CAJ | 학술논문

目的探讨在新生儿听力筛查中如何采取相应措施以提高筛查质量.方法对835例新生儿采用畸变产物耳声发射进行听力筛查,经过第1、2、3次听力筛查,最终5例未通过,经听性脑干反应测听(ABR)检查确诊听力障碍3例.筛查过程中不断总结经验,以提高筛查质量.结果筛查新生儿835例,未通过率0.60％.ABR确诊听力障碍发病率0.36％,听力筛查阳性率0.24％.结论新生儿听力筛查过程中应注意:通过选择筛查时间；清洁外耳道并行电耳镜检查；控制环境噪声,根据新生儿状态调整测试方法；检测较准耳声发射听力筛查仪器,选择合适耳塞,正确放置探头；结合声阻抗检查,并对听力筛查通过的高危新生儿进行长期听力随访,可提高筛查质量,降低假阳性率以及避免假阴性的发生.
목적 탐토재신생인은력사사중여하채취상응조시이제고사사질량.방법 대835례신생인채용기변산물이성발사진행은력사사,경과제1、2、3차은력사사,최종5례미통과,경은성뇌간반응측은(ABR)검사학진은력장애3례.사사과정중불단총결경험,이제고사사질량.결과 사사신생인835례,미통과솔0.60％.ABR학진은력장애발병솔0.36％,은력사사양성솔0.24％.결론 신생인은력사사과정중응주의:통과선택사사시간；청길외이도병행전이경검사；공제배경조성,근거신생인상태조정측시방법；검측교준이성발사은력사사의기,선택합괄이새,정학방치탐두；결합성조항검사,병대은력사사통과적고위신생인진행장기은력수방,가제고사사질량,강저가양성솔이급피면가음성적발생.
Objective To investigate the measures to improve the newborn hearing screening quality.Methods 835 cases of neonates using distortion product otoacoustic emissions for hearing screening,after first,second and third hearing screening,the final 5 cases failed,diagnosed by ABR screening hearing handicap in 3 cases.Experience constantly was summed up during screening process to improve screening quality.Results 835 newborns were screened.The rate of failing to hearing screening was 0.60％,the rate of hearing impairment diagnosed by ABR was 0.36％,and the positive proportion of hearing screening was 0.24％.Conclusion Our experience during screening progress is to take some measures to improve the newborn hearing screening quality,with reducing false positives and avoiding false negatives,by choosing screening time,cleaning external ear and electric-otoscopy examination,environmental noise control,updating test procedures according to the physiology and development of the newborns,testing calibration instruments of otoacoustic emissions hearing screening,selecting suitable earplug,probe with correct plsce,and combining acoustic impedance examination,with a long term follow-up of listening in high risk neonates with passing screening.