中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2015年
3期
555-556,557
,共3页
新生儿%听力筛查%听力缺陷%回顾性分析
新生兒%聽力篩查%聽力缺陷%迴顧性分析
신생인%은력사사%은력결함%회고성분석
newborn%hearing screening%hearing defect%retrospective analyzing
目的：总结新生儿听力筛查资料,探讨早期发现先天性耳聋患儿的临床体会。方法选择2012年3至12月在湖北省中山医院阳逻院区出生的832例新生儿为研究对象,采用瞬态诱发耳声发射( TEOAE)初筛-TEOAE复筛-听性脑干诱发电位( ABR)再筛的三步法开展新生儿听力筛查,复筛阳性者按武汉市新生儿疾病筛查管理要求转诊到武汉市新生儿疾病筛查中心做进一步检查,并对结果进行分析。结果在832例新生儿中,听力筛查初筛通过率为90.50%,其中正常足月新生儿和高危儿初筛通过率分别为91.15%和86.67%,两组比较有显著性差异(χ2=12.734,P<0.05)。剖宫产的新生儿初筛通过率为90.13%,复筛通过率为91.04%；顺产的新生儿初筛通过率为92.16%,复筛通过率为91.67%。在采用了三步法开展新生儿听力筛查后,新生儿转诊率为0.84%。结论开展新生儿听力筛查能够更早的发现新生儿听力缺陷,及时开展相关干预手段,促使其听力及语言功能的恢复。
目的：總結新生兒聽力篩查資料,探討早期髮現先天性耳聾患兒的臨床體會。方法選擇2012年3至12月在湖北省中山醫院暘邏院區齣生的832例新生兒為研究對象,採用瞬態誘髮耳聲髮射( TEOAE)初篩-TEOAE複篩-聽性腦榦誘髮電位( ABR)再篩的三步法開展新生兒聽力篩查,複篩暘性者按武漢市新生兒疾病篩查管理要求轉診到武漢市新生兒疾病篩查中心做進一步檢查,併對結果進行分析。結果在832例新生兒中,聽力篩查初篩通過率為90.50%,其中正常足月新生兒和高危兒初篩通過率分彆為91.15%和86.67%,兩組比較有顯著性差異(χ2=12.734,P<0.05)。剖宮產的新生兒初篩通過率為90.13%,複篩通過率為91.04%；順產的新生兒初篩通過率為92.16%,複篩通過率為91.67%。在採用瞭三步法開展新生兒聽力篩查後,新生兒轉診率為0.84%。結論開展新生兒聽力篩查能夠更早的髮現新生兒聽力缺陷,及時開展相關榦預手段,促使其聽力及語言功能的恢複。
목적：총결신생인은력사사자료,탐토조기발현선천성이롱환인적림상체회。방법선택2012년3지12월재호북성중산의원양라원구출생적832례신생인위연구대상,채용순태유발이성발사( TEOAE)초사-TEOAE복사-은성뇌간유발전위( ABR)재사적삼보법개전신생인은력사사,복사양성자안무한시신생인질병사사관리요구전진도무한시신생인질병사사중심주진일보검사,병대결과진행분석。결과재832례신생인중,은력사사초사통과솔위90.50%,기중정상족월신생인화고위인초사통과솔분별위91.15%화86.67%,량조비교유현저성차이(χ2=12.734,P<0.05)。부궁산적신생인초사통과솔위90.13%,복사통과솔위91.04%；순산적신생인초사통과솔위92.16%,복사통과솔위91.67%。재채용료삼보법개전신생인은력사사후,신생인전진솔위0.84%。결론개전신생인은력사사능구경조적발현신생인은력결함,급시개전상관간예수단,촉사기은력급어언공능적회복。
Objective To summarize neonatal hearing screening data to describe clinical experience of early detection of congenital deafness. Methods From March to December in 2012 832 neonates born in Hubei Zhongshan Hospital Yangluo School were chosen in study, and they underwent transient evoked otoacoustic emission ( TEOAE) screening-TEOAE rescreening- auditory brainstem response ( ABR) screening again. Wuhan Neonatal Screening Management required transfering the neonates with positive results in second screening to Wuhan Neonatal Screening Center for further examination. The screening results were analyzed. Results Of 832 cases, the pass rate at primary screening was 90. 50%, and that of normal full-term newborns and high-risk neonates was 91. 15% and 86. 67%, respectively. The difference was significant (χ2 =12. 734, P<0. 05). The pass rate of primary screening among neonates born by section was 90. 13%, and that of second screening was 91. 04%. Among spontaneously delivered neonates the pass rate of primary screening was 92. 16%, and that of second screening was 91. 67%. After adopting three-step hearing screening method, the transfer treatment rate of newborns was 0. 84%. Conclusion Neonatal hearing screening makes it possible to detect hearing defect early and carry out relevant interventions to promote the recovery of hearing and language function.
