CAJ | 학술논문

目的：探讨影响新生儿听力筛查测试中的因素并及时干预和提高筛查准确率。方法应用畸变产物耳声发射（DPOAE）和自动听性脑干反应（AABR）对2012年1月至2013年6月在本院产科出生的4208例活产新生儿进行普遍听力筛查。初筛时间为出生后24 h ～出院前，用 DPOAE 进行；复筛应用 DPOAE 和 AABR 于出生后42 d 进行。复筛未通过者于3个月龄时，做诊断性检查评估听力水平，并跟踪随访1年以上。结果初筛4208例，通过3813例，通过率为90.61％；复筛395例，通过298例，占复筛总数的75.44％；复筛仍未通过97例中，确诊听力损失为8例，占总筛查数的1.90‰。结论通过对影响新生儿听力筛查因素的分析并及时干预，尽可能避免筛查中的假阴性造成的漏诊，提高听力筛查的效率，做到早发现，早诊断，早干预。
목적：탐토영향신생인은력사사측시중적인소병급시간예화제고사사준학솔。방법응용기변산물이성발사（DPOAE）화자동은성뇌간반응（AABR）대2012년1월지2013년6월재본원산과출생적4208례활산신생인진행보편은력사사。초사시간위출생후24 h ～출원전，용 DPOAE 진행；복사응용 DPOAE 화 AABR 우출생후42 d 진행。복사미통과자우3개월령시，주진단성검사평고은력수평，병근종수방1년이상。결과초사4208례，통과3813례，통과솔위90.61％；복사395례，통과298례，점복사총수적75.44％；복사잉미통과97례중，학진은력손실위8례，점총사사수적1.90‰。결론통과대영향신생인은력사사인소적분석병급시간예，진가능피면사사중적가음성조성적루진，제고은력사사적효솔，주도조발현，조진단，조간예。
Objective To explore factors that may affect newborn hearing screening,early intervention,and high accuracy rate in the screening.Methods Universal newborn hearing screening (UNHS)was carried out on 4 208 newborns who were born in the obstetric de-partment of our hospital from January 2012 to June 2013.The newborns were first screened with distortion product otoacoustic emission (DPOAE)between after 24 hours of birth and before leaving the hospital.They were rescreened with DPOAE and AABR(automated auditory brainstem response)42 days after birth.Those who failed the rescreening underwent diagnostic test to assess their level of hearing and were tracked with follow-up visits for more than 1 year.Results Among the 4 208 cases,3 813 cases passed the first screening occupying 90.61%;among the 395 cases who failed the first screening,298 cases passed the rescreening,occupying 75.44% of the rescreening;only 8 cases of the 97 cases who failed to pass the rescreening were diagnosed with hearing loss and occupied 1.90‰ of the total cases of screening.Conclusion Through the intervention in the factors that may affect newborn hearing screening,the efficiency of screening can be improved, missed diagnose can be reduced,and early diagnose and intervention can be achieved.