2500例汕头市新生儿听力筛查结果及相关影响因素分析  

Analysis of hearing screening results and related factors of 2500 newborns in Shantou

作　　者：魏永新[1] WEI Yong-xin.(Department of Otolaryngology Head and Neck Surgery, Shantou Central Hospital, Shantou 515041, China)

机构地区：[1]汕头市中心医院耳鼻咽喉头颈外科,515041

出　　处：《中国实用医药》2018年第18期33-35,共3页China Practical Medicine

基　　金：汕头市医疗科技计划项目(项目编号:汕府科[2013]88号)

摘　　要：目的分析2500例汕头市新生儿听力筛查结果及相关影响因素。方法 2500例汕头市新生儿,根据不同诊断方法分为观察组与参照组,各1250例。参照组使用耳声发射仪进行筛查,观察组使用自动听性脑干反应展开筛查,对听力筛查结果以及影响听力筛查的因素展开研究。结果观察组新生儿检出阳性905例,阴性345例,阳性检出率为72.40%,参照组新生儿检出阳性885例,阴性365例,阳性检出率分别为70.80%,对比差异无统计学意义(P>0.05);两组新生儿筛查结果对比差异无统计学意义(P>0.05);经分析发现影响新生儿听力的因素有早产、胆红素过高、外耳道畸形、出生缺氧、小耳症等。结论对2500例汕头市新生儿听力结果以及相关影响因素进行分析,对及早发现听力损失患儿并给予及时治疗,提高治疗效果、改善生活质量有重要作用。Objective To analyze hearing screening results and related factors of 2500 newborns in Shantou. Methods 2500 newborns in Shantou were selected as research objects and divided into observation group and reference group according to different diagnostic methods, 1250 cases in each group. The reference group was screened by otoacoustic emissions, and the observation group was screened by automatic auditory brainstem response. Then, the hearing screening results and factors affecting hearing screening were studied.Results In the observation group, 905 neonates were positive and 345 were negative, the positive detection rate was 72.40%. In the reference group, 885 neonates were positive and 365 were negative, the positive detection rate was 70.80%, there was no significant difference between the two groups in positive detection rate（P〉0.05）. There were no significant differences between the two groups in neonatal screening results（P〉0.05）. It was found that the factors affecting the hearing of the newborn were preterm birth, high bilirubin, external auditory canal deformity, birth anoxia, and small ear disease. Conclusion The analysis of 2500 newborns＇ hearing results and related influencing factors in Shantou city is helpful for early detection of hearing loss and timely treatment, which is of great importance for improving the therapeutic effect and improving the quality of life.

关 键 词：汕头市 新生儿听力 筛查 听力影响因素 

分 类 号：R764[医药卫生—耳鼻咽喉科]