CAJ | 학술논문

目的：探讨妊娠合并梅毒母亲所生新生儿42天听力复筛结果是否受母体梅毒感染因素的影响。方法采用畸变产物耳声发射测试，对母亲妊娠合并梅毒的新生儿进行42天听力复筛。结果疑似先天性梅毒儿46例，其中梅毒螺旋体颗粒凝集试验（TPPA）单阳性者18例，占39.13%，全部通过42天听力复筛；梅毒血清反应素试验（RPR）/TPPA双阳性者28例，占60.87%，其中27例通过42天听力复筛；42天听力复筛总通过率为97.83%。未通过听力复筛1人，该儿童双耳听性脑干反应阈值（ABR）均通过听力诊断检查。结论疑似先天性梅毒儿的听力在新生儿阶段没有受母体梅毒感染的影响。
목적：탐토임신합병매독모친소생신생인42천은력복사결과시부수모체매독감염인소적영향。방법채용기변산물이성발사측시，대모친임신합병매독적신생인진행42천은력복사。결과의사선천성매독인46례，기중매독라선체과립응집시험（TPPA）단양성자18례，점39.13%，전부통과42천은력복사；매독혈청반응소시험（RPR）/TPPA쌍양성자28례，점60.87%，기중27례통과42천은력복사；42천은력복사총통과솔위97.83%。미통과은력복사1인，해인동쌍이은성뇌간반응역치（ABR）균통과은력진단검사。결론의사선천성매독인적은력재신생인계단몰유수모체매독감염적영향。
Objective Toexplorewhethertheinfectivefactorwillaffecttheresultsof42-dayshearingscreeninginnewbornswhose motherwithsyphilis.Methods 42-dayshearingscreeningwasperformedinalltheinfantsborntomotherswithsyphilisusingdistortionprod-uctotoacousticemissions(DPOAE).Results Of46latentsyphilisnewborns,18(39.13%)showedpositiveresultforTreponemapallidum particle agglutination(TPPA)test,and all of them passed 42-days hearing screening;28(60. 87%)showed positive results for both TPPA and rapid plasma reagin( RPR)test,and 27 of them passed 42-days hearing screening. The total rate of passing 42-days hearing screening was97.83%.Onecasefailedinthe42-dayshearingscreening,butpassedinauditorybrainstemresponses(ABR)test.Conclusion This study suggests no effect of mothers' syphilis on the hearing of suspected congenital syphilis newborns in neonatal period.