中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
31期
120-123,124
,共5页
新生儿%听力筛查%听力疾病%诊断
新生兒%聽力篩查%聽力疾病%診斷
신생인%은력사사%은력질병%진단
Newborn%Hearing screening%Hearing illness%Diagnosis
目的：探讨新生儿听力筛查在新生儿听力疾病诊断中的临床意义。方法：选择2013年6月-2015年3月于本院住院分娩的4085例新生儿作为研究对象，均采用自动听性脑干反应（AABR）进行听力筛查，分析新生儿中不同分娩方式、高危儿（早产儿、高胆红素血症、窒息）、产妇年龄、性别因素对筛查结果的影响。结果：4085例新生儿均于出生后2~5 d内完成ABBR筛查，其中首次筛查通过3423例，占比83.8%，未通过筛查662例，占比16.2%，复筛时通过606例，占比14.8%，未通过56例，占比1.4%，复筛未通过的新生儿经本院新生儿听力诊断中心确诊为听力障碍18例，占比0.44%；自然分娩新生儿首次筛查通过例数显著多余剖宫产新生儿；高危新生儿首次筛查、复筛及听力诊断中心检查通过例数均少于正常新生儿；高龄产妇新生儿的首次筛查、复筛通过例数均低于非高龄产妇新生儿，以上比较差异均有统计学意义（P<0.001）。结论：临床医师应加强对新生儿尤其是高危新生儿、高龄产妇、剖宫产新生儿的筛查及管理，对首次筛查未通过及具有高危因素的新生儿应加强随访，定期检查，尽早明确诊断，降低听力障碍的发生率。
目的：探討新生兒聽力篩查在新生兒聽力疾病診斷中的臨床意義。方法：選擇2013年6月-2015年3月于本院住院分娩的4085例新生兒作為研究對象，均採用自動聽性腦榦反應（AABR）進行聽力篩查，分析新生兒中不同分娩方式、高危兒（早產兒、高膽紅素血癥、窒息）、產婦年齡、性彆因素對篩查結果的影響。結果：4085例新生兒均于齣生後2~5 d內完成ABBR篩查，其中首次篩查通過3423例，佔比83.8%，未通過篩查662例，佔比16.2%，複篩時通過606例，佔比14.8%，未通過56例，佔比1.4%，複篩未通過的新生兒經本院新生兒聽力診斷中心確診為聽力障礙18例，佔比0.44%；自然分娩新生兒首次篩查通過例數顯著多餘剖宮產新生兒；高危新生兒首次篩查、複篩及聽力診斷中心檢查通過例數均少于正常新生兒；高齡產婦新生兒的首次篩查、複篩通過例數均低于非高齡產婦新生兒，以上比較差異均有統計學意義（P<0.001）。結論：臨床醫師應加彊對新生兒尤其是高危新生兒、高齡產婦、剖宮產新生兒的篩查及管理，對首次篩查未通過及具有高危因素的新生兒應加彊隨訪，定期檢查，儘早明確診斷，降低聽力障礙的髮生率。
목적：탐토신생인은력사사재신생인은력질병진단중적림상의의。방법：선택2013년6월-2015년3월우본원주원분면적4085례신생인작위연구대상，균채용자동은성뇌간반응（AABR）진행은력사사，분석신생인중불동분면방식、고위인（조산인、고담홍소혈증、질식）、산부년령、성별인소대사사결과적영향。결과：4085례신생인균우출생후2~5 d내완성ABBR사사，기중수차사사통과3423례，점비83.8%，미통과사사662례，점비16.2%，복사시통과606례，점비14.8%，미통과56례，점비1.4%，복사미통과적신생인경본원신생인은력진단중심학진위은력장애18례，점비0.44%；자연분면신생인수차사사통과례수현저다여부궁산신생인；고위신생인수차사사、복사급은력진단중심검사통과례수균소우정상신생인；고령산부신생인적수차사사、복사통과례수균저우비고령산부신생인，이상비교차이균유통계학의의（P<0.001）。결론：림상의사응가강대신생인우기시고위신생인、고령산부、부궁산신생인적사사급관리，대수차사사미통과급구유고위인소적신생인응가강수방，정기검사，진조명학진단，강저은력장애적발생솔。
Objective:To explore the clinical significance of newborn hearing screening in the diagnosis of neonatal hearing disease.Method:4085 newborns in our hospital from June 2013 to March 2015 were selected as the research objects.They were given automatic listen to brainstem response (AABR) for hearing screening.The influence of different delivery methods,high-risk infants(premature,hyperbilirubinemia,suffocate),maternal age and gender to the screening results were analyzed.Result:4085 infants completed ABBR screening within 2 to 5 days after the birth.3423 cases passed the screening for the first time,which accounted for 83.8%,662 cases didn’t get through the screening, which accounted for 16.2%.606 cases passed the compound sieve,which accounted for 14.8%,56 cases didn’t get through the compound sieve,which accounted for 1.4%.Among the newborns who didn’t pass the compound sieve,18 cases were diagnosed with hearing impairment,which accounted for 0.44%.In the natural birth newborns,the number of newborns who passed the screening for the first time was more than that in the cesarean section newborns.In the high risk newborns,the number of newborns who passed the screening for the first time,the number of newborns who passed the compound sieve and the number of newborns who passed the examination in the hearing diagnosis center were less than those in the normal newborns.In the newborns with elderly mother,the number of newborns who passed the screening for the first time and the number of newborns who passed the compound sieve were less than those in the newborns with young mothers.The differences above were all statistically significant(P<0.001).Conclusion:Clinicians shall strengthen the screening and management for the newborns,especially high risk newborns,newborns with older mothers and cesarean section newborns.For the newborns who don’t pass the screening for the first time and newborns with high risk factors,we shall strengthen the follow-up and give them regular check in order to confirm the diagnosis as soon as possible and reduce the incidence of hearing impairment.
