CAJ | 학술논문

目的：探讨新生儿快速脑干诱发电位听力筛查结果分析及临床意义。方法收集2014年1月~2015年1月本院3000例听力筛查新生儿临床资料进行分析。应用快速脑干诱发电位听力筛查仪对3000例新生儿做快速、无创的脑干听觉诱发电位检测,了解新生儿听力障碍的发病情况。结果本院活产新生儿为3000人,初筛未通过472人,初筛阳性率为15.7%(472/3000),出生后42 d,464例复筛,442例通过,复筛通过率为95.3豫,未通过22例,未通过率为4.7豫。20例转到本市听力筛查中心,最终确诊为听力障碍(双耳感音性耳聋)7例,系中度听力损失,给予干预治疗,占筛查总数的0.23豫,8例随访至1岁,3例于4月时、4例于6月时经听性脑干反应检查均正常。不同分娩方式、胎龄、出生体重等指标与听力损伤密切相关。结论通过脑干诱发电位听力筛查,新生儿听力损失可早发现,早干预,有效促进婴儿语言发育。
목적：탐토신생인쾌속뇌간유발전위은력사사결과분석급림상의의。방법수집2014년1월~2015년1월본원3000례은력사사신생인림상자료진행분석。응용쾌속뇌간유발전위은력사사의대3000례신생인주쾌속、무창적뇌간은각유발전위검측,료해신생인은력장애적발병정황。결과본원활산신생인위3000인,초사미통과472인,초사양성솔위15.7%(472/3000),출생후42 d,464례복사,442례통과,복사통과솔위95.3예,미통과22례,미통과솔위4.7예。20례전도본시은력사사중심,최종학진위은력장애(쌍이감음성이롱)7례,계중도은력손실,급여간예치료,점사사총수적0.23예,8례수방지1세,3례우4월시、4례우6월시경은성뇌간반응검사균정상。불동분면방식、태령、출생체중등지표여은력손상밀절상관。결론통과뇌간유발전위은력사사,신생인은력손실가조발현,조간예,유효촉진영인어언발육。
Objective To explore result analysis and clinical significance of neonatal rapid auditory brainstem evoked potential response in hearing screening. Methods 3000 neonatal clinical data for hearing screening were collected and analyzed in our hospital from January 2014 to January 2015.Rapid and noninvasive auditory brainstem evoked potential response detection was used in 3000 neonates by hearing screening instrument of auditory brainstem evoked potential response in order to get known the morbidity of neonatal hearing disorder. Results Among these live neonates,472 ba-bies were failed in preliminary screening,and positive rate was 15.7%(472/3000).Forty-two days after birth,464 out of 472 babies were screened again,and 442 neonates were passed.The passing rate in secondary screening was 95.3%. The rest were failed accounting for 4.7%.There were 20 cases transferred to hearing screening center in our city and they were finally diagnosed as hearing disorders and provided with intervention treatment. Seven cases diagnosed as binaural sensory deafness were classified into moderate hearing loss,and took 0.23% among all participants.The auditory brain-stem response examinations were all normal in 4 months old in 3 cases, 6 months old in 4 cases,and one year old by follow up in 8 cases.Indexes of different delivery mode,gestational age,and birth weight were closely related with hear-ing damage. Conclusion By auditory brainstem evoked potential response for hearing screening,neonatal hearing loss can be detected and intervened at an early stage, which effectively promotes infant’s language development.