴幼儿转诊与接诊的有效衔接，保证听力筛查未通过的患儿能够获得早期诊断；②做好主观和客观听力学的综合评估，明确听力损失的程度、性质和部位，为制订有效干预措施和发挥最大干预效果奠定基础；③做好听力学与医学评估相结合，正确评估患儿的听力和发育状况，为制订个性化干预方案提供依据，④明确听力损失病因和预测听力下降的风险，为早期干预方案的选择和调整提供科学依据。In recent years, the implementation of universal newborn hearing screening has greatly promoted the hearing diagnosis for infants and young children. An early and accurate diagnosis is essential to providing effective intervention for hearing-impaired children. There are 4 key points in the pediatric hearing diagnosis： （1） Effective referral procedure should be established to ensure the early diagnosis for children who fail in the hearing screening. （2） The combined application of subjective and objective audiological assessment is required tO determine the degree, type and location of hearing impairment and to maximize the intervention outcomes. （3） The audiological assessment and the medical evaluation are both necessary for the development of individualized intervention protocol. （4） It is also crucial to identify the etiology and risk of hearing loss in order to select and adjust the early intervention protocol.

关 键 词：婴幼儿 听力诊断 

分 类 号：R764.04[医药卫生—耳鼻咽喉科]