CAJ | 학술논문

目的了解耳声发射在新生儿听力筛查中的应用及筛查通过的情况,并探讨其影响因素.方法应用瞬间诱发性耳声发射( TEOAE)对2011年1月至10月期间在我院住院分娩的新生儿进行耳声发射听力筛查,连续2次筛查不通过者42 d后复筛,复筛未通过者,3个月内做听力学诊断性检查项目以确诊,并做好资料登记.结果初筛率90.62％,初筛通过率88.08％;复筛率97.86％,复查通过率88.36％;听力障碍检出率1.70‰.孕周是耳声发射听力初筛通过率的危险因素[B -1.524,Exp(B)=4.589,P＜0.05],出生体重是耳声发射听力初筛通过率的保护因素[B=-0.647,Exp(B)=0.523,P＜0.05].高危儿是耳声发射听力复筛通过率的危险因素[B =0.374,Exp(B)=1.453,P＜0.05].结论 TEOAE可作为婴儿听力筛查测试和监测的重要方法,通过筛查能早期发现和早期干预婴儿听力障碍.高危情况对筛查通过率有影响.
목적 료해이성발사재신생인은력사사중적응용급사사통과적정황,병탐토기영향인소.방법 응용순간유발성이성발사( TEOAE)대2011년1월지10월기간재아원주원분면적신생인진행이성발사은력사사,련속2차사사불통과자42 d후복사,복사미통과자,3개월내주은역학진단성검사항목이학진,병주호자료등기.결과 초사솔90.62％,초사통과솔88.08％;복사솔97.86％,복사통과솔88.36％;은력장애검출솔1.70‰.잉주시이성발사은력초사통과솔적위험인소[B -1.524,Exp(B)=4.589,P＜0.05],출생체중시이성발사은력초사통과솔적보호인소[B=-0.647,Exp(B)=0.523,P＜0.05].고위인시이성발사은력복사통과솔적위험인소[B =0.374,Exp(B)=1.453,P＜0.05].결론 TEOAE가작위영인은력사사측시화감측적중요방법,통과사사능조기발현화조기간예영인은력장애.고위정황대사사통과솔유영향.
Objective To investigate otoacoustic emission in newborn hearing screening and the pass rate of screening,and to explore the related influencing factors.Methods Transient evoked otoacoustic emission ( TEOAE ) was used for hearing screening in neonates who were born during the period of January 2011 to October 2011.The neonates who did not pass the two consecutive screening would do TEOAE on 42 days afte birth and those who still failed in the third screening would take audiologic diagnostic test.The data were noted.Results The primary screening rate was 90.62％ and the pass rate of the primary screening was 88.08°％ the secondary screening rate was 97.86％ and the pass rate of secondary screening was 88.36％.The detection rate of dysaudia was 1.70 ％.Gestational age was the risk factor of otoacoustic emission for primary hearing screening [B =1.524,Exp ( B ) =4.589,and P＜ 0.05],while birth weight was the protective factor [B =- 0.647,Exp ( B ) =0.523,and P ＜ 0.05].High risk infants was the risk factor of secondary screening [B =0.374,Exp ( B ) =1.453,and P ＜ 0.05].Conclusions TEOAE can be used as an important procedure for infant hearing screening and monitoring.Infant dysaudia can be found and intervented earlier by screening.High risk factors have an effect on he pass rate of screening.