影响听力障碍婴幼儿早期干预的因素分析  

Follow-up Examination and Early Intervention in Infants with Sensorineual Hearing Loss

作　　者：凡启军[1] 陈迎迎[1] 刘学军[1] 董爱丹 黄赛瑜[1] 陈波蓓[1] Fan Qijun;Chen Yingying;Liu Xuejun;Dong Aidan;Huang Saiyu;Chen Bobei(Department of Otorhinolaryngology,The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University,Wenzhou,325027, Chin)

机构地区：[1]温州医科大学附属第二医院育英儿童医院耳鼻咽喉科,温州325027

出　　处：《听力学及言语疾病杂志》2018年第3期257-260,共4页Journal of Audiology and Speech Pathology

基　　金：浙江省医药卫生科技项目(2014KXA140);温州市科技局公益性科技计划项目(Y20150275)

摘　　要：目的分析影响重度及极重度感音神经性聋婴幼儿早期干预的因素。方法对2010年1月~2014年12月因双耳听力筛查未通过于温州医科大学附属第二医院育英儿童医院儿童听力中心确诊的104例双侧重度及极重度感音神经性聋患儿进行干预并随访3年以上,分析影响其早期干预的因素。结果 104例患儿平均确诊月龄为4.21±1.63月,平均干预月龄逐年下降,由2010年的22.92±9.47月下降到2014年的13.77±6.60月;低于6月龄婴儿的早期干预率逐年上升,由2010年的0%上升到2014年的15.38%;患儿初次干预助听器验配率逐年上升,由2010年的50.00%上升到2014年84.62%,28.85%患儿单用人工耳蜗植入方式干预,67.31%患儿先用助听器干预后改行人工耳蜗植入干预,单用助听器的干预时间由2010年39.83±15.37月的缩短到2014年的18.53±10.28月。结论本组听力筛查未通过婴幼儿的确诊年龄已接近国际要求,重度及极重度感音神经性聋患儿的早期干预状况自2010年来逐年好转,但早期干预率偏低、平均干预年龄偏大仍是目前的主要问题。Objective To investigate the current situation of early diagnosis and intervention in infants with severe and profound sensorineural hearing loss and analysis factors that will affect early intervention.Methods One hundred and four infants referred to the children’s hearing center of the second hospital affiliated Wenzhou Medical University from January 2010 to Decembe 2014 were included.All 104 children failed infant hearing screening and diagnosed with severe to profound sensorineural hearing loss and a mean follow-up of more than 3 years.Early diagnosis and/or intervention were performed on those 104 children and their records of early diagnosis and intervention were analyzed.Results The 104 infants were diagnosed with an average age at（4.21±1.63）months.The average intervention age declined to（13.77±6.60）months from（22.92±9.47）months within 5 years.The early intervention rate for infants under the age of 6 months increased from 0%to 15.38% between 2010 and 2014.The children first intervention of hearing aid fitting rate increased from 50.00% to 84.62% at the same time.The 28.85% of the children intervened with the cochlear implanting,and67.31% of the children were using hearing aids and cochlear implant intervention.The intervention time of single use hearing aids declined to（18.53±10.28）months from（39.83±15.37）months between 2010 and 2014.Conclusion Although the early diagnosis situation in this study are very close to international standard,there are still infants with severe to profound sensorineural hearing loss without hearing aid fitting.Further studies and efforts to promote early intervention in infants with hearing loss are needed.

关 键 词：普遍新生儿听力筛查 感音神经性听力损失 早期听力检测与干预 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]